00319 Deterioration Of Intestinal Continence

Domain 3: elimination and exchange
Class 2: gastrointestinal function
Diagnostic Code: 00319
Nanda label: deterioration of intestinal continence
Diagnostic focus: continence
approved 2020 • Evidence level 3.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « deterioration of intestinal continence is defined as: inability to retain feces, feel the presence of feces in the rectum, relax and store feces when it is not adequate an intestinal evacuation.

Definite characteristics

  • Abdominal discomfort
  • Intestinal urgency
  • Fecal spots
  • Deterioration of the ability to expel feces formed despite recognizing rectal replacement
  • Inability to delay defecation
  • Inability to retain winds
  • Inability to get to the toilet on time
  • Lack of attention to the urgency to defecate
  • Slow escape of feces during activities

Related factors

  • Avoiding the use of a non -hygienic toilet
  • Constipation
  • Dependency to go to the toilet
  • Diarrhea
  • Difficulty finding the bathroom
  • Difficulty finding help in time for bathroom
  • Shame for the use of toilet in social situations
  • Limitations of the environment that interfere with continence
  • General decrease in muscle tone
  • deterioration of physical mobility
  • Postural balance deterioration
  • Inappropriate dietary habits
  • Inadequate motivation to maintain continence
  • Incomplete intestinal emptying
  • Inappropriate use of laxatives
  • Stressors

Risk population

  • Older adults
  • Women with vaginal delivery
  • Women who give birth with obstetric extraction

Associated problems

  • Anal trauma
  • Congenital anomalies of the digestive system
  • Diabetes mellitus
  • Neurocognitive disorder
  • Neurological diseases
  • Physical inactivity
  • Prostatic diseases
  • Rectal trauma
  • Spinal cord injuries
  • stroke