Post-Professional Occupational Therapy Doctorate
First Committee Member
Second Committee Member
Number of Pages
According to Borsh et al. (2019), a spinal cord injury (SCI) is damage to a tight bundle of cells and nerves, the spinal cord, that send and receive signals from the brain to and from the rest of the body. A direct injury can cause damage to the spinal cord itself or to the tissues and bones that surround it, which can cause temporary or permanent changes in sensation, movement, strength, and body functions below the injury site (Borsh et al., 2019). Unfortunately, the extent of the disability depends on the severity and location of the SCI; an injury higher on the spinal cord can cause paralysis in most of the body and affect all limbs. A SCI can also lead to the loss of bowel control, causing discomfort, pain, or waste-related accidents. Neurogenic bowel dysfunction (NBD) is the loss of bowel control after an injury to the nervous system (Borsh et al., 2019). In those with a SCI, it occurs because signals from the brain cannot pass through the spinal cord and, consequently, cannot reach the bowel muscles. Therefore, a neurogenic bowel training program (NBTP) must be implemented from day one of the acute care stages to help individuals with SCIs learn how to control their bowel movements better and improve their quality of life. This doctoral project explores the in-service education of interdisciplinary team members in the trauma intensive care unit (TSICU) on NBTP strategies used in the acute care phase. The NBTP competencies within the TSICU are to distribute and implement research-based best practices to improve the SCI patient’s quality of life. Interdisciplinary feedback has helped me explore and understand areas I need to focus on to improve my in-service presentations. This project aims to address the current gap in NBTP being implemented in patients with SCIs through an analysis of the literature and by educating interdisciplinary practitioners.
Occupational therapy; Spinal cord--Wounds and injuries--Treatment
University of Nevada, Las Vegas
Lobaina, Silvia, "The Importance of Educating Patients and Staff About Implementing the Neurogenic Bowel Training Program (NBTP) for Spinal Cord Injury (SCI) in the Acute Care Phase" (2023). UNLV Theses, Dissertations, Professional Papers, and Capstones. 4569.
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