The challenge of obtaining continence in a child with a neurogenic bowel disorder.
Fecal incontinence in pediatrics can occur from an array of conditions. A challenging group of pediatric patients are those with a neurogenic bowel disorder who can face a lifelong struggle with attaining and maintaining continence. It is difficult to develop a "cookbook approach" to care, particularly because these children's unique physical needs change as they develop. In addition to addressing physical needs, children's emotional and developmental needs must also be incorporated into the plan of care. This article provides an overview of the common congenital conditions in children with a neurogenic bowel, reviews assessment, and addresses treatment options that should be considered when developing a bowel management program.
Jinbo
Anne K
AK
Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA. anneji@kapiolani.org
D001006:Anus, Imperforate / Q000150:complications*; D001294:Attitude to Health; D002400:Cathartics / Q000627:therapeutic use; D002648:Child; D004043:Dietary Fiber / Q000008:administration & dosage; D004733:Enema; D005242:Fecal Incontinence / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D005247:Feeding Behavior; D006627:Hirschsprung Disease / Q000150:complications*; D006801:Humans; D008487:Medical History Taking; D008612:Menu Planning; D009468:Neuromuscular Diseases / Q000150:complications*; D024802:Nurse's Role; D009730:Nursing Assessment / Q000458:organization & administration; D010347:Patient Care Planning / Q000458:organization & administration; D010353:Patient Education as Topic; D010808:Physical Examination; D002666:Psychology, Child; D012657:Self-Help Groups; D016135:Spinal Dysraphism / Q000150:complications*; D013501:Surface-Active Agents / Q000627:therapeutic use
D002400:Cathartics; D004043:Dietary Fiber; D013501:Surface-Active Agents