Which statement is NOT a goal of bowel management programs for individuals with spina bifida?

Which statement is NOT a goal of bowel management programs for individuals with spina bifida?

• A. Important To Maintain Social Continence
• B. Appropriate To Age Level
• C. Maximize Independence With Managing Bowel Program
• D. Eliminate The Need For Bowel Management

Answer: (D)

Bowel management in spina bifida focuses on achieving predictable, controllable bowel function to support continence and quality of life. The goals are to help the person maintain social continence so accidents don’t disrupt participation in school, work, or social activities; to tailor the program to be appropriate for the person’s age and developmental level so it’s practical and understandable; and to maximize independence, enabling the person to manage the routine with as little help as possible. The idea of eliminating the need for bowel management isn’t realistic, because neurogenic bowel in spina bifida typically requires ongoing routines and monitoring. The aim is to improve control and independence, not to eradicate the need for any management entirely.