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Constipation in adults: undertaking a holistic nursing assessment.
1Senior lecturer in nursing education, Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, King's College London, London, England.
Constipation is common, especially in older adults. A holistic nursing assessment is key to identifying causes, preventing complications, and improving patient well-being and quality of life.
Area of Science:
- Gerontology
- Gastroenterology
- Nursing
Background:
- Constipation is a prevalent issue affecting all age groups, notably hospitalized older adults.
- It is characterized by infrequent or hard stools and painful bowel movements.
- Early recognition and management are crucial to prevent complications like fecal impaction and improve patient quality of life.
Purpose of the Study:
- To outline the pathophysiology and diagnostic criteria for functional constipation.
- To detail the various types and potential underlying causes of constipation.
- To describe elements of a comprehensive, holistic nursing assessment for constipation in adults.
Main Methods:
- Review of the pathophysiology of constipation.
- Discussion of diagnostic criteria for functional constipation.
- Exploration of comprehensive nursing assessment components.
Main Results:
- Constipation assessment should include pathophysiology, diagnostic criteria, and underlying causes.
- A holistic nursing assessment is vital for effective management.
- Key assessment elements include medication review, lab tests, well-being, quality of life, activity, and diet.
Conclusions:
- A thorough, holistic nursing assessment is essential for identifying constipation causes and ensuring effective management.
- Early identification and intervention reduce risks of complications and improve patient outcomes.
- Comprehensive assessment aids in preventing discomfort and enhancing the well-being and quality of life for patients experiencing constipation.
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