2.50
Hdl Handle:
http://hdl.handle.net/10755/152120
Type:
Presentation
Title:
Clinical Evaluation of Fecal Incontinence Management System
Abstract:
Clinical Evaluation of Fecal Incontinence Management System
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Jen-Ru, Chen, RN
P.I. Institution Name:National Cheng Kung University Hospital
Title:Nurse Practitioner
21st INRC [Evidence-Based Practice Presentation] Statement of Clinical Problem: 33% of hospitalized patients had fecal incontinence during hospitalization. Managing diarrhea of patients without causing further damage can be clinical challenge. Statement of Past Management: Traditional methods of managing fecal incontinence in patients who are bedridden or immobilized include the use of pads, and anal tubes. But these are often difficult to achieve good adhesion to the perianal skin resulting in leakage and tube easy to dislocate. Initially, the patient was treated two or three times daily change of wound dressings was performed with the application of an SSD cream to the wounds, which were then covered with gauze. Current Clinical Approach: This 66 y/o female had drowsy consciousness and persist yellowish watery diarrhea was noted. Thus, her buttock skin breakdown and wound has VRE infection or colonization. Because of the poor wound healing, large amount of wound exudate, and intractable pain. So, The dressings were changed Aquacel-Ag every day and Flexi-Seal Fecal Management System (FMS) was used an inflated balloon to retain a tube within the rectum while an external pouch collects fecal material to maintain temporary continence in subjects with uncontrolled diarrhea. Patient outcomes: The duration of treatment was 24 days. 1. FMS reduce the frequency of bed linen changes, wound dressing changes and/or nursing time spent cleaning patients. 2. Decreased the spread of buttock wound VRE infection. 3. The patient feel comfortable in wound care. Conclusions: This study case improving heal of skin breakdown and reduction of VRE wound infection rates during use of the FMS. Fewer dressing changes were required, thus reducing unwanted patient discomfort and saving time for healthcare personnel. SHD is also cost-effective by decreasing the length of hospital stay and producing savings in clinical time.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClinical Evaluation of Fecal Incontinence Management Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152120-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clinical Evaluation of Fecal Incontinence Management System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jen-Ru, Chen, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Cheng Kung University Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Practitioner</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jen0518@mail2000.com.tw</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Statement of Clinical Problem: 33% of hospitalized patients had fecal incontinence during hospitalization. Managing diarrhea of patients without causing further damage can be clinical challenge. Statement of Past Management: Traditional methods of managing fecal incontinence in patients who are bedridden or immobilized include the use of pads, and anal tubes. But these are often difficult to achieve good adhesion to the perianal skin resulting in leakage and tube easy to dislocate. Initially, the patient was treated two or three times daily change of wound dressings was performed with the application of an SSD cream to the wounds, which were then covered with gauze. Current Clinical Approach: This 66 y/o female had drowsy consciousness and persist yellowish watery diarrhea was noted. Thus, her buttock skin breakdown and wound has VRE infection or colonization. Because of the poor wound healing, large amount of wound exudate, and intractable pain. So, The dressings were changed Aquacel-Ag every day and Flexi-Seal Fecal Management System (FMS) was used an inflated balloon to retain a tube within the rectum while an external pouch collects fecal material to maintain temporary continence in subjects with uncontrolled diarrhea. Patient outcomes: The duration of treatment was 24 days. 1. FMS reduce the frequency of bed linen changes, wound dressing changes and/or nursing time spent cleaning patients. 2. Decreased the spread of buttock wound VRE infection. 3. The patient feel comfortable in wound care. Conclusions: This study case improving heal of skin breakdown and reduction of VRE wound infection rates during use of the FMS. Fewer dressing changes were required, thus reducing unwanted patient discomfort and saving time for healthcare personnel. SHD is also cost-effective by decreasing the length of hospital stay and producing savings in clinical time.</td></tr></table>en_GB
dc.date.available2011-10-26T11:24:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:24:46Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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