D.0041
Inkontinensia
Fekal
Kategori : Fisiologis
Subkategori : Eliminasi
Definisi
Perubahan
kebiasaan buang air besar dari pola normal yang dengan pengeluaran feses secara
involunter (tidak disadari).
Penyebab
1.
Kerusakan susunan saraf motorik bawah
2
Penurunan tonus otot
3.
Gangguan kogntif
4
Penyalahgunaan laksatif
5.
Kehilangan fungsi pengendalian sfingter rektum
6.
Pascaoperasi pulthrough dan penutupan kolosomi
7.
Ketidakmampuan mencapai kamar kecil
8
Diare kronis
9
Stres berlebihan
Gejala
dan Tanda Mayor
Subjektif
1
Tidak mampu mengontrol pengeluaran feses
2.
Tidak mampu menunda defekasi
Objektif
1.
Feses keluar sedikit-sedikit dan sering
Gejala
dan Tanda Minor
Subjektif
(tidak
tersedia)
Objektif
1.
Bau feses
2.
Kulit perianal kemerahan
Kondisi Klinis Terkalt
1.
Spina bifida
2.
Atresia ani
3.
Penyakit Hirschsprung
Referensi
Ackley
BJ. Ladwig, G. B., & Maki, M. B. F. (2017) Nursing Diagnosis Hand An
Evidence-Based Guide to Planning Care 11 Ed. St. Louis: Elsevier.
Atola,
P et al (2010) Prevalence of fecal incontinence in adults aged 30 years or more
in general population Colorectal Disease, 12(7), 857-891.
Biss.
D. Z., et al. (2000) Fecal incontinence in hospitalized clients who are outly
Nursing Research, 40(2), 101-108.
Carpemito-Moyet,
LJ. (2013). Nursing Diagnosis Application to Clinical Practice. 14" Ed.
Philadelphia: Lippincott Williams & Wilkins.
Doenges,
M. E, Moorhouse, M. F., & Mur, A. C. (2013) Nursing Diagnosis Manual
Planning. Individualizing and Documenting Client Care 4 Ed. Philadelphia: F. A.
Davis Company.
Herdman,
T. H, & Kamitsuru, S. (2014) Nursing Diagnosis Definitions and
Classification 2015-2017. 10" Ed Oxford: Wiley Blackwell.
Johanson,
J. F., Irizarry, F., & Doughty, A. (1997). Risk factors for fecal
incontinence in a nursing home population. Journal of Clinical
Gastroenterology, 24,156.
Newfield,
S. A., Hinz, M. D, Tiley, D. S. Snidaromont, K. L. Maramba, PJ (2012) Cox's
Clinical Applications of Nursing Diagnosis Adult, Child, Women's Mental Health,
Gerontic, and Home Health Considerations 6 Ed. Philadelphia F.A. Davis Company