Final answer:
The first intervention to try in the treatment and prevention of chronic fecal incontinence in an elderly client is dietary modification, specifically increasing fiber intake and eliminating specific food triggers. Other interventions like pelvic floor exercises, medications, and behavioral approaches can be considered if dietary changes alone are not enough.
Step-by-step explanation:
When planning a treatment and prevention program for chronic fecal incontinence in an elderly client, the first intervention to consider is dietary modification.
Dietary changes can help regulate bowel movements and prevent episodes of incontinence. For example, increasing fiber intake can add bulk to the stool, making it easier to pass and reducing the risk of leakage. It is also important to identify any specific food triggers that may worsen fecal incontinence and eliminate them from the diet.
Other interventions to consider include pelvic floor exercises, medications, and behavioral approaches. These options should be explored if dietary changes alone do not provide sufficient improvement.