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The patient is on tube feeding and must stay at about a 30 degree angle. When her bowels move the stools are loose and sometimes it gets up to the vagina and urethra. Does anyone know of a way to prevent this from happening?

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Preventable, no, cleanable with a proper peri-wash, yes.
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We use a heavy layer of barrier cream, I've never noticed any problems with feces actually being forced up into the vagina or urethra, it seems to be all external.
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