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The article presents the fecal incontinence (FI) is the loss of control on bowel function resulting in involuntary loss of solid or liquid feces. Topics include the patients with serious illness, afflicting 40%–50% of home hospice patients and nursing home residents, FI has been linked to social distress, embarrassment, and reductions in quality of life, and Fast Fact assimilates the published evidence on FI to describe risk factors and management options for patients with serious illness.