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Fecal disimpaction is one of the least desirable tasks performed by healthcare professionals. Manual extraction involves scraping out a hard fecal mass, which is embarrassing for all involved. Fecal impaction every second matters. Ready?26 Apr 2013 Citation: Ness W (2013) Digital removal of faeces. . Have a policy for manual bowel evacuation;; Ensure nursing staff in all care areas are sclerosis, the digital removal of faeces is an integral part of bowel management. professional and legal aspects of the manual (digital) removal of faeces. Manual evacuation (also known as rectal clear) is used for people with a non-reflex bowel. Stool is emptied by gently inserting a finger into the rectum and removing it. This procedure is usually done everyday or every other day. The time and how often will depend on the individual's needs. A fecal impaction is a solid, immobile bulk of feces that can develop in the rectum as a result of Manual removal of a fecal impaction is often required with obese patients in traction, after a barium enema, and in poorly hydrated older adults. A fecaloma can develop as the fecal matter gradually stagnates and accumulates 24 Jul 2017 Manual removal. If a laxative or a suppository doesn't unblock the feces from your colon, your doctor will remove the feces manually. To do this Fecal impaction is a common gastrointestinal problem and a potential source of Treatment options include manual extraction and proximal or distal washout. 20 Aug 2018 People who have spinal cord injuries may need manual disimpaction as part of their bowel management. In this procedure, a single finger of a gloved hand is lubricated and inserted into the rectum of the patient. The stool is gently broken up and pieces are removed until the rectum is empty. Manual removal of faeces by nursing staff for adult patients who have an established bowel management plan. Guidelines Governance & Nursing Title: Manual The digital removal of faeces from the rectum for treatment of acute faecal Registered nurses should not undertake a manual evacuation of faeces when:.