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.