The WOCN Society 40th Annual Conference (June 21-25th, 2008)


2365

Not just for fecal incontinence...creative uses of an old stand by

Jody Scardillo, MS, RN, CWOCN1, Karen J. Riemenschneider, MS, RNC, CWOCN1, Donna Truland, BS, RN, CWOCN2, and Linda Hannan, MS, RN, CCRN3. (1) Albany Medical Center, Clinical Nurse Specialist, 43 New Scotland Ave, Albany, NY 12208, (2) Albany Medical Center, Nurse Clinician, 43 New Scotland Ave., Albany, 12208, (3) Albany Medical Center, Clinical Nurse Specialist, Surgical Intensive Care Unit, 43 New Scotland Ave, Albany, NY 12208

Fecal incontinence collectors are a mainstay in the management of fecal incontinence. They are an effective means for containing and quantifying loose or diarrhea stools, minimizing odor, protecting peri-rectal skin, enhancing patient comfort and saving caregiver time.  The usual designs are made up of a soft barrier and flexible one piece pouching system with a spigot opening for ease of drainage and the ability to connect to a bedside drainage bag.

Commonly the WOC Nurse is called upon to assist with drainage containment of high volumes of many types of fluids.  Pouching is an effective option for fluid management but can be difficult due to body habitus, volume and characteristics of drainage and design of pouching systems.  Sometimes the designs of the standard ostomy pouches are ineffective for complex and challenging situations.

Because of these characteristics, the fecal collector has been used successfully to manage drainage from many sources in the hospitalized patient.  It provides a cost effective management plan for unusual or difficult wounds.  The fecal collector is flexible, resistant to moisture, and easy for a caregiver to use. Long wear times have helped with skin protection.  The ability to control odor enhances patient and caregiver comfort. Quantification of output has facilitated optimal management of the critically ill patients' fluid balance.