Identifying a standardised tool to assess and manage children with idiopathic constipation

Abstract

Aim To identify a standardised assessment tool that can be used in Ireland to diagnose and treat children with idiopathic constipation, without the need for referral to secondary care. Method The National Institute of Health and Care Excellence (NICE) (2010) guidelines on constipation in children and young people were used as a benchmark tool, which identify keys areas that must be assessed. Seventy-eight patient charts were studied retrospectively to assess whether the key components were undertaken, and 45 patients were deemed suitable for inclusion in an audit due to an idiopathic constipation diagnosis. Results None of the 45 patients received a complete assessment as per the NICE (2010) guidelines. Conclusion A nationwide comprehensive assessment tool to diagnosis and treat idiopathic constipation is needed. The NICE (2010) guidelines should not be used in addition to written information and close follow-up. A document to incorporate all of this called the Poo Passport has been developed.

A Scoping Review of Non-Pharmacological Health Education Provided to Families of Children With Idiopathic Childhood Constipation Within Primary Health Care

“…Thus Primary Care Providers (PCPs) including doctors, nurses, and retail pharmacists, 11 all have a responsibility to provide collaborative and evidence-based ICC health education to both the child and family, which is considered an extremely important factor in treating and managing ICC. 12 - 14 However, being unfamiliar with their child’s bowel habits, parents may not initially recognize the signs and symptoms of ICC. 15 Conversely, even if parents are aware of their child being constipated, they may prefer to obtain health advice from retail Pharmacists, and purchase over-the-counter medication 16 in a bid to self-manage the condition before seeking health advice from their PCP.…”