A collaborative protocol for encopresis management in school-aged children

Encopresis affects 1% to 3% of the general pediatric population, yet most parents are unaware of the condition. Parents frequently view encopretic symptoms as deliberate actions and react punitively. Children with encopresis live in constant fear of ridicule about a problem over which they have no control. The lengthy, complex management program for encopresis usually includes physiological and behavioral approaches. Noncompliance and withdrawing from the program too quickly are major obstacles to success. The collaborative protocol model, focused on medical clinicians, children and families, and school nurses in collaboration with the children's teachers provides comprehensive strategical management of encopresis. As health professionals,vith frequent opportunity for communication with children and their parents, schools nurses are essential members of the collaborative management team. Also, the unique position of school nurses offers the opportunity to identify children with encopresis and help them work toward a positive outcome.