Bowel Management for Spinal Cord Injury

Supporting Bowel Programs in SCI: Clinical Reasoning, Routines, and Adaptive Equipment In this clinical discussion, we explore practical considerations for supporting bowel programs in individuals with spinal cord injury, with a focus on routine development, positioning, client buy-in, and problem solving when progress feels stalled. Topics covered include: How time of day and routine consistency impact bowel program success Positioning considerations related to trunk control, balance, and safety Strategies for improving carryover through task-specific practice Challenges with adherence in younger individuals with SCI The role of peer mentors in supporting education, insight, and engagement Adaptive equipment options to support independence, safety, and skin protection The conversation also highlights real-world clinical scenarios, interdisciplinary considerations in inpatient and outpatient settings, and creative problem-solving approaches when traditional strategies are not effective. This video is intended for rehabilitation professionals supporting individuals with spinal cord injury and related neurological conditions.