In this literature review, the writer proposes to discuss the need for a universal definition for Faecal Incontinence (FI) and will seek to discuss the psychological impact FI has on patients. This paper will also consider whether such a definition will assist nurses in their initial assessment, treatment and day to day care with the view of improving the quality of life of such patients.
Faecal Incontinence is a common condition of the elderly which causes shame and embarrassment and this can lead to isolation from family and friends who find it difficult to cope with the situation. The failure to control stool not only causes psychological stress to individuals but to an ill patient it can also be a great source of infection thus adding and leading to complications. There are also huge financial implications when dealing with FI.
Matibag et al (2003) defines FI as the loss of normal control of the bowels, which leads to stool leaking from the rectum at unexpected times, however, Macmillan et al (2004) reports that FI is commonly defined as a loss of voluntary control of the passage of liquid or solid stool. One such definition includes, constipation, overflow, gas, duration, frequency and amount should be considered whilst another provides that FI is ……..
Following rudimentary trial(s), the General Health Questionnaire offered a simple description of UI and proposed guidelines/methods of assessing patients with this condition with a view of developing a holistic approach to treatment, however, it appears there is nothing in place for FI.
Levene (2003) and Batty (2003) have pointed out, even though the
National Service Framework for Older People sets out clear guidelines for the way in which elderly patients should be cared for, there are still considerable inconsistencies…, and the way that NSF’s provisions are implemented and enforced.
Cohen (2003) makes the argument that there is a need for society as a whole to...