Apologizing in advance for this topic and the level of detail!
Mom has struggled with constipation for many years. She has managed with Ducolax and a enema bottle device to add water to her dry anus. 1 week ago she fell and broke her leg and is now in skilled nursing. She cannot put any weight on the broken leg and is too weak to support and pivot transfer into the wheel chair to go to the toilet.
Sitting on the toilet is preferred to defecating in her diaper for cleanliness reasons (she has an open bed sore dime size) but also for physical therapy reasons. The more she gets up and moves around the sooner she will be strong enough to go home after her leg heals. She wants to do her routine so she can defecate quickly but cannot do so with her broken leg.
But to get her to the toilet takes 3 people - 2 people to transfer her and one to hold her broken leg off the ground. Very difficult to arrange more than once a day for the staff.
So the first time her nurse did the digital stimulation and then the second time she asked me to do that. I am very grossed out by that especially when she asked me to do it multiple times.
She has been able to defecate a couple of times without stimulation but only a small amount came out and she did not feel relieved. She doesn't want to drink a lot of water because it goes right through her and she would need very frequent diaper changes. She IS drinking water and liquids and is not dehydrated.
Only nurses can do this, no CNAs, right? What can be done to allow her to do this herself? She has to use the potty chair for support which is positioned over the toilet.