Has your doctor done anything with this in the past 7 years? Do you prefer your incompetence being NOT KNOWING. Or NOT DOING?
Bowel dysfunction in patients with brain damage resulting from stroke and traumatic brain injury: a retrospective study of a case series Oct./Dec. 2012
Cinthia Carlos DouradoI; Tânia Mara Nascimento de Miranda EnglerII; Sandro Barbosa de OliveiraIII
INurse. Neurologic Rehabilitation Program, SARAH Rehabilitation Hospital Network. Federal District, Brazil. E-mail: cinthiadourado@gmail.com
IIPh.D. candidate, Graduate Program in Health Sciences, Universidade de Brasília (UnB). Nurse. Neurologic Rehabilitation Program, SARAH Rehabilitation Hospital Network. Federal District, Brazil. E-mail: tania0877@hotmail.com
IIIStatistician. National Quality Control Center, SARAH Rehabilitation Hospital Network. Federal District, Brazil. E-mail: sndr@terra.com.br
Correspondence
ABSTRACT
Bowel dysfunction is a common complaint among patients with brain damage due to stroke and traumatic brain injury. The aim of this study was to investigate the prevalence of bowel dysfunction (anal incontinence and intestinal constipation) in patients with brain damage due to stroke and traumatic brain injury admitted for rehabilitation. This is a retrospective case series study, based on the analysis of data from 138 charts of patients admitted in the first half of 2009. The prevalence of bowel dysfunction was 41%, with 33 (24%) cases of anal incontinence and 37 (27%) cases of intestinal constipation. Motor impairment, mobility aid, changes in memory and communication were associated with the presence of anal incontinence. The prevalence of bowel dysfunction is high in this population. Early identification of the symptoms and its related factors promoting bowel retraining, may help to improve the quality of life of patients with bowel dysfunction.
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