Abstract
District nurse Sister Mary Green cares for a patient left bed-bound when a road traffic accident damaged her spine. Continence management is a particular nursing problem and, following discussion with her consultant at the spinal injury centre, her GP is now recommending manual evacuation of faeces as the best form of bowel management. Sister Green is concerned by this proposal as the patient has become extremely distressed on previous occasions when a simple digital rectal examination was performed. She wonders if such intimate procedures are lawful.
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