Which would be an expected outcome for the parents of a child with encopresis?
a. The parents will give the child an enema daily for 34 months.
b. The parents will develop a plan to achieve control over incontinence.
c. The parents will have the child launder soiled clothes.
d. The parents will supply the child with a low-fiber diet.
B
Parents of the child with encopresis often feel guilty and believe that encopresis is willful on the part of the child. The family functions effectively by openly discussing problems and developing a plan to achieve control over incontinence. Stool softeners or laxatives, along with dietary changes, are typically used to treat encopresis. Enemas are indicated when a fecal impaction is present. Having the child launder soiled clothes is a punishment and will increase the child's shame and embarrassment. The child should not be punished for an action that is not willful. Increasing fiber in the diet and fluid intake results in greater bulk in the stool, making it easier to pass.
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