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

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

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

4. 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

5. 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

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

7. 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.

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

9. Faecal Incontinence
Comments / Questions