Transanal irrigation to treat bowel dysfunction: an update on practice. (1st November 2021)

• Record Type: Journal Article
• Authors: Yates, Ann
• Is Part Of: Gastrointestinal nursing. Volume 19:(2021)Supplement 9
• Page Start: S20
• Page End: S28
• Publication Date: 2021-11-01
• Subjects: Bowel dysfunction -- Constipation -- Faecal incontinence -- Neurogenic bowel -- Transanal irrigation; Gastrointestinal system -- Diseases -- Nursing -- Periodicals; 616.330231
• DOI: 10.12968/gasn.2021.19.Sup9.S20
• Languages: English
• ISSNs: 1479-5248

Abstract

Abstract : Transanal irrigation (TAI) has been receiving increasing attention and acceptance in recent years as a treatment option for bowel dysfunction, including chronic constipation, faecal incontinence, neurogenic bowel disorders and lower anterior resection syndrome. TAI involves the instillation of tepid water into the bowel via a rectal catheter or cone to achieve a controlled bowel cleanout. This article addresses the competencies that health professionals require to use TAI. Prior to instigating TAI, these include how to undertake an adequate bowel assessment; understand the risks and complications associated with TAI; and select the equipment most suitable for an individual's bowel symptoms. The professional must also be able to instruct the user in how to safely perform the procedure; discuss contra-indications and cautions; and collect outcome measures, including reasons for discontinuation.