Home Care. Because this condition is managed at home, Parents require extensive education. The parents need to understand the correct way to administer enemas(see Chapter 13), adjust the child's diet, give medications, and initiate bowel retraining. They also need support in implementing and documenting the child's successes and setbacks. The child and parents need encouragement to continue the program, even when the successes seem few. This problem develops over time and takes time, patience, and perseverance to resolve
Evaluation
Is the child passing soft stools without pain?
Does the food diary indicate a well-balanced, high- fiber diet?
Is the child experiencing any incontinence?
Are enemas, laxatives, or mineral oil still needed?
Is the child experiencing success with bowel control as a result of implementation of a family-designed plan?
Does the child more readily participate in age-appropriate activities and express increasing control over bowel incontinence?
Is the skin in the anal area clean and intact?
Home Care. Because this condition is managed at home, Parents require extensive education. The parents need to understand the correct way to administer enemas(see Chapter 13), adjust the child's diet, give medications, and initiate bowel retraining. They also need support in implementing and documenting the child's successes and setbacks. The child and parents need encouragement to continue the program, even when the successes seem few. This problem develops over time and takes time, patience, and perseverance to resolve
Evaluation
Is the child passing soft stools without pain?
Does the food diary indicate a well-balanced, high- fiber diet?
Is the child experiencing any incontinence?
Are enemas, laxatives, or mineral oil still needed?
Is the child experiencing success with bowel control as a result of implementation of a family-designed plan?
Does the child more readily participate in age-appropriate activities and express increasing control over bowel incontinence?
Is the skin in the anal area clean and intact?
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