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