Bowel Incontinence

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: change in normal bowel habits characterized by involuntary passage of stool

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  states inability to recognize urge to defecate constant dribbling of stool  inability to delay defecation  fecal staining of clothing involuntary passage of stool
3. Related Factors- check those that apply to your client:

loss of sphincter control impaction  confusion, dementia  sensory or motor impairment  medications  impaired mobility, weakness  chronic diarrhea 


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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