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Review of laxative utilization in a skilled nursing facility
Journal of the American Geriatrics Society
|December 1, 1978
Summary
Laxative use is common in nursing homes, with 58% of patients receiving them, often without fully considering constipation causes or dietary management. Proper laxative selection requires evaluating effectiveness and side effects for optimal patient care.
Area of Science:
- Geriatrics
- Pharmacology
- Gastroenterology
Background:
- Laxatives are frequently prescribed in long-term care facilities, with 58% of nursing home residents receiving them.
- Commonly administered on a 'prn' (as needed) basis, often in combination, to prevent constipation.
Purpose of the Study:
- To evaluate the rational use of laxatives in an elderly population within a skilled nursing facility.
- To assess the appropriateness of laxative selection based on effectiveness and side effect profiles.
Main Methods:
- A review of laxative utilization was conducted among 73 elderly patients.
- The study examined prescribing patterns and patient data within a metropolitan skilled nursing facility.
Main Results:
- The review indicated a generally rational use of laxatives among the studied patients.
- A notable finding was the insufficient attention paid to dietary management as a strategy for constipation.
Conclusions:
- While laxative prescribing appeared rational, optimizing constipation management requires a comprehensive approach.
- Integrating dietary interventions alongside judicious laxative use is crucial for effective constipation care in the elderly.