A nurse is preparing a bowel training program for a patient. Which actions will the nurse take? (Select all that apply.)

A) Record times when the patient is incontinent.
B) Help the patient to the toilet at the designated time.
C) Lean backward on the hips while sitting on the toilet.
D) Maintain normal exercise within the patient's physical ability.
E) Apply pressure with hands over the abdomen, and strain while pushing.
F) Choose a time based on the patient's pattern to initiate defecation-control measures.

A successful program includes the following: Assessing the normal elimination pattern and recording times when the patient is incontinent. Choosing a time based on the patient's pattern to initiate defecation-control measures. Maintaining normal exercise within the patient's physical ability. Helping the patient to the toilet at the designated time. Offering a hot drink (hot tea) or fruit juice (prune juice) (or whatever fluids normally stimulate peristalsis for the patient) before the defecation time. Instructing the patient to lean forward at the hips while sitting on the toilet, apply manual pressure with the hands over the abdomen, and bear down but do not strain to stimulate colon emptying.