00014 Bowel incontinence

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00014 Bowel incontinence

Definition of the NANDA label

Fecal incontinence is the inability to control bowel movements with involuntary passing of stool.

Involuntary passage of stool.

Defining characteristics

  • Urgency to defecate and lack of response to this urgency.
  • Constant dripping of loose stools.
  • Fecal odor and fecal stains on clothing or bed.
  • Inability to feel the sensation of rectal fullness.
  • Reddened perianal skin.
  • Inability to pass formed stool.

Related factors

  • Chronic diarrhea.
  • Fecal impaction.
  • Diet habits.
  • Incomplete intestinal emptying.
  • Rectal sphincter abnormality and colorectal lesions.
  • Injuries to the superior motor nerves.
  • Generalized muscular hypotonia.
  • Disorders of perception and consciousness.
  • Body immobility.
  • Laxative abuse.
  • Stress and anxiety.
  • Physical or psychological inability to access services.
  • High abdominal or intestinal pressure.
  • Poor personal hygiene.

Associated condition

  • Abnormal increase in abdominal pressure – Abnormal increase in intestinal pressure – Alteration in cognitive  functioning – Chronic diarrhea
  • Colorectal lesion
  • Dysfunctional rectal sphincter
  • Impaction
  • Impaired reservoir capacity
  • Lower motor nerve damage
  • Pharmaceutical agent
  • Rectal sphincter abnormality
  • Upper motor nerve damage

NOC

  • Intestinal continence.
  • Bowel elimination.
  • Tissue integrity: skin and mucous membranes.

NIC

  • Bowel incontinence care.
  • Bowel training.
  • Bowel management.
  • Perineal care.
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