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Preventing and managing constipation in older inpatients.

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A multidisciplinary "war on constipation" (WOC) algorithm reduced constipation incidence by 14% in older adults during inpatient rehabilitation. This quality improvement project also enhanced patient-provider communication regarding bowel habits.

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Area of Science:

  • Geriatric Medicine
  • Quality Improvement Science
  • Gastroenterology

Background:

  • Hospitalized older adults frequently experience constipation, leading to adverse events and extended hospital stays.
  • Effective prevention and management strategies are crucial for this demographic.

Purpose of the Study:

  • To implement and evaluate a multidisciplinary "war on constipation" (WOC) algorithm for preventing and managing constipation in older adults undergoing inpatient rehabilitation.
  • To reduce the incidence of constipation and improve patient outcomes in this population.

Main Methods:

  • A quality improvement project utilizing "plan-do-study-act" cycles was conducted.
  • An initial constipation audit informed the development of the WOC algorithm by a multidisciplinary team (MDT).
  • The algorithm focused on preventing, detecting, and treating constipation.

Main Results:

  • Introduction of the WOC algorithm led to a 14% reduction in constipation incidence.
  • Communication between patients and the MDT regarding bowel habits significantly improved.
  • The project demonstrated the feasibility of early detection and intervention for constipation in rehabilitation settings.

Conclusions:

  • The developed WOC algorithm is effective in reducing constipation incidence among older adults in inpatient rehabilitation.
  • Quality improvement methodologies can successfully enhance constipation management in rehabilitation settings.
  • The WOC algorithm shows potential for application in other inpatient environments.