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Implementation of a Constipation Action Plan for Patients Discharged From a Pediatric Hospitalist Service

Andrew Allison, Courtney Sweet, Melissa Knopp

    The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG
    |September 30, 2021
    PubMed

    Insights

    A pharmacist-developed constipation action plan significantly reduced healthcare visits for pediatric patients. This intervention also improved daily bowel movements, demonstrating its effectiveness in managing childhood constipation.

    Area of Science:

    • Pediatric Healthcare
    • Clinical Pharmacy
    • Gastroenterology

    Background:

    • Constipation is a common pediatric issue leading to frequent healthcare utilization.
    • Effective management strategies are needed to reduce healthcare burden and improve patient outcomes.

    Purpose of the Study:

    • To evaluate the impact of a pharmacist-led constipation action plan on healthcare utilization in pediatric patients.
    • To assess changes in bowel movement frequency following the intervention.

    Main Methods:

    • A prospective study enrolled 27 pediatric patients (ages 2-18) treated by hospitalists for constipation.
    • A pharmacist created individualized constipation action plans for each patient.
    • Data collected via electronic records, interviews, and pharmacist follow-up calls.

    Main Results:

    • Healthcare utilization decreased from 8.7 to 3 encounters per month post-intervention.
    • Daily bowel movements increased from approximately 1 to 2 per day.

    Conclusions:

    • A patient-specific, pharmacist-led constipation action plan effectively reduced healthcare utilization.
    • The intervention showed positive results in improving bowel regularity for pediatric patients.
    Abstract

    Keywords:
    constipationpediatricpharmacistpolyethylene glycolsenna

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