Parameters:
(1) fecal incontinence
(1a) inconintence for gas or minor staining
(1b) incontinence for liquid or solid stool
(2) difficult stool evacuation
(2a) incomplete or failed evacuation
(2b) need to strain > 30 minutes for stool evacuation
(2c) need to use an enema, irrigation or digital evacuation
|
Frequency
|
Grading Gas and Minor Staining
|
Grading Other Types
|
|
never
|
I
|
I
|
|
less than once a week
|
II
|
II
|
|
at least once a week but not every day
|
II
|
III
|
|
at least once a day
|
II
|
IV
|
where:
• Incontinence for liquid stool is reported as being more distressful for the patient (personal communication from Lowry AC).
Interpretation:
• A grade is determined for each type of incontinence and difficult evacuation.
• The final grade is based on the maximum grade in each category.
• The final designation is based on both maximum grades (for example: I-IV, E-2).
Observations:
• Introducing a category between "never" and "less than once a month" might be useful. This could be designated "I", while never could be designated "0".
