Managing constipation: implementing a protocol in a geriatric rehabilitation setting.
J Gerontol Nurs
; 40(8): 18-27; quiz 28-9, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24804648
ABSTRACT
This study examined the effect of implementing a constipation management protocol (CMP) within a geriatric rehabilitation setting. A convergent mixed-methods research design was used. Quantitative data on bowel activity, laxative use, opiate drug use, and nursing documentation regarding bowel care were gathered through a review of health records for 305 patients admitted to three geriatric rehabilitation units before (n = 137) and after (n = 168) protocol implementation over two 3-month periods. Focus groups were conducted examining nursing staff's experiences with such a protocol. Findings revealed that although implementation of the CMP did not reduce constipation rates among older patients, the average number of incidences of constipation per patient was reduced after implementation of the protocol. More importantly, it resulted in more due diligence by staff regarding patients' bowel patterns as well as improved bowel care documentation. Findings and recommendations extend current literature and have practical implications for nurses interested in improving management of patients' bowel care.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Estreñimiento
/
Enfermería en Rehabilitación
/
Enfermería Geriátrica
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Qualitative_research
Límite:
Aged
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Aged80
/
Female
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Humans
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Male
Idioma:
En
Revista:
J Gerontol Nurs
Año:
2014
Tipo del documento:
Article