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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Irritable Bowel Syndrome III: Medical and Nursing Management01:30

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...

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Related Experiment Video

Updated: Jun 9, 2026

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
03:50

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

Published on: August 18, 2023

Constipation in persons receiving hospice care.

Scott A Strassels1, Terri L Maxwell, Shrividya Iyer

  • 1Division of Pharmacy Practice, University of Texas, Austin, Texas 78712, USA. scotts1@mail.utexas.edu

Journal of Pain and Symptom Management
|August 27, 2010
PubMed
Summary
This summary is machine-generated.

Constipation is common in hospice care, with 12% experiencing moderate to severe symptoms. Factors like pain and laxative use influence its persistence, highlighting areas for improved end-of-life symptom management.

Related Experiment Videos

Last Updated: Jun 9, 2026

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
03:50

Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

Published on: August 18, 2023

Area of Science:

  • Palliative Care
  • Geriatric Medicine
  • Clinical Pharmacy

Background:

  • Symptom burden in end-of-life care remains poorly understood.
  • Constipation is a prevalent and distressing symptom for patients receiving hospice care.

Purpose of the Study:

  • To estimate the natural history of constipation in hospice patients.
  • To identify clinical and demographic factors associated with moderate to severe constipation.

Main Methods:

  • Utilized data from a national hospice pharmacy provider.
  • Hospice nurses assessed constipation intensity using a 0-10 numeric rating scale (NRS).
  • Regression models identified factors linked to constipation severity.

Main Results:

  • Analyzed data from 50,641 hospice patients (mean age 75.9 years; 55.3% female, 87.1% Caucasian).
  • 12% experienced moderate to severe constipation at initial or final assessment.
  • Persistent moderate to severe constipation was observed in 19% of initially affected patients.

Conclusions:

  • Findings offer insights into a common end-of-life symptom.
  • Data may serve as process indicators for hospice care quality assessment.