The patient should be positioned for comfort, ., in Sims position (lying on the left side with knees and hips comfortably flexed). A chaperone and/or a drape should be provided for patient safety, comfort, and dignity. After an explanation of the procedure to the patient, several mL of surgical lubricant are placed on the examiner's glove, usually on the index finger. The examiner visually inspects the anus and perineum, then places the gloved finger on the anal opening while asking the patient to bear down gently. After the finger enters the anus, it is used to sweep circumferentially around the interior of the distal intestine. It is then directed anteriorly (when examining a male patient) to evaluate the consistency, size, and nodularity of the prostate gland. Samples of stool obtained during the exam may be sent to the lab to test them for the presence of occult blood.
On 26 February 1828 Palmerston delivered a speech in favour of Catholic Emancipation. He felt that it was unseemly to relieve the "imaginary grievances" of the Dissenters from the established church while at the same time "real afflictions pressed upon the Catholics" of Great Britain.  Palmerston also supported the campaign to pass the Reform Bill to extend the franchise to more men in Britain.  One of his biographers has stated that: "Like many Pittites, now labelled tories, he was a good whig at heart".  The Roman Catholic Relief Act 1829 finally passed Parliament in 1829 when Palmerston was in the opposition.  The Great Reform Act passed Parliament in 1832.