Bowel Incontinence

Causes

Dementia

Diabete

Lower Motor Nerve Trauma

Spinal Cord Injury

Stroke

Damaged Sphincters

Fecal Impaction

Immobility

Infection

Lack of accessible toiling facility

Long term laxative use

Nerve trauma

Weak Pelvic floor muscles

Physical Disability

Postoperative injuries

Food intolerance

Enteral nutriiton

Diagnostic Testings

Impaired cognitive function

Antibiotic therapy

C. Difficile

Food borne pathogen

Pregnancy

Increased Age

Assessment

Identify cause of incontinence

Assess patients normal bowel elimination pattern

Determine cause of medication or treatments that may contribute to bowel incontinence

Assess use of diapers, sanitary napkins,incontinence briefs, and underpass

Evaluate ability of patient to go to the bathroom independently

Assess fluid and fiber intake

Evaluate extent to which patient's daily activities are modified by bowel incontinence

Assess perineal skin integrity

Evaluate surrounding for availability of an accessible toilet facility

Plan

Patient will be continent of stool or reports decreased episodes of bowel incontinence

Patient will participate in daily bowel programs until bowel pattern develops

Patient will evacuate soft, formed stool

Patient will verbalize feelings of self control regaurding bowel movements

Patient will verbalize ways on how to keep bowel movements regular by naming what foods to eat and how much fluids to intake

Intervention

Provide high fiber diet

increase fluid consumption at least 3000 mL a day

Keep bedside commode and assertive device in sight

Assist patient with mobility and exercise

Create Bowel Program

Encourage bowel elimination at the same time each day

Place patient in semi fowler position to defecate

Discourage use of pads, diapers for long-term management of bowel incontinence

External anal pouch ❗

Intra Anal Stool Bag ❗

Rectal Tubes and catheters ❗

Rectal Trumpets ❗

Wash perineal area after each elimination with soap and water, apply moisture barrier ointment