How can bowel movements be managed during adaptive diving?

Divers with spinal cord injury (SCI), traumatic brain injury (TBI) and some neuromuscular disorders may need to plan their trips to the bathroom since they don’t experience the same physical urges or have the capacity to control bowel or urinary functions. It’s not unusual for a diver who is paraplegic or quadriplegic to perform a bowel program several hours before he or she expects to board the boat. Individuals should be independent in their bowel programs if they are going to dive, or they must have caregivers who can responsibly assist in these duties before a dive.

Some divers are urinary incontinent and may use catheters to urinate. All they may need is a little privacy, like someone holding a towel up for them if it is too difficult to transfer the diver to the boat’s head. The circumstances will dictate different approaches to rendering assistance; the dive team merely needs to be attentive and sensitive to the adaptive diver’s request for privacy and assistance.

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