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Fecal impaction: a review.

N Creason1, D Sparks

  • 1Clinch River Health Services, Dungannon, VA, USA. nsc38@hotmail.com

Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association
|June 10, 2000
PubMed
Summary
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Fecal impaction is a complex condition affecting all ages, with unclear diagnostic criteria and limited research-based treatments. Further studies are needed to define terminology, diagnosis, and interventions for this common issue.

Area of Science:

  • Gastroenterology
  • Clinical Medicine

Background:

  • Fecal impaction is a significant clinical issue.
  • Existing literature lacks clarity on its definition and progression from constipation.

Purpose of the Study:

  • To comprehensively review the literature on fecal impaction.
  • To examine its definition, diagnosis, etiology, clinical presentation, and management.

Main Methods:

  • Systematic review of published literature.
  • Synthesis of existing research findings.

Main Results:

  • Despite extensive publications, research on fecal impaction remains limited.
  • Ambiguity exists in differentiating constipation from impaction.
  • Causes are diverse, affecting all age groups.

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  • Signs, symptoms, and associated complications are varied.
  • Evidence-based treatment options are scarce, with varied non-research-based approaches.
  • Conclusions:

    • There is a critical need for further research to standardize terminology and diagnostic criteria for fecal impaction.
    • Development of evidence-based interventions is essential for effective patient care.