presented by Kristen L. Mauk
Management of bowel and bladder is a major nursing task in rehabilitation. The rehabilitation nurse should recognize the types of neurogenic bowel and bladder function often seen in stroke, spinal injury, brain injury, and various neurological disorders. These types will be discussed along with nursing interventions to promote self-care and normalcy.
Dr. Mauk has been a Professor of Nursing for many years. Prior to moving to Colorado, she was a Professor of Nursing at a large private university in Indiana for nearly 25 years, and there she held the first Kreft Endowed Chair for the Advancement of Nursing Science, a position dedicated to gerontological nursing. She earned a BSN from Valparaiso University, an MS in Adult Health from Purdue University, a PhD from Wayne State University, a Post-Master’s GNP certification from University of Virginia, and a Doctor of Nursing Practice (DNP) degree from Valparaiso University. Dr. Mauk has 37 years of experience in chronic illness nursing, rehabilitation, and gerontological nursing and teaches in these specialties at both the graduate and undergraduate levels. She is certified in rehabilitation, as a gerontological nurse practitioner and clinical nurse specialist. She has authored or edited eight books, including three that were recognized with an AJN Book of the Year Award. She has served on editorial boards for Rehabilitation Nursing and Geriatric Nursing and has written numerous articles and book chapters. Dr. Mauk is a frequent presenter at conferences at the regional, national, and international levels. She is the Co-Founder and President of Senior Care Central/International Rehabilitation Consultants, providing educational, clinical, and legal nurse consulting in rehabilitation and senior care in the U.S. and internationally. Dr. Mauk is also a past president of the Association of Rehabilitation Nurses (ARN) and has served ARN in many roles, most significantly including the Council of Leaders, Editor of the 5th edition of the Core Curriculum, PRN course faculty, the task force to develop the ARN Professional Rehabilitation Nursing Competency Model, and Editor-in-Chief of Rehabilitation Nursing. Some of Dr. Mauk’s recognitions include: Suzanne Smith INANE Mentoring Editors Award (2017), Nominee for the 2016 National Robert Foster Cherry Award for Great Teachers, three AJN Book of the Year Awards (2017, 2010, & 1999), CASE/Carnegie Indiana Professor of the Year (2007), VU Caterpillar Award for Excellence in Teaching (2007), ARN Educator Role Award (2007), and the ARN Distinguished Service Award (2005). Dr. Mauk has taught nurses and students in China over the past few years. She has a passion for helping other countries to develop rehabilitation nursing into a strong specialty to promote quality care for their aging populations and those with disabilities.
This chapter presents normal micturition patterns and several major types of neurogenic bladder function commonly seen in rehabilitation. Strategies to recall symptoms of and interventions for each type of bladder function are discussed.
This chapter focuses on management of bowel elimination, including three major types of neurogenic bowel function. Strategies, both pharmacological and nonpharmacological, to prevent constipation and fecal incontinence are discussed.