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Student/staff collaboration: a pilot bowel management program

S E Karam, D M Nies

Journal of Gerontological Nursing

|March 1, 1994

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A nursing program improved bowel regularity in elderly residents by increasing fiber, fluids, and exercise. This initiative successfully reduced laxative dependence and boosted spontaneous bowel movements, enhancing elder care.

Area of Science:

Gerontology
Gastroenterology
Nursing Science

Background:

Constipation and poor bowel elimination are prevalent issues among the elderly.
Laxative overuse is a common but often suboptimal approach to managing these conditions in nursing facilities.

Purpose of the Study:

To implement and evaluate a collaborative bowel management program for nursing home residents.
To reduce reliance on laxatives and improve spontaneous bowel movements through lifestyle interventions.

Main Methods:

A protocol was developed focusing on increased dietary fiber, fluid intake, and physical activity.
Baccalaureate nursing students and nursing home staff collaborated to implement the program.

Main Results:

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The program led to a significant decrease in the number of laxatives administered to residents.

A notable increase in the frequency of spontaneous bowel movements was observed.

Conclusions:

A multidisciplinary approach to bowel management can effectively improve outcomes in elderly individuals.
Lifestyle modifications, including diet, hydration, and exercise, are crucial for effective bowel health in long-term care settings.