00014 Bowel incontinence

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.