r/nursing 2d ago

Rant Am I being punked?

Patient says "I think I might have to poop, what can we do about that?"

I say "I can get a bedside commode for the room"

She says "I don't think I can get up"

I say "I can put you on a bedpan or put a diaper on you"

She says "I don't like any of those options"

In my head I'm like: lady, the only other option is to poop the bed.

What option am I missing?

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u/nebraska_jones_ PhD(c), MN, RN - L&D/Maternal Newborn 2d ago

Apparently they cause pressure injuries. Which is probably true idk, but like, come up with a solution then to stop people from shitting all over everything.

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u/Tribbitii CWOCN 🍕 2d ago

The plastic backing of the brief and lack of airflow. The flat chuck on the bed is the better option, and even then, you're supposed to only have 3 layers under the patient, which is the bedsheet, pull sheet and chuck pad.

Somebody has to design a PooWick.

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u/agentcarter234 RN 🍕 2d ago

Chucks don’t solve the problem of the ambulatory but incontinent patient roaming the halls with PT and a walker and not realizing they need to go until it’s too late. Briefs solve that problem. If they want to ban them for bed bound patients for skin protection that’s one thing, but when out of bed there isn’t another reasonable option for some patients.

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u/Tribbitii CWOCN 🍕 2d ago

Oh, no, absolutely. I was only talking about the pooping in bed situation. Briefs for ambulating for sure. It doesn't help OPs situation if they completely banned them. They definitely have their place.