Faecal incontinence in the elderly: issues and interventions in the home.

This paper discusses current evidence-based guidelines for the management of faecal incontinence in the elderly. The key aspects of maintaining dignity, quality of life and self-esteem are addressed within a presentation of good assessment, prevention, management and treatment principles. Particular focus is given to the added problems that faecal incontinence may bring to the elderly person suffering with this debilitating, and often embarrassing condition. The increased risk to skin integrity is discussed, with reference to available guidance to help nurses manage the risk of skin breakdown associated with persistent faecal incontinence.