What statement from a patient indicates that further bowel training education is needed?

The statement indicating that further bowel training education is required is related to the client's use of laxatives. Regularly using a laxative four to five times a week can hinder the natural bowel function and disrupt the body's ability to establish a regular bowel pattern. Laxatives can lead to dependency, causing the intestines to require more stimulation than they naturally would, which contradicts the goals of bowel training.

Bowel training is designed to help patients develop a routine that promotes regular bowel movements through proper diet, hydration, and exercise, rather than relying on medications. When a patient expresses that they frequently use laxatives, it suggests a lack of understanding about the importance of these natural methods in achieving bowel regularity and maintaining healthy function. This reliance on laxatives points to the need for further education about healthier practices for bowel management.