I agree with you. LTC nurses do tend to get attitude from some in the healthcare field, and I don't understand it. They have such an overwhelming job with few resources to support them. We have pts that are very hard to care for, but were at the nursing home a few hours ago with 70 other pts for that nurse to care for with maybe an aide or 2 to help.
Bowel problems can quickly become serious for the pt with respiratory or cardiac problems. Once they are compromised, it is very difficult to do anything to 'get them going again', when they can't breathe just lying still with the HOB up. The bowel assessment including the question 'last bm?', is there for a reason, and we should follow up on it as needed.