What should be included in the care plan for a client with a spica cast to prevent constipation?

In the context of managing a client with a spica cast, using a fracture pan for bowel elimination is a critical component of the care plan, as it facilitates easier and more comfortable bowel movements for individuals who may have restricted mobility due to their cast. The spica cast immobilizes a significant portion of the body, which can make traditional methods of bowel elimination challenging and uncomfortable. A fracture pan is specifically designed for use in these situations, allowing for proper positioning and reducing the risk of falls or additional injury.

Implementing the use of a fracture pan helps maintain personal hygiene and can also contribute to overall comfort, thereby encouraging regular bowel habits and potentially preventing constipation. This is particularly important because immobility itself can contribute to slowed gastrointestinal motility, making the risk of constipation higher for clients in spica casts.

In contrast, the other options provided may not effectively address the issue of constipation management in this specific scenario. High-fiber foods are beneficial for general bowel health, but if mobility is limited, simply increasing fiber without accompanying fluid intake may not be sufficient. Limiting oral fluid intake can exacerbate constipation, as adequate hydration is vital for promoting regular bowel movements. Lastly, although bed rest is sometimes necessary due to the restrictions imposed by the cast,