What behavioral shift reduced wood consumption during the tokugawa shogunate?

using coal for fuel
building houses with bigger central hearths
eating less rice and seafood
increased grazing of oxen and cattle

Anurse is caring for a client who is learning how to take care of a newly created colostomy. when observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client carries out what procedure?