Nursing journal constipation older adults

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Constipation is a common problem in patients with advanced cancer and a significant source of major morbidity and distress, which is often under-appreciated [ 1 ]. Constipation is subjectively experienced by the patient and diagnostic criteria do not always clearly express the diversity of factors, which may lead to constipation as a clinical problem [ 2 ]. Widespread use of opioid analgesics for cancer pain poses specific challenges for patients [ 3 ].

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Virginia B. There is no one best evidence-based treatment for chronic constipation in the elderly. While the most common first-line treatments are dietary fiber and exercise, the evidence is insufficient to support this approach in the geriatric population strength of recommendation [SOR]: for dietary fiber: Abased on a systematic review; for exercise: SOR: Bbased on 1 good- and 1 fair-quality randomized controlled trial [RCT].

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Constipation is a common complaint seen in many different patient populations. The pathophysiology of this condition may be due to many factors. One potential cause is dehydration, causing hard stools.

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Skip to search form Skip to main content. Loss of mobility, medications, underlying diseases, impaired anorectal sensation, and ignoring calls to defecate are as important as dyssynergic defecation or irritable bowel syndrome in causing constipation. View PDF.

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Lynette E. Chronic constipation in older adults has multiple etiologies, and many of these factors are interrelated. An initial medical history and physical examination can provide relevant clues to the causes of the problem.

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Patient information : A handout on constipationwritten by the authors of this article. Primary constipation is also referred to as functional constipation. Secondary constipation is associated with chronic disease processes, medication use, and psychosocial issues.

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The purpose of this activity is to enable the CNA to identify and aid in the management of constipation in patients. Health care workers need to be alert to any conditions which may cause constipation. Management and prevention are the best interventions to improve the quality of life of patients with symptoms of constipation.

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Javascript is currently disabled in your browser. Several features of this site will not function whilst javascript is disabled. Received 30 December Published 2 June Volume Pages —

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