I am with Willie. This has been discussed before on the forum and I think it was said only a Nurse should perform it. If ur an CNA, this is not in ur job discription. Not something you should be doing. I read where sometimes a special tool is needed and this is where the problem comes in if u do not know what you are going, the bowel could become perforated and then you have a big problem. As a layman, even if trained, I would not do it.
Legalities aside this is a process that takes training, and not the kind learned on the internet or from trial and error. If someone is paralyzed it may be a necessity, but for an elder with some kind of bowel dysfunction there are almost always other, better options.
I’d never heard of digital stimulation, and looked it up – basically manipulating hard feces with a finger inside the bowel passage.
I’d say it depends a lot on who you are. If you are a family carer and the ‘patient’ is happy about the idea, my guess is that it’s not illegal. Many ‘unusual’ sexual practices along these lines are quite legal between consenting adults, so I can't see why this should be illegal. Of course consider hygiene gloves, and short fingernails with no sharp bits – and stop if there are objections.
If you are a paid carer, it’s different set of issues. You should certainly see what you have been hired to do (and not do) in your contract, and in the agency agreement if you came through an agency. If you are hired by the family, it would certainly be necessary to get the hirer’s approval. This is unusual, and you would be even more at risk of objections if you have a personal interest in the sexual practices that have some similarities. Think carefully!
An unlicensed what? Your subject choice is "Constipation" so I'm not sure if I'm understanding your post correctly, so please provide more info. If you are a caregiver to a vulnerable person who cannot make decisions for themselves I'd say this is a hard NO, "licensed" or not... For legal reasons alone you should steer clear of this for your own protection. The MPoA needs to inform the doctor of the situation, don't play doctor yourself.
I’d say it depends a lot on who you are. If you are a family carer and the ‘patient’ is happy about the idea, my guess is that it’s not illegal. Many ‘unusual’ sexual practices along these lines are quite legal between consenting adults, so I can't see why this should be illegal. Of course consider hygiene gloves, and short fingernails with no sharp bits – and stop if there are objections.
If you are a paid carer, it’s different set of issues. You should certainly see what you have been hired to do (and not do) in your contract, and in the agency agreement if you came through an agency. If you are hired by the family, it would certainly be necessary to get the hirer’s approval. This is unusual, and you would be even more at risk of objections if you have a personal interest in the sexual practices that have some similarities. Think carefully!