Constipation in the elderly: implication in skilled nursing facilities

There is a very high prevalence and use of medications to manage constipation in the elderly and those residing in long-term care settings. This may have significant clinical and regulatory implications within a long-term care facility. It is very important for the nursing staff to try to prevent chronic constipation from occurring and when it does occur, initiate appropriate treatment to manage the condition. Prior to initiating any therapy a thorough resident assessment should take place to determine if the chronic constipation is due to other causes such as medications. There are several methods to prevent and manage constipation including changes in diet and lifestyle, as well as drug therapy options. Drug therapy should only be initiated once other types of therapies have not been successful.