Karen Nelson / Sara-Jane Barlow HNHSFT Continence Advisory Service

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Presentation transcript:

Karen Nelson / Sara-Jane Barlow HNHSFT Continence Advisory Service Faecal Incontinence Karen Nelson / Sara-Jane Barlow HNHSFT Continence Advisory Service

Faecal Incontinence 20 minutes Presentation of symptoms Initial appointment Follow up / treatment options? Referral on?

Faecal Incontinence Faecal Incontinence? “is when you have problems controlling your bowels”…………………. “It can be very upsetting and embarrassing”

Faecal Incontinence Initial appointment - What is worth knowing at this appointment? Stool chart? Type / frequency of stools Medication Laxatives taken? What has been tried before? Actively question the patient

Faecal Incontinence What should you do at this appointment? Red flags? Fluids – types and amount Diet Toileting routine? Positioning? Stool chart to complete for review

Faecal Incontinence What should you do at this appointment? (GP) All of above – plus: - Abdominal examination – rule out constipation Neurological examination

Faecal Incontinence If you are prescribing medications – what do you want to achieve? Bulking agents? Loperomide / Imodium Practical advice: - Toilet plan / location; own cushion; spare clothing; wipes / pad; nappy sacks; perfume.

Faecal Incontinence Referral? Secondary care? Continence Service? District Nursing Team? Management – gamgee roll / continence products / anal plugs / faecal collectors

Faecal Incontinence Comments / Questions