SCI: Fiber (2003)
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Diagnosis
What is the recommended fluid intake for bowel and bladder management? (SCI 2003)
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Conclusion
The amount of fluid needed to promote optimal stool consistency must be balanced with the amount needed for bladder management. Fluid intake in the range of 2000-3000 ml/day is recommended.
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Evidence Summary: Fluid for Bowel and Bladder Management in SCI patients (2003)
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Consortium for Spinal Cord Medicine. Neurogenic Bowel Management in Adults with Spinal Cord Injury: Clinical Practice Guidelines for Health-Care Professionals. Washington, DC: Paralyzed Veterans of America, 1998.
- Nesathurai S. The Rehabilitation of People with Spinal cord Injury, 2nd edition. Blackwell Science, 2000.
- Spoltore TA, O’Brien AM. Rehabilitation of the Spinal Cord Injured Patient. Orthopaedic Nursing 1995; 14(3): 7-14.
- Detail
What level of fiber is recommended to manage neurogenic bowel; and how should it be introduced? (SCI 2003)-
Conclusion
Following determination of the individual’s current fiber intake and is effect on consistency of stool and frequency of evacuation, the diet of individuals with SCI should include at least 15 grams of fiber daily from a variety of dietary sources. Further increase in fiber should be done gradually, with symptoms of intolerance monitored and reduction of fiber if they occur.
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Grade: III
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
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Evidence Summary: Fiber and Neurogenic Bowel (2003)
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Badiali D, Bracci F, Castellano V, Corrazziari E, Fuoco U, Habib FI, Scivoletto G. Sequential treatment of chronic constipation in paraplegic subjects. Spinal Cord 1997; 35: 116-120.
- Consortium for Spinal Cord Medicine. Neurogenic Bowel Management in Adults with Spinal Cord Injury: Clinical Practice Guidelines for Health-Care Professionals. Washington, DC: Paralyzed Veterans of America, 1998.
- Han TR, Kim JH, Kwon BS. Chronic gastrointestinal problems and bowel dysfunction in patients with spinal cord injury. Spinal Cord 1998; 36: 485-490.
- Nesathurai S. The Rehabilitation of People with Spinal cord Injury, 2nd edition. Blackwell Science, 2000.
- Detail
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Conclusion