Preventing and managing constipation in older inpatients
| Autor: | Shabahat Ali, Chie Wei Fan, Anne Marie Bennett, Elena Deveney, Frances McCarthy, Christopher Nnaemeka Osuafor, Sree Lakshmi Enduluri, Emma Travers |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Quality management Constipation Inservice Training medicine.medical_treatment Enema Audit Rehabilitation Centers 03 medical and health sciences 0302 clinical medicine Clinical Protocols Multidisciplinary approach Intervention (counseling) medicine Humans 030212 general & internal medicine Adverse effect Aged Aged 80 and over Patient Care Team Inpatients Rehabilitation business.industry Health Policy Incidence (epidemiology) Communication Incidence Middle Aged General Business Management and Accounting Quality Improvement Laxatives Physical therapy 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | International journal of health care quality assurance. 31(5) |
| ISSN: | 0952-6862 |
| Popis: | Purpose Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm. Design/methodology/approach A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation. Findings The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients’ bowel habits. Practical implications The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved. Originality/value The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings. |
| Databáze: | OpenAIRE |
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