Script MCN
Script MCN
Script MCN
It is vital for nurses to learn and understand the cause of bowel incontinence because its treatment
depends on the cause. Furthermore, loss of bowel continence is an unpleasant situation that needs to
be addressed and prioritized in order to avoid social isolation. Appropriate care, such as reestablishing a
continent bowel elimination pattern and preventing skin deterioration, can improve a patient's health
and help them regain their self-esteem.
So here are therapeutic nursing interventions for the nursing diagnosis of fecal incontinence:
1. Para makita natin if yung particular foods na iyon ay magiging harmful sa ating client. There
a. Alcohol
b. Caffeine
c. Dairy products (due to lactose intolerance)
d. Fatty, fried, or greasy foods
e. Foods
f. Cured or smoked meats
g. Sweeteners such as fructose, mannitol, sorbitol, and xylitol
So ung pag tratrack ng food ni client can be also a way to figure out which meals and drinks make the
client's fecal incontinence worse or better, thus keeping a food diary is recommended. Identifying
thecharacteristics that influence incontinence levels may help to direct interventions. Since, yung Fecal
incontinence is frequently multifactorial. Accurate assessment of the probable etiology of fecal
incontinence is necessary to select a treatment plan likely to control or eliminate the condition
2. So kapag yung feces is left on the skin, it can cause irritation, skin excoriation, and pain. The
patient may be terrified of defecating as a result of the pain, prompting her to disregard the
urge to defecate. As a result, impaction and, eventually, bowel incontinence may ensue.
3. Because a moist feces may travel through the bowel more readily, this reduces impaction. Fluid
therapy is critical for volume replenishment if the patient has diarrhea.
4. When absorptive pads or adult confinement briefs are used next to the client's skin, the risk of
incontinence-related dermatitis increases. Absorbent underpads that drain moisture away from
the skin could be employed with the client. Incontinence-related dermatitis can be prevented
with skin care regimens that follow a three-step process (which are cleanse, moisturize, and
protect).
5. Because Fiber can benefit persons with irregular stools by bulking up and thickening loose stool
by providing weight to the diet. Bulky stool aids peristalsis, or stool ejection from the intestine.
Encourage the patient to ingest 30 grams of fiber per day by recommending that they eat whole
grains. Other products, like as psyllium, can be used to bulk up stools.
In order to diagnose fecal incontinence, a thorough patient history is required. The onset, frequency,
duration, diurnal variation, stool consistency, previous management, concomitant urinary incontinence,
link to food intake and physical activity, as well as the influence on social activities and quality of life,
should all be documented. The following are some nursing evaluation considerations: