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First Priority Care

Nursing

NDIS Complex Bowel Care in Queensland

Neurogenic bowel programs, rectal interventions and dignified bowel care delivered by registered nurses.

Bowel management is one of the most personal aspects of disability support, and one of the most clinically complex. For participants with neurogenic bowel, constipation or faecal incontinence related to their disability, routine bowel management may require skilled nursing intervention that goes beyond what a support worker can safely provide. First Priority Care's registered nurses deliver dignified, effective bowel care in your home.

What Our Complex Bowel Care Includes

  • Comprehensive bowel assessment: history, function, contributing factors, current management
  • Neurogenic bowel management programs: for participants with spinal cord injury, MS or acquired brain injury
  • Digital rectal examination (DRE) and digital rectal stimulation (DRS)
  • Suppository administration: glycerine, bisacodyl and other prescribed suppositories
  • Enema administration: phosphate, micro-enema and other prescribed enemas
  • Transanal irrigation management: setup, technique and ongoing oversight
  • Manual evacuation where clinically indicated and per participant consent and care plan
  • Bowel care chart development and monitoring
  • Stool consistency and Bristol Stool Scale monitoring
  • Dietary and fluid intake review in collaboration with dietitian
  • GP and gastroenterology liaison for complex or refractory cases

NDIS Funding

Complex bowel care is a High Intensity Daily Activity support funded under Core Supports: Assistance with Daily Life. It is one of the supports most frequently underused in NDIS plans, often because participants are not aware that clinical nursing support is available and fundable.

Areas We Serve

  • Brisbane (North and South)
  • Logan
  • Ipswich
  • Gold Coast
  • Redlands

Frequently Asked Questions

Can a support worker perform bowel interventions?
Standard support workers cannot perform rectal interventions such as digital rectal examination, suppository insertion or enema administration. These are High Intensity Daily Activity tasks that must be performed by a registered nurse, or under their direct clinical supervision. Support workers can assist with general continence hygiene, positioning and bowel chart completion.
What is a neurogenic bowel program?
A neurogenic bowel occurs when the nerves controlling bowel function are damaged, most commonly in spinal cord injury, MS or brain injury. A neurogenic bowel program is a structured, timed routine using a combination of positioning, rectal interventions and dietary management to achieve predictable, controlled bowel emptying. Our nurses design and implement these programs in line with your spinal cord or neurological team's recommendations.

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