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Cathy A. Alessi M.D., Cynthia T. Henderson M.D., M.P.H., F.A.C. & Karen M. Linderborn M.S., R.N.-C.

In: Improving Care in the Nursing Home: Comprehensive Reviews of Clinical Research

Chapter 6: A Review of Research on Common Bowel Problems in the Nursing Home

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A Review of Research on Common Bowel Problems in the Nursing Home
A review of research on common bowel problems in the nursing home
CathyA.AlessiM.D.
CynthiaT.HendersonM.D., M.P.H., F.A.C.N.
KarenM.LinderbornM.S., R.N.-C.

Problems with bowel function are common among nursing home (NH) residents, whether they are elderly or disabled younger persons. Constipation, fecal impaction, diarrhea, fecal incontinence, and bowel complications of enteral tube feedings may all have a major effect on resident comfort and health. Frequent contributors include drug therapy, immobility, a diet deficient in fiber and/or fluid, gastrointestinal (GI) disease, acute and chronic conditions that affect bowel function, functional impairment, cognitive impairment, chronic laxative use, and characteristics of tube feeding formulas. Until recently there has been little research to guide treatment, but as interest in NH research in general has ...

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