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Chronic constipation: assessment and management in the elderly

O C Allison, M E Porter, G C Briggs

    Journal of the American Academy of Nurse Practitioners
    |July 1, 1994
    PubMed
    Summary
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    This study offers a guide for managing chronic constipation in older adults. It covers diagnosis and treatment using both medication and lifestyle changes for better patient outcomes.

    Area of Science:

    • Geriatrics
    • Gastroenterology
    • Clinical Practice Guidelines

    Background:

    • Chronic constipation is a prevalent condition affecting the elderly population.
    • Effective management strategies are crucial for improving quality of life in geriatric patients.

    Purpose of the Study:

    • To provide a comprehensive overview of the assessment and management of chronic constipation in the elderly.
    • To serve as a practice guideline for healthcare practitioners.
    • To detail both pharmacologic and nonpharmacologic treatment options.

    Main Methods:

    • Review of current literature on chronic constipation in the elderly.
    • Synthesis of diagnostic criteria and assessment tools.
    • Compilation of evidence-based treatment modalities.

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    Main Results:

    • Identification of key diagnostic indicators for chronic constipation in older adults.
    • Outline of pharmacologic interventions including laxatives and prokinetics.
    • Description of nonpharmacologic approaches such as dietary modifications and physical activity.

    Conclusions:

    • A structured approach to assessment and management is essential for elderly patients with chronic constipation.
    • Individualized treatment plans incorporating pharmacologic and nonpharmacologic methods yield optimal results.
    • This guideline facilitates evidence-based care for chronic constipation in geriatric populations.