Abstract
The focus of this chapter is to explain the management of fecal incontinence in adult patients who are admitted to an acute care hospital who have either chronic (pre-existing) or transient (reversible, short-term) fecal incontinence. Effective management can minimize or eliminate adverse patient outcomes such as skin breakdown, infections, and patient discomfort from fecal leakage. Included in the care approaches will be containment/collection products that are currently used for fecal incontinence in acute care and critical care. This chapter will also describe efforts toward prevention of fecal incontinence in this population.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Akpan A, Gosney MA, Barrett J. Factors contributing to fecal incontinence in older people and outcome of routine management in home, hospital and nursing home settings. Clin Interv Aging. 2007;2(1):139–45.
Nair B, O'Dea J, Lim L, Thakkinstian A. Prevalence of geriatric ‘syndromes’ in a tertiary hospital. Australas J Ageing. 2000;19(2):81–4.
Harari D, Husk J, Lowe D, Wagg A. National audit of continence care: Adherence to National Institute for Health and Clinical Excellence (NICE) guidance in older versus younger adults with faecal incontinence. Age Ageing. 2014;43(6):785–93.
Bayón GarcÃa C, Binks R, De Luca E, Dierkes C, Franci A, Gallart E, et al. Prevalence, management and clinical challenges associated with acute faecal incontinence in the ICU and critical care settings: the FIRST cross-sectional descriptive survey. Intensive Crit Care Nurs. 2012;28(4):242–50.
Dobb GJ. Diarrhoea in the critically ill. Intensive Care Med. 1986;12(3):113–5.
Beitz JM. Fecal incontinence in acutely and critically ill patients: options in management. Ostomy Wound Manage. 2006;52(12):56–8. 60, 62–66.
Rees J, Sharpe A. The use of bowel management systems in the high-dependency setting. Br J Nurs. 2009;18(Sup3):S19–24.
Akpan A, Gosney MA, Barrett J. Privacy for defecation and fecal incontinence in older adults. J Wound Ostomy Cont Nurs. 2006;33(5):536–40.
International Foundation for Functional Gastrointestinal Disorders. Available from www.iffgd.org.
National Institute of Health and Care Excellence (NICE). Fecal incontinence: the management of fecal incontinence in adults 2007. Available from https://www.nice.org.uk/guidance/cg49.
Bliss DZ, Norton CA, Miller J, Krissovich M. Directions for future nursing research on fecal incontinence. Nurs Res. 2004;53(6 Suppl):S15–21.
Rao SSC. Pathophysiology of adult fecal incontinence. Gastroenterology. 2004;126:S14–22.
Nelson AD, Camilleri M. Opioid-induced constipation: advances and clinical guidance. Ther Adv Chronic Dis. 2016;7(2):121–34.
Wishin J, Gallagher TJ, McCann E. Emerging options for the management of fecal incontinence in hospitalized patients. J Wound Ostomy Cont Nurs. 2008;35(1):104–10.
Bianchi J, Segovia-Gomez T. The dangers of faecal incontinence in the at-risk patient. Wounds Int. 2012;3(3):15–21.
Whiteley I, Sinclair G, Lyons AM, Riccardi R. A retrospective review of outcomes using a fecal management system in acute care patients. Ostomy Wound Manage. 2014;60(12):37–43.
Bliss DZ, Johnson S, Savik K, Clabots CR, Gerding DN. Fecal incontinence in hospitalized patients who are acutely ill. Nurs Res. 2000;49(2):101–8.
Nelson JA, Daniels AU, Dodds WJ. Rectal balloons: complications, causes, and recommendations. Invest Radiol. 1979;14(1):48–59.
United States Food and Drug Administration. Center for devices and radiographical health: device classes 2006. Available from www.fda.gov/cdrh/devadvice/3132.html.
Bosley C. Three methods of stool management for patients with diarrhea. Ostomy Wound Manage. 1994;40(1):52.
Doughty DB, Jensen LL, editors. Assessment and management of the patient with fecal incontinence. 3rd ed. St. Louis, MO: Mosby Elsevier; 2006.
Keshava A, Renwick A, Stewart P, Pilley A. A nonsurgical means of fecal diversion: the Zassi Bowel Management System. Dis Colon Rectum. 2007;50(7):1017–22.
Powers J, Bliss DZ. Product options for faecal incontinence management in acute care. J World Council Enterostomal Therapy. 2012;32(1):20–3.
Peart J, Richardson A. Developing a critical care bowel management assessment tool to manage faecal incontinence. Nurs Crit Care. 2015;20(1):34–40.
Edwards J. Development of a bowel management assessment tool. Poster presented at Wounds UK Conference, UK. 2011.
Paterson J, Ostaszkiewicz J, Suyasa IGPD, Skelly J, Bellefeuille L. Development and validation of the role profile of the nurse continence specialist: a project of the International Continence Society. J Wound Ostomy Cont Nurs. 2016;43(6):641–7.
Hunter KF. ICS update in continence care: the role of the nurse continence specialist in continence services. Urology News. 2016;20(6):46–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Carr, M., Hunter, K.F. (2018). Management of Fecal Incontinence in Acutely Ill and Critically Ill Hospitalized Adults. In: Bliss, D. (eds) Management of Fecal Incontinence for the Advanced Practice Nurse. Springer, Cham. https://doi.org/10.1007/978-3-319-90704-8_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-90704-8_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-90703-1
Online ISBN: 978-3-319-90704-8
eBook Packages: MedicineMedicine (R0)