Impacted bowels in elderly
[DOC File]CARE Assessor's Manual - Washington State
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Many patients with gallstone ileus are elderly, with comorbidities, in poor general condition and have a delayed diagnosis, leading to dehydration, shock, sepsis or peritonitis. Relief of gastrointestinal obstruction by simple enterolithotomy is the safest procedure for this population of patients as well as others with gallstone ileus (12).
[DOC File]Patient information: Constipation
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Institutions and elderly people are renowned for overuse of laxatives. If we resort to using enemas the patients are liable to suffer from irritated rectum, electrolyte imbalance and weakness. If we overuse laxatives the bowels will lose their tone and normal mobility.
[DOC File]Flowchart for the Management of Constipation
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Have you had any concerns about your bladder or bowels in the last 2 weeks?” “Tell me more about that, can you give me an example, tell me what you have in mind”. “I’m interested in how you spend your days. Can you tell me how you spent yesterday; starting from …
[DOC File]MULITDISCIPLINARY INTEGRATED PELVIC FLOOR TRIAL …
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Although the most common bowel habit was once daily this was a minority practice in both sexes; a regular 24 hour cycle was apparent in only 40% of men and 33% of women. Another 7% of men and 4% of women seemed to have a regular twice or thrice daily bowel habit. Thus most people had irregular bowels.
Complications From an Impacted Bowel | Healthfully
It is difficult to find a group of individuals who present a greater challenge for the maintenance of “normal” bowel habits than the institutionalized elderly. This module will provide you with evidence-based information to help you address two bowel problems, constipation and impaction, before they become the “norm” for the individual.
[DOC File]SELF STUDY MODULE FOR PEACE ARCH DISTRICT HOSPITAL …
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If bowels open return to step 1. If bowels . NOT . open within 24 hrs go to step 4 . 4. Consult doctor for repeat phosphate enema (Fleet® Enema) and increased aperients +/- manual evacuation. If bowels opened return to step 1. If bowels . NOT . open continue step 4 every 24 hrs until bowels have opened. Diarrhoea
[DOCX File]Bowel Assessment and Management (Adults, Adolescents ...
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If patient is at risk of constipation or has not opened bowels, do a digital rectal examination, and treat impaction with enema and laxatives if present ... Unless patient is impacted, it is not necessary to wait for bowels to open before doing a TWOC. ... ELDERLY CARE / MEDICINE / OTHER SURGICAL. Follow procedures in Section C for inpatient or ...
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