Faecal Incontinence in Advanced Dementia: The Nursing Role

Nykki Hetherton

  • Abstract

    Faecal incontinence is one of the prognostic indicators for the terminal stages of dementia. However, there is minimal information on this distressing symptom in the context of cognitive decline. Faecal incontinence in dementia is often under-reported, under-estimated and poorly assessed and managed, despite being a potentially treatable condition. It has a profound negative impact on the quality of life of people with dementia as well as their informal carers. It also has been found to lead to unwanted admission to care homes. People with dementia and their informal carers may be too embarrassed to bring up the subject of faecal incontinence with health professionals. Nurses are ideally situated to discuss the issue of faecal incontinence with people with dementia and their informal carers, undertake initial assessments and provide advice regarding potential management strategies. This article explores the topic of faecal incontinence in the context of people with dementia. It examines possible causes and risk factors of faecal incontinence in people with dementia, as well as assessment and management strategies. Conflicts of interest: none

  • Contributors

    Nykki Hetherton

    Affiliations

    Correct at article publish date

    Mental Health Older Adults North Lewisham Community Team, Lewisham, London. Email: nicola.hetherton@slam.nhs.uk

    Original publishing information

    • Publisher: St Christopher's Hospice
    • Publish date: 01/01/2011
    • Volume: 1
    • Issue: 3

    Permissions: © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions2015

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