scholarly journals Faecal impaction

2020 ◽  
Author(s):  
Henry Knipe ◽  
Yahya Baba
Keyword(s):  
Author(s):  
Philippe Chassagne ◽  
Frédéric Roca

Constipation and faecal incontinence are the two main functional digestive disorders reported by old people. Prevalence increases with age and predominantly affects women. Both are associated with poorer quality of life. Clinical assessment of constipation including a detailed history is the best approach to identify features suggesting abnormal transit or evacuation problems. As for many geriatric syndromes, medication related effects should always be considered. Faecal incontinence is a marker of disability assessed by most activities of daily living (ADL) scales. In severe cases, faecal incontinence is also associated with high mortality rates. The main risk factor for transient faecal incontinence is the coexistence of a functional digestive disorder such as constipation (especially with faecal impaction) or diarrhoea. These two conditions must be identified since they can be improved by specific therapeutic programmes, which are usually multidimensional and multiprofessional.


Author(s):  
RO Kareem ◽  
O Ayanniyi ◽  
OA Ajiboye ◽  
TK Hamzat
Keyword(s):  

2012 ◽  
Vol 14 (2) ◽  
pp. 231-236 ◽  
Author(s):  
Houssam M. Halawi ◽  
Karim A. Maasri ◽  
Fadi H. Mourad ◽  
Kassem A. Barada

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i1-i8
Author(s):  
A Ji-Xu ◽  
C Moezinia ◽  
N Lovett ◽  
D Krishan Sharma

Abstract Introduction Constipation has a high prevalence of 30-40% in those aged over 65. It can lead to complications including delirium, faecal impaction, stercoral ulceration, and bowel obstruction. Although stool charts are used in geriatric wards to monitor bowel movements to guide management of constipation, they are often inconsistently recorded. Similarly, regular laxatives are often not prescribed for constipated patients due to ward pressures or unawareness regarding their importance. Aims Our aims were to audit the rates of recording on stool charts and laxative prescription in a geriatrics department, and to assess whether a multifactorial intervention aimed at both doctors and nursing staff improved these rates. Methods Two independent assessors audited the recording of stool charts, and rates of constipating medications and laxative prescription in two geriatrics wards in a tertiary UK hospital. A multifactorial intervention was implemented, consisting of didactic sessions for doctors and nurses, healthcare assistant champions to promote the recording of stool charts, and consolidation of bowel movement recording onto a single paper stool chart by the bedside rather than multiple charts. After the intervention, the data was re-audited on the same wards. Descriptive statistics and frequency tabulation were used for data analysis. Results Data was collected from 33 patients. Pre-intervention, stool charts were recorded daily in 13 patients, 10 patients had no stool chart record, 20 patients were on at least one constipating medication, 12 patients were prescribed at least one laxative, and 5 out of 7 patients with opiates had laxatives co-prescribed. Post-intervention, stool charts were recorded daily in 21 patients, all patients had a stool chart record, 20 patients were on at least one constipating medication, 23 patients were prescribed at least one laxative, and 2 out of 4 patients with opiates had laxatives co-prescribed. Our intervention improved daily recording on stool charts by 24%, resulted in all patients having a current stool chart and improved prescription of regular laxatives by 34%. Conclusions A multifactorial intervention based on educational sessions, healthcare assistants acting as champions, and consolidation of recording of bowel movements into a single chart, improved stool chart recording and prescription of regular laxatives in a tertiary geriatrics department. Future auditing will extend the sample size and generalise the intervention to other hospital departments.


2017 ◽  
Vol 118 (2) ◽  
pp. 110-112 ◽  
Author(s):  
Maxime Dewulf ◽  
Yves Blomme ◽  
Cedric Coucke

2020 ◽  
pp. 589-600
Author(s):  
Susie Orme ◽  
Danielle Harari

Urinary incontinence is not an inevitable consequence of ageing and its impact on social, psychological, and physical well-being is comparable to that of other chronic conditions such as diabetes and dementia. Meanwhile, constipation, including symptoms of evacuation difficulty and/or fewer bowel movements, is a common problem as people age. Risk factors include problems in cognition, mobility, gastrointestinal motility, dysautonomia, anorectal dysfunction, and disabling neurologic disorders. Faecal incontinence is more common in frail individuals but is often assessed inadequately. The cause is often multifactorial. Treatment depends on the cause: a combination of approaches may be necessary, including avoidance of faecal impaction, instigation of a structured bowel care plan including regular prompted toileting, dietary modification, and (in some cases) use of loperamide or similar medications.


BMJ ◽  
1886 ◽  
Vol 2 (1334) ◽  
pp. 164-164
Author(s):  
A. M. Sheild
Keyword(s):  

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