Both authors are affiliated with the San Diego Veterans Affairs Medical Center Spinal Cord Injury Center: Kathleen Dunn is the SCI clinical nurse specialist and Monique Lewis Galka is the SCI outpatient clinic nurse coordinator.
A Comparison of the Effectiveness of Therevac SB™ and Bisacodyl Suppositories in SCI Patients' Bowel Programs
Article first published online: 3 SEP 2012
1994 Association of Rehabilitation Nurses
Volume 19, Issue 6, pages 334–338, November-December 1994
How to Cite
Dunn, K. L. and Galka, M. L. (1994), A Comparison of the Effectiveness of Therevac SB™ and Bisacodyl Suppositories in SCI Patients' Bowel Programs. Rehabilitation Nursing, 19: 334–338. doi: 10.1002/j.2048-7940.1994.tb01336.x
- Issue published online: 3 SEP 2012
- Article first published online: 3 SEP 2012
The evaluation described in this article compared the Therevac SB™ “mini-enema” with bisacodyl suppositories in the bowel management programs of patients with spinal cord injury (SCI). Of particular interest were (a) determining whether the additional costs of Therevac SB could be justified and (b) identifying the degree of bowel program improvement possible. Fourteen SCI patients were selected from the SCI inpatient unit and the clinic of a Department of Veterans Affairs facility. All patients experienced a delay of at least 45 minutes between insertion of a suppository and the beginning of stool evacuation. Each patient used bisacodyl suppositories for five bowel programs, then Therevac SB for five programs, finally repeating the bisacodyl suppositories for five more programs. Each patient maintained a bowel program log. Ten patients completed the evaluation. Using a MANOVA, the authors found a significant difference between bisacodyl and Therevac SB mean evacuation times for this group. An analysis of direct and indirect costs related to bowel care with the two regimens is also presented.