The management of constipation in palliative care: clinical practice recommendations
| Autor: | Maria Nabal, Philip Larkin, Carla Ripamonti, Wouter W.A. Zuurmond, Frank Elsner, Carlos Centeno, J.R.G. Gootjes, Antonio Noguera, Nigel Sykes, B. Eugene, John Ellershaw, F Zucco |
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| Přispěvatelé: | Anesthesiology, Other Research |
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Palliative care Constipation Cathartics business.industry Best practice Palliative Care MEDLINE General Medicine Research findings Pharmacological treatment Clinical Practice Anesthesiology and Pain Medicine Family medicine Humans Medicine In patient medicine.symptom business |
| Zdroj: | Palliative Medicine, 22(7), 796-807. SAGE Publications Ltd Larkin, J, Sykes, N P, Centeno, C, Ellershaw, J E, Elsner, F, Eugene, B, Gootjes, J R G, Nabal, M, Noguera, A, Ripamonti, C, Zuco, F & Zuurmond, W W A 2009, ' The management of constipation in palliative care: clinical practice recommendations ', Medicina Paliativa, vol. 16, no. 3, pp. 164-177 . Larkin, P J, Sykes, N P, Centeno, C, Ellershaw, J E, Elsner, F, Eugene, B, Gootjes, J R, Nabal, M, Noguera, A, Ripamonti, C, Zucco, F & Zuurmond, W W A 2008, ' The management of constipation in palliative care: clinical practice recommendations ', Palliative Medicine, vol. 22, no. 7, pp. 796-807 . https://doi.org/10.1177/0269216308096908 Medicina Paliativa, 16(3), 164-177. Elsevier Doyma |
| ISSN: | 0269-2163 1134-248X |
| Popis: | Constipation is one of the most common problems in patients receiving palliative care and can cause extreme suffering and discomfort. The aims of this study are to raise awareness of constipation in palliative care, provide clear, practical guidance on management and encourage further research in the area. A pan-European working group of physicians and nurses with significant experience in the management of constipation in palliative care met to evaluate the published evidence and produce these clinical practice recommendations. Four potentially relevant publications were identified, highlighting a lack of clear, practical guidance on the assessment, diagnosis and management of constipation in palliative care patients. Given the limited data available, our recommendations are based on expert clinical opinion, relevant research findings from other settings and best practice from the countries represented. Palliative care patients are at a high risk of constipation, and while general principles of prevention should be followed, pharmacological treatment is often necessary. The combination of a softener and stimulant laxative is generally recommended, and the choice of laxatives should be made on an individual basis. The current evidence base is poor and further research is required on many aspects of the assessment, diagnosis and management of constipation in palliative care. Palliative Medicine (2008); 22: 796–807 |
| Databáze: | OpenAIRE |
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