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Constipation and fecal impaction in the long-term care patient.
Clin Geriatr Med. 1988 Aug; 4(3):571-88.CG

Abstract

Constipation is a significant problem in the long-term care patient. There is a high prevalence of both primary and secondary causes of constipation in this population. Common primary causes include deficient dietary fiber, deficient fluid intake, and immobility. Common secondary causes include carcinoma, constipating medications, and neurologic and endocrine diseases. Moreover, complications of constipation such as fecal impaction, fecal incontinence, stercoral ulceration, and obstruction can be catastrophic in the debilitated elderly patient. Many cases of constipation can be treated by supplementing dietary fiber and fluid intake, with attention to nonmedical forms of intervention. In some patients, therapies such as bulk-forming agents, emollients, and periodic enemas may be necessary. In addition, there are some newer therapies available. Chronic stimulant laxative therapy should be reserved for patients with certain conditions that warrant their use.

Authors+Show Affiliations

Department of Medicine, University of Chicago Medical Center, Illinois.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

2842023

Citation

Alessi, C A., and C T. Henderson. "Constipation and Fecal Impaction in the Long-term Care Patient." Clinics in Geriatric Medicine, vol. 4, no. 3, 1988, pp. 571-88.
Alessi CA, Henderson CT. Constipation and fecal impaction in the long-term care patient. Clin Geriatr Med. 1988;4(3):571-88.
Alessi, C. A., & Henderson, C. T. (1988). Constipation and fecal impaction in the long-term care patient. Clinics in Geriatric Medicine, 4(3), 571-88.
Alessi CA, Henderson CT. Constipation and Fecal Impaction in the Long-term Care Patient. Clin Geriatr Med. 1988;4(3):571-88. PubMed PMID: 2842023.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Constipation and fecal impaction in the long-term care patient. AU - Alessi,C A, AU - Henderson,C T, PY - 1988/8/1/pubmed PY - 1988/8/1/medline PY - 1988/8/1/entrez SP - 571 EP - 88 JF - Clinics in geriatric medicine JO - Clin Geriatr Med VL - 4 IS - 3 N2 - Constipation is a significant problem in the long-term care patient. There is a high prevalence of both primary and secondary causes of constipation in this population. Common primary causes include deficient dietary fiber, deficient fluid intake, and immobility. Common secondary causes include carcinoma, constipating medications, and neurologic and endocrine diseases. Moreover, complications of constipation such as fecal impaction, fecal incontinence, stercoral ulceration, and obstruction can be catastrophic in the debilitated elderly patient. Many cases of constipation can be treated by supplementing dietary fiber and fluid intake, with attention to nonmedical forms of intervention. In some patients, therapies such as bulk-forming agents, emollients, and periodic enemas may be necessary. In addition, there are some newer therapies available. Chronic stimulant laxative therapy should be reserved for patients with certain conditions that warrant their use. SN - 0749-0690 UR - https://www.unboundmedicine.com/medline/citation/2842023/Constipation_and_fecal_impaction_in_the_long_term_care_patient_ L2 - https://www.diseaseinfosearch.org/result/1885 DB - PRIME DP - Unbound Medicine ER -