Everyday Realities for Adults with ARM

Managing bowel function extends far beyond physical symptoms; it encompasses emotional wellbeing, social participation, and practical day-to-day life. 

 

At its core is dignity; ensuring that adults feel respected, heard, and genuinely in control of their bodies and personal care. 

 

Autonomy is equally essential, with support aimed at reducing unpredictability and enabling greater control over routines, decisions, and daily activities. 

 

With appropriate strategies and understanding care, adults can build confidence, allowing them to engage fully in work, education, social life, and relationships. 

 

Together, these elements form the foundation of holistic continence support, helping individuals live with comfort, assurance, and self-respect.

 

Faecal Incontinence:

Can affect daily activities, confidence, and participation in social situations.

 

Chronic Constipation: 

Often requiring ongoing management.

 

Hygiene Concerns:

Can affect self-esteem, confidence, and willingness to engage in social activities.

 

Bowel Management Programs

Bowel management may involve a combination of approaches tailored to individual needs:

 

Individualised Nutrition Plan: 

Supports regular bowel function through diet tailored to digestive patterns and tolerances.

 

Medications: 

Used to manage constipation, incontinence, or stool consistency, depending on individual requirements.

 

Enemas / Anal Irrigation:

Techniques designed to assist with effective and predictable bowel emptying

 

Antegrade Continence Procedures (ACE):

Surgical options that create a controlled route for bowel emptying, enhancing predictability and comfort.

 

Pelvic Floor Therapy:

Exercises and techniques to strengthen pelvic muscles and improve continence

Sacral Neuromodulation:

Electrical stimulation of sacral nerves to help regulate and improve bowel function