Fecal incontinence management in an intensive care unit
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Abstract
Faecal incontinence (IF) is the inability to control the leakage of solid or liquid stools during exercise or normal daily activity. IFA (acute faecal incontinence) is present in more than 40% of patients admitted to intensive care units. IFA represents a recognized risk factor for the transmission of nosocomial infections such as Clostridium difficile, in the formation of skin lesions in the perianal area, with increased morbidity, mortality, time and costs of hospitalization.
The specific Management on incontinence represents an important chapter in the overall management of the acute and critical patient in intensive care. It requires a multidisciplinary and multi-professional approach to assess the causes and severity of the IF, and avoid or minimize complications. The nurse, within the care team, is an essential resource in the care of the incontinent patient and the family members. . The awareness of the problem, the adoption of the recommendations, the use of management tools of the AFID, represent the first step for a correct management.
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