Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5256_Библиотеки_им_академика_М_И_Перельмана.pdf
Management of Fecal
Incontinence for the
Advanced Practice Nurse
Under the auspices
of the International
Continence Society
Donna Z. Bliss
Editor
Second Edition
Management of Fecal Incontinence
for the Advanced Practice Nurse
Donna Z. Bliss
Editor
Management of Fecal
Incontinence for the
Advanced Practice Nurse
Under theauspices oftheInternational
Continence Society
Second Edition
Editor
Donna Z. Bliss
School of Nursing
University of Minnesota School of Nursing
Minneapolis, MN, USA
ISBN 978-3-031-94525-0 ISBN 978-3-031-94526-7 (eBook)
https://doi.org/10.1007/978-3-031-94526-7
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland
AG 2018, 2025
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and
transmission or information storage and retrieval, electronic adaptation, computer software, or by similar
or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication
does not imply, even in the absence of a specic statement, that such names are exempt from the relevant
protective laws and regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book
are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the material contained herein or for any
errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
If disposing of this product, please recycle the paper.
v
I would like to express my sincerest gratitude to all the authors who generously
shared their expertise, collaborated on writing teams, and wrote chapters to produce
this outstanding book. I would also like to acknowledge and thank Casey
Kirchschlager and Olivia Steuber, student research assistants from the University of
Minnesota School of Nursing, who assisted in formatting the chapters and refer-
ences and supported us to meet our deadlines.
We appreciate the review of the ICS members in assisting us to produce the high-
est quality product. Those reviewers are Lori Saiki from the USA, Janie Thompson
from Australia, and Jane Ticehurst, Angela Rantell, and Carol Bugge from the UK.
Acknowledgments
vii
About This Book
I was excited and honored to be asked by the publisher of this book to prepare and
edit a second edition. The returning authors were similarly enthusiastic to update
their chapters. We welcome new authors while acknowledging those whose semi-
nal work from the rst edition we have built on. Some new chapters were added.
Authors were pleased about the keen interest to merit a second addition and our
ability to meet the need.
The aim of this book is to serve as a current resource to advanced practice nurses
and nurse continence specialists interested in evidence-based management of fecal
incontinence. An international group of nurses and physician colleagues who are
experts in the management of fecal incontinence collaborated in writing this book.
Notably, the International Continence Society (ICS) has reviewed and provided its
endorsement of the book.
Chapter 1 describes the signicant impact of fecal incontinence on quality of
life. New Chap. 2 addresses the impact of the COVID-19 pandemic on nursing
practice and incontinence care. Chapter 3 addresses the epidemiology of fecal
incontinence. Chapter 4 reviews normal defecation and body mechanisms that pro-
mote continence as context to altered function. The content of Chaps. 5, 6, 7, 8, 9,
10 and 11 addresses the management of fecal incontinence across different patient
groups. Content is based on evidence, expert consensus, and best practices. The
authors aimed to provide the essential knowledge and practice guidance needed by
the advanced practice nurse to assess, diagnose, and manage fecal incontinence in
various clinical settings and patient groups. They identied and shared perspectives
from different countries and developed case studies as exemplars to highlight the
information discussed. Chapter 12 explains common surgeries to treat fecal incon-
tinence for the advanced practice nurse following patients who receive surgical
intervention. Chapter 13 addresses the management of fecal incontinence in the
presence of urinary incontinence. Chapter 14 summarizes the treatment of irritant
contact dermatitis and pressure injury, skin problems commonly associated with
incontinence. New Chap. 15 dives into absorbent products, explaining the various
viii
types and their pros and cons and offering advice about selection. New Chap. 16
reports on scanning the horizon for new technologies for fecal incontinence and
patient-identied needs.
We hope the book will support advanced practice nurses globally to deliver
excellent continence care at an advanced level and to improve the lives of patients
with fecal incontinence.
