Assessing and treating faecal incontinence in children

Penny Dobson1, June Rogers

  • 1Education and Resources for Improving Childhood Continence (ERIC), Bristol.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|October 10, 2009
PubMed

Insights

Childhood faecal incontinence significantly impacts well-being and social life, risking bullying and stigma. Early assessment and multidisciplinary support are crucial for effective treatment and preventing relapse.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Child Psychology

Background:

  • Childhood faecal incontinence presents significant social and psychological challenges for children and families.
  • Associated stigma and bullying can lead to long-term negative effects on a child's well-being.
  • Understanding the impact is crucial for effective management.

Purpose of the Study:

  • To provide a comprehensive overview of childhood faecal incontinence.
  • To discuss the assessment of bowel dysfunction in children.
  • To outline current treatment strategies and the role of nursing support.

Main Methods:

  • Literature review on the causes, assessment, and treatment of faecal incontinence in children.
  • Discussion of the multidisciplinary team's role, emphasizing nursing interventions.
  • Analysis of strategies to minimize relapse.

Main Results:

  • Faecal incontinence in children is linked to increased risks of bullying and social stigma.
  • Psychological effects can be prolonged without adequate intervention.
  • A structured approach to assessment and treatment is vital.

Conclusions:

  • Effective management requires a multidisciplinary approach, with a key role for nurses.
  • Early and comprehensive assessment of bowel dysfunction is essential.
  • Supportive care is critical to improve outcomes and reduce long-term impacts.

Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs like...
Psychosexual Stages of Personality: Anal01:26

Psychosexual Stages of Personality: Anal

Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...