StudentShare solutions
Triangle menu

Fecal Incontinence - Essay Example

Not dowloaded yet

Extract of sample
Fecal Incontinence

They become housebound and prefer to pass the day very close to the toilet to avoid losing feces. The exact incidence of FI is uncertain because of patients' hesitation to seek help from their physicians. Women seem to be at higher risk, mostly due to obstetric damage to the anal sphincters; however, during the last decade, an increasing interest has been dedicated to those forms of FI related to nontraumatic factors, which reach a relevant incidence (Bharucha, 2003). Older subjects are at very high risk, especially those with disabilities and those who are institutionalized. Moreover, young people are often affected. These factors create a significant economic impact for society, not only due to direct and indirect costs, but also due to intangible costs. FI may result from a variety of pathophysiological situations, and various risk factors can cause a wide range of inability to control feces passage. Therefore, an accurate diagnostic workup of each patient is fundamental. Although not fully agreed upon by all physicians, a multimodal diagnosis, using a multiparametric evaluation, seems to allow the most thorough understanding of FI pathophysiology and to indicate optimal treatment. These are really the most important and challenging aspects of FI management. Indeed, a wide range of therapeutic options is available, including conservative, rehabilitative, and surgical procedures. Highly variable rates of defecatory dysfunction and fecal incontinence have been reported, which most likely reflects the heterogeneity of the populations studied, the use of non-standardized questionnaires, a variety of definitions in terms of frequency of defecation or fecal loss, and patient reluctance to disclose these potentially embarrassing problems. Aging has been consistently identified as a major risk factor for the development of fecal incontinence, and the prevalence has been reported to approach 50% in nursing home residents (Cook and Mortensen 2002). A recent study of more than 3,000 community-dwelling women found a population-adjusted prevalence of 7.7% when fecal incontinence was defined as loss of liquid or solid stool at least monthly. The prevalence of fecal incontinence increased linearly with age (Melville et al., 2005). Many patients are reluctant to seek medical attention for bowel disorders because of embarrassment and social stigma. Primary care providers, including obstetricians and gynecologists, are therefore integral to the successful disclosure of such problems by routinely inquiring about bowel function during periodic health care visits.
The Research Problem
The problem with fecal incontinence is that it often goes undiagnosed and untreated in elderly patients mainly due to the social stigma attached to it. Not only are the patients reluctant to admit the problem, the physicians often fail to ask about the problem due to similar embarrassment that the patients feel or due to the fact that they think the problem to be insignificant. In the older age groups this is particularly significant since it is common in them. Large population surveys have revealed that above age 65, the prevalence is 3% to 7%. Many elderly people are forced to get admitted into nursing homes due to this problem so much so that the prevalence is as high as 50% (Perry et al., 2002). As highlighted by Bharucha et al. (2005), the financial ...Show more

Summary

The anorectum is the caudal end of the gastrointestinal tract, and is responsible for fecal continence and defecation. In humans, defecation is a viscerosomatic reflex that is often preceded by several attempts to preserve continence. Continence has been defined as the ability to retain a bodily discharge voluntarily…
Author : kirlinbrandyn
Fecal Incontinence essay example
Read Text Preview
Save Your Time for More Important Things
Let us write or edit the essay on your topic
"Fecal Incontinence"
with a personal 20% discount.
Grab the best paper

Related Essays

A specific health care topic of interest to you --Nursing
3. Having stoma is a stigmatic experience, but what are the best strategies to meet the individual expectations post-stomal reversal of those individual in order to minimize if not prevent distress? Abstract Ostomy surgery patients are plagued, not only with the altered lifestyle associated with the surgery; but also with the societal stigma attached to it.
8 pages (2000 words) Essay
Management of stress incontinence
Stress incontinence is essentially underpinned by an insufficient vigour of the pelvic floor muscles, and is always provoked by physical activities or movement such as coughing, exercising, sneezing, or any other sudden voluntary movement, due to the pressure that these movements or activities apply on the bladder.
11 pages (2750 words) Essay
Alzeihmers Disease
Memory loss is one of its earliest manifestations; however, other cognitive functions that are affected include orientation, comprehension, and calculating ability, learning capacity, language, judgement, reasoning and information processing (Draper, 2004).
7 pages (1750 words) Essay
CRITICALLY DISCUSS THE ROLE OF THE NURSE IN THE PROMOTION CONTINENCE I OLDER PEOPLE
the pelvic floor muscles especially in people suffering from muscular sclerosis, Alzheimer disease, Parkinsons, stroke and other neurological diseases. It can also be caused as a side effect of medication or surgery. Bates et al., (1979) define continence as “a condition in
8 pages (2000 words) Essay
NURSING ASSIGNMENT Continuing care - Incontinence
It shall select two of the continuing care needs identified and through the holistic approach shall briefly outline how they have impacted on the life of the
6 pages (1500 words) Essay
Evidence review
The small and large intestines are referred to as bowels and their normal motility and performance is essential to maintain the integrity of the digestive system. The dysfunction of the bowels can result in constipation,
7 pages (1750 words) Essay
What is the best nursing intervention to prevent urinary tract infection for older people
There are a lot of nursing interventions that are employed in the treatment and care of the patient. The assignment explores the nature of nursing intervention and reveals that not all of these nursing interventions are effective; some of them have been proven
16 pages (4000 words) Essay
A specific health care topic of interest to you --Nursing
cited in International Ostomy Association, 2006). Pre-operative and post-operative health teachings are routine interventions that help the patient prepare for, and manage surgical outcomes; however, studies supporting the common areas of stomal patient concern are
8 pages (2000 words) Essay
A comparison of two products to decrease the incidence of MASD/IAD
It includes incontinence associated dermatitis (IAD) as a result of chronic skin exposure to urine, stool, or both and can extend from the buttocks throughout the perineal area and posterior/ inner thighs. According to Bliss et al. (2011), the skin lesions
13 pages (3250 words) Essay
The student to competently insert an indwelling urinary Catheter
Therefore, effective mentoring can remarkably help students in meeting their learning goals and objectives in the field of nursing. This can be done by a mentor who has prior knowledge and ability to plan productively
6 pages (1500 words) Essay
Get a custom paper written
by a pro under your requirements!
Win a special DISCOUNT!
Put in your e-mail and click the button with your lucky finger
Your email
YOUR PRIZE:
Apply my DISCOUNT
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation