Why might a resident with confusion be less likely to participate effectively in a bowel program?

Residents with confusion may struggle to participate effectively in a bowel program due to a lack of awareness of their bodily functions. This diminished awareness can result from cognitive impairments associated with confusion, such as difficulty recognizing bodily signals or understanding the importance of the bowel program. Such residents may not recognize the sensations that indicate the need to have a bowel movement or may not remember the steps that are necessary to participate in the program, such as adhering to a schedule or using the appropriate techniques.

In contrast, higher levels of cognitive function, increased independence, and the ability to communicate effectively would contribute positively to engaging in a bowel program, as they would allow the resident to understand their bodily cues and follow through with the program effectively.