M - BOWEL
Risk to skin integrity: all individuals with diminished/absent sensation and prolonged toileting should use a pressure-distributing seat, whether using the toilet or a shower chair. This will reduce the risk of pressure damage to the skin, but not eliminate it. Individuals with a history of skin damage and resultant scarring may not tolerate even a short sitting time safely. Minimizing the duration of bowel care through an effective and timely bowel management program is essential. (Adapted from BOWEL 2012; Level C)