Bowel Management: Level Of Assist

Question 1

What is included in this category?

Answer 1

Complete and intentional control of bowel movements and use of equipment or agents for control

Question 2

What devices are included in this category?

Answer 2

Bedpan
Commode
Diaper
Medication
Ostomy 
Suppository 
Dig stim

Question 3

What does Device Management include?

Answer 3

Retrieving device
Holding/positioning device
Emptying device

Question 4

1

Answer 4

Total A
…pt does < 25% of device management, OR requires helper to clean up after accidents OR ostomy unless pt manages entirely, manual disimpaction, digital stimulation, OR assist of 2 helpers to manage device

Question 5

2

Answer 5

Max A

…pt does 25-49% of device management

Question 6

3

Answer 6

Mod A

…pt does 50-74% of device management

Question 7

4

Answer 7

Min A

…pt does 75% or greater of device management (i.e., staff inserts suppository only)

Question 8

5

Answer 8

S/Setup
…set-up assist with device (i.e., staff empty commode bucket/bedpan, only supply ostomy items, provide incontinence pad/device)

Question 9

6

Answer 9

Mod I - NO HELPER

…use of AD WITHOUT S (i.e., pt manages own bowel program or device)

Question 10

7

Answer 10

I - NO HELPER

…NO device

Question 11

Is it possible for this activity not to occur?

Answer 11

NO - there is no “0” scoring category

Question 12

What category should a pt be scored in if 2 helpers are required?

Answer 12

1 = Total A

Question 13

What is the minimum score a pt can receive if a helper is not required?

Answer 13

6 = Mod I

Question 14

What is the maximum score a pt can receive if a helper is required?

Answer 14

5 = S/Setup