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The childern encopresis as a nursing problem
TILLEROVÁ, Zuzana
Encopresis is an arbitrary or involuntary passing of stool in inappropriate places or repeated passing of stool into clothing. Each child has an individual development of bowel control and therefore arbitrary passing of stool is not considered a medical problem in children up to four years of age. Spontaneous passing of stool or fecal soiling is usually involuntary in nature. Encopresis often occurs concurrently with enuresis and may be part of other organic or psychiatric disorders, including behavioral disorders. The first time a child patient with encopresis and their parents meet with health professionals is usually at the general practitioner for children and adolescents. Other cases are first diagnosed during admission to an inpatient facility, predominantly psychiatric care. The results of the research investigation show the nurses' lack of theoretical knowledge in recognizing encopresis in children; however, they have mastered the nursing process of these children due to their long-term practice. Nurses described the issues of nursing children with encopresis. The research investigation and case studies show that the most important roles of the nurse are to assist the child with encopresis in hygiene, psychological management of the disease and social inclusion of the child with encopresis. The role of the educator of the child, his parents, and relatives is indispensable, especially in the areas of setting the child's hygiene and dietary regime.
Rehabilitative stays at the summer camp for the children suffering from enuresis and encopresis
BOCKSCHNEIDEROVÁ, Alena
Enuresis (bed-wetting) and encopresis (fecal soiling) mean elimination disorder and the children suffering from these disorders are often isolated from their contemporaries. The summer camp for the children suffering from enuresis and encopresis held by Faculty of Health and Social Studies at University of South Bohemia in České Budějovice provides the children with i. a. the only possibility of experiencing life without worries and shame, which is the way of life that the majority of children take for granted. In the theoretical part of the dissertation work the author deals with the issue of enuresis and encopresis from various angles. The main goal of the dissertation work is to analyse and describe the impact of the rehabilitative stay at the summer camp for the children suffering from enuresis and encopresis on the disorder of the children. The research question aims to answer: ``In what way and in which fields the rehabilitative stay at the summer camp for the children suffering from enuresis and encopresis contributes to the improvement or the total reduction of the problems linked to the disorder``. The qualitative research was carried out both at the summer camp and home background in years 2006 {--} 2008. The following methods of data collection have been used: interrogation method, observation, document review and the methods within the psychological examination. The research emerged from findings that the camp for the children suffering from enuresis and encopresis improves psychosocial state of the children predominantly due to their self-confidence building, self-identity and self-evaluating. The camp helps the children with their problems in the field of setting boundaries, rules and regime, in the field of experience and hygiene. The camp is also meaningful regarding the field of children`s contacts with other affected children and adults and the field of psychic and physical resistance. Due to the above mentioned aspects the camp contributes not only to problem reduction linked to emptying disorders but also to the children{\crq}s total reduction of enuresis and encopresis. The research results demonstrate two hypotheses: The first is based on the notion that the camp contributes to the improvement of psychosocial state of the children suffering from enuresis and encopresis. The second hypothesis proves that the camp positively influences the frequency of bed-wetting and fecal soiling.

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