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Nurses, bowel continence, stigma, and taboos.

Christine Norton¹

¹Bowel Control, St Mark's Hospital, Northwick Park, Watford Road, Harrow HA1 3UJ, England. csnorton@aol.com

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society

|June 24, 2004

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Fecal incontinence is a difficult topic due to social taboos surrounding bowel symptoms. Addressing the social aspects and coping strategies can improve patient care when a cure isn't possible.

Area of Science:

Medical Sociology
Nursing Care

Background:

Fecal incontinence is often a taboo subject, making patient disclosure difficult.
Traditional medical models struggle to address the full impact of fecal incontinence, especially when a cure is not achievable.

Purpose of the Study:

To explore the reasons behind the taboo surrounding fecal incontinence.
To suggest improved approaches for nursing care that acknowledge the social dimensions of the condition.

Main Methods:

Exploration of social attitudes towards feces and bowel symptoms.
Analysis of the limitations of traditional medical models in managing fecal incontinence.

Main Results:

Social rules and conventions contribute to the difficulty in discussing bowel symptoms.

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A purely medical approach with a focus on cure is often insufficient for individuals with fecal incontinence.

Conclusions:

Recognizing the social dimension of fecal incontinence is crucial for effective patient care.
Incorporating coping and control strategies into nursing practice can better meet patient needs.