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An overview of constipation, its causes, and best practices for prevention and assessment in older adults. It includes recommendations from the RNAO Best Practice Guideline on Prevention of Constipation in the Older Adult Population, as well as resources for implementation. topics such as assessment methods, medication review, fluid and fiber intake, physical activity, and interventions for constipation.
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Presenters: Shaila Aranha RN MScN LTC BPC Waterloo Wellington LHIN and Heather Woodbeck RN, HBScN, MHSA LTC BPC Northwest LHIN
February 10/11 2016
Please complete the true and false questions on constipation in the poll on the right side of your screen.
implementation of the RNAO Best Practice Guideline on Prevention of Constipation in the Older Adult Population.
Heart & Stroke Tips and Tools for Everyday Living 2010^7
Prevention of Constipation Algorithm
10
Assessment: Bowel history Diet history Medication Review Functional Cognitive Physical 7 day bowel record/diary
Toilet at a consistent time of day
Tailor physical activity Increase fluid intake to between 1500-2000 ml/day
Increase dietary fibre to 21-25 gram/day
Evaluate using 7-day bowel record RNAO Prevention of Constipation BPG, 2011
2.0 Assess fluid and fibre intake levels and Relevant medical & surgical history. 3.0 Review of Medications 3.1 Screen for risks of Polypharmacy
3.0 Review the client’s medications to identify those associated with an increased risk for developing constipation, including chronic laxative use and history of laxative use. 3.1 Screen for risks of polypharmacy, including both prescription and over-the-counter drugs and their adverse effects.