Minneapolis, MN, USA DonnaZ.Bliss
About This Book
ix
Contents
1 Fecal Incontinence: Definition and Impact on Quality of Life . . . . . . . 1
Donna Z. Bliss, Sandra J. Engberg, and Melissa Northwood
2 Impact of the COVID-19 Pandemic on Nursing Care
and Patients with Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Phanida Juntasopeepun, Nongyao Kasatpibal, Pornpun Suithiwong,
Donna Z. Bliss, and Sheila Howes Trammel
3 Epidemiology of Fecal Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Maria Helena Baena de Moraes Lopes, Juliana Neves da Costa,
and Vera Lúcia Conceição de Gouveia Santos
4 Normal Defecation and Mechanisms for Continence . . . . . . . . . . . . . . 59
Mônica Milinkovic de la Quintana, Talita dos Santos Rosa,
Gisela Maria Assis, Maria Helena Baena de Moraes Lopes,
and Vera Lúcia Conceição de Gouveia Santos
5 Clinical Assessment and Differential Diagnosis of Fecal
Incontinence and Its Severity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Kathleen F. Hunter and Tamara Dickinson
6 Management of Fecal Incontinence
in Community-Living Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Sharon Eustice and Donna Z. Bliss
7 Management of Fecal Incontinence in Frail Older Adults
Living in the Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Tamara Dickinson and Kathleen F. Hunter
8 Management of Fecal Incontinence in Older Adults
in Nursing Homes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Lene Elisabeth Blekken, Susan Saga, and Donna Z. Bliss
9 Management of Fecal Incontinence in Adults
with Neurogenic Bowel Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177
Melissa Northwood and Nikki Cotterill
x
10 Management of Fecal Incontinence in Acutely Ill
and Critically Ill Hospitalized Adults . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Joyce Pittman and Terrie Beeson
11 Management of Fecal/Anal Incontinence During Pregnancy
and Postpartum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 219
Christina Hicks Hegan and Marlene Corton
12 Surgical Management of Fecal Incontinence and Implications
for Postoperative Nursing Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Kirsten de Burlet and Sarah Abbott
13 Management of Double Incontinence: Urinary Incontinence
in the Presence of Fecal Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Joanne P. Robinson and Sandra J. Engberg
14 Management of Skin Damage Associated with Fecal
and Double Incontinence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 299
Mikel Gray, Donna Z. Bliss, and Sheila Howes Trammel
15 Absorbent Products: Types, Selection, and Pros and Cons . . . . . . . . . 335
JoAnn Ermer-Seltun and Kathleen Borchert
16 Scanning the Horizon for Patient Needs
and New Technologies for Fecal Incontinence . . . . . . . . . . . . . . . . . . . . 369
Nicole O’Connor, Fiona Pearson, Sean Gill, Soheila Ghasri,
Sheila A. Wallace, and Katie H. Thomson
Contents
1
© The Author(s), under exclusive license to Springer Nature
Switzerland AG 2025
D. Z. Bliss (ed.), Management of Fecal Incontinence for the Advanced Practice
Nurse, https://doi.org/10.1007/978-3-031-94526-7_1
1
Fecal Incontinence: Definition
andImpact onQuality ofLife
DonnaZ.Bliss
, SandraJ.Engberg,
andMelissaNorthwood
Abstract
This chapter denes fecal incontinence and other types of bowel incontinence.
The impact of fecal incontinence on quality of life using evidence from qualita-
tive research studies is summarized. The life experience of men and women with
fecal incontinence is summarized. Six domains of quality of life when living
with fecal incontinence were synthesized from evidence in the literature and
organized into a framework. These domains are living with fecal incontinence
related to: (i) relationships and role, (ii) time and planning, (iii) self-esteem,
body image and bodily symptoms, (iv) sexuality, (v) dietary issues, and (vi) bar-
riers and facilitators of seeking treatment and self-management support. Key
points from each domain are highlighted in this chapter. Implications for
advanced practice continence nurses managing fecal incontinence are explained.
Chapter author from the rst edition of this book:
Cynthia Peden-McAlpine, Professor Emerita (retired) University of Minnesota School of Nursing,
Minneapolis, MN, USA.
D. Z. Bliss (*)
University of Minnesota School of Nursing, Minneapolis, MN, USA
e-mail: bliss@umn.edu
S. J. Engberg
Professor Emerita (Retired), University of Pittsburgh School of Nursing, Pittsburgh, PA, USA
e-mail: sje1@pitt.edu
M. Northwood
School of Nursing McMaster University, Hamilton, ON, Canada
e-mail: northwm@mcmaster.ca