RESEARCH-BASED PROTOCOL Management of Constipation

Hinrichs, M; Huseboe, J; Tang, Jiao; Mg, Titler

doi:10.3928/0098-9134-20010201-11

Cited by 11 publications

(9 citation statements)

References 35 publications

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“…Stool softeners are not recommended as a first-line therapy for managing constipation because of the risk of becoming dependent (Wilson, 1999;Wong & Kadakia, 1999). They are indicated primarily when straining should be avoided (Hinrichs, Huseboe, Tang, & Titler, 2001).…”

Section: Discussionmentioning

confidence: 99%

Severity of fecal incontinence in community‐living elderly in a health maintenance organization

Bliss

Fischer

Savik

et al. 2004

Research in Nursing & Health

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An anonymous survey containing questions about the severity of fecal incontinence (FI)--frequency, amount, and type--and its correlates was distributed to community-living elderly at four managed-care clinics. Completed surveys were received from 1,352 respondents whose mean (+/-standard deviation) age was 75 +/- 6 years and 60% of whom were female. Approximately 19% reported having FI one or more times within the past year. Incontinence that soiled underwear or was of loose or liquid consistency was most common. More frequent FI and a greater amount of FI were significantly associated with loose or liquid stool consistency, defecation urgency, bowel surgery, and chronic health conditions. Therapies aimed at normalizing stool consistency or reducing urgency may be beneficial in lessening FI severity.

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Section: Discussionmentioning

confidence: 99%

Severity of fecal incontinence in community‐living elderly in a health maintenance organization

Bliss

Fischer

Savik

et al. 2004

Research in Nursing & Health

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“…15 Diabetes can cause neuropathy that results in constipation. 17 Patients with cancer may have other problems as well; concomitant conditions that may occur in persons with cancer and contribute to constipation are listed in Table 2. 18 Iatrogenically induced constipation is caused by administration of pharmacologic agents.…”

Section: Etiologiesmentioning

confidence: 99%

Assessing and Managing Opiate-Induced Constipation in Adults with Cancer

McMillan

2004

Cancer Control

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Cancer Control 3 pation among persons with cancer is unknown, some studies have investigated patients receiving hospice care and who are receiving active curative treatment. The range of prevalence in hospitalized patients receiving cancer treatment varies from 70% to 100%. 2-4 Studies of patients with advanced cancer who are receiving hospice care show that the prevalence of constipation ranges between 23% and 84%. 2,3,5-9 A series of studies 9-11 conducted in a large Florida hospice evaluated opiate-induced constipation and found that 40% to 64% of hospice patients with cancer have been found to have constipation. However, the number was lower when the data were obtained from a chart audit (40%) 9 and higher when the researchers prospectively interviewed patients about their symptoms (63% to 64%). 10,11 Walsh 6 found constipation to be the most common side effect of morphine among 688 hospice patients, with a prevalence of 48%. The finding of constipation is relevant because studies have shown that it is negatively related to overall quality of life (r =-.38, P<.001). 12 Defining Constipation A significant problem in assessing constipation has been the variety of definitions used by patients and healthcare providers. Some patients believe they are constipated if they do not have a bowel movement every day. Other patients expect to have only 3 bowel movements per Prevalence Limited studies of prevalence of constipation have been conducted on healthy persons and on persons with cancer. The prevalence in the general population is believed to be approximately 2%. Among the elderly in long-term care facilities, the prevalence of constipation ranges between 40% and 50%. Although the overall prevalence of consti

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“…These include increased incidence of pressure sores (United States Department of Health & Human Services 1994); contractures (Souren et al . 1995); cardiovascular deconditioning (Mahoney 1998); urinary infection (US Department of Health & Human Services 1996); constipation (Hinriches et al . 2001); and altered socialization and perceived health and well‐being (Spirduso & Gilliam‐MacRae 1993).…”

Section: Introductionmentioning

confidence: 99%