In addition, such complications can also raise feelings of doubt, embarrassment and anger, causing low-esteem. These issues can be addressed and handled with empathetic counselling, for both the individual and the family fistula management is a complex and difficult process. But certain guidelines may be helpful to provide, skin protection. Pouching systems and emotional support. Most people demonstrate uneasiness both physically and emotionally when bladder or bowel or sometimes both the functions are lost.
Incontinence is the involuntary expulsion of urine or faeces.
As these patients suffer physical problems related to altered skin integrity. Large sums of money are expended on possible solutions or containment products. Embarrassment, depression and social isolation often follow. The following points may be helpful - Assessment of incontinence Simple behavioural suggestions. Toileting programmes specific to the dysfunction Clean intermittent catheterisation instructions Containment products when appropriate Unfortunately in India, in most hospitals the comparative rarity of ostomy surgery made like a minor problem.