martes, 7 de mayo de 2013

CONSTIPATION


Constipation is a disturbance of intestinal transit, which is a decrease of stools, hard stools and painful bowel movements.
Constipation is considered to have fewer than three bowel movements per week.




According to the article Benito Key: "the elderly are among those most affected approximately 20% of noninstitutionalized older people have symptoms of constipation being 80% of those who suffer institutionalized, especially percentage increases with age. "

The variables that must be taken into account in assessing constipation are:

- Frequency defecation.
- Fecal weight.
- Fecal consistency.
- Effort defecation.
- Satisfaction voidal.




The risk factors are:   

  1. Fluid intake.
  2. Diet.
  3. Mobility.
  4. Environment.
  5. Constipation medications.
  6. Gastrointestinal obstruction.
  7. Spinal cord dysfunction.
  8. Pelvic floor dysfunction.
  9. Irritable bowel syndrome.
  10. Anxiety, depression, cognitive dysfunction.





The main complications of constipation are:
- Faecaloma.
- Anal fissure.
- Colonic ulcers.
- Risk of cancer.
- Cardiovascular complications.




Some easy steps to follow to prevent constipation are:

- Drink at least 1.5 of water a day as it moisturizes and increases intestinal motility.

- High-fiber diet, as it retains water.

- Establish a schedule of meals ordered, up to 6 a day.

- Eat slowly and chew well.

- Perform daily moderate exercise at least 30 minutes a day walking.


Go to the bathroom quietly.



As a treatment, are laxatives. They are those that increase the intestinal bolus, the osmotic catárquicos stimulants, lubricants and rectal.

It is important to avoid excessive use of laxatives as they are harmful, irritating the bowel causing alterations. It is advisable to ask a specialist before using any drug.






Bibliography:

1. MedlinePlus. Estreñimiento. Disponible en:http://www.nlm.nih.gov/medlineplus/spanish/constipation.html

2. Dirección de Enfermería. Estreñimiento. Complejo Hospitalario Universitario de Albacete. SESCAM. Disponible en: http://www.nlm.nih.gov/medlineplus/spanish/constipation.html

3. Llave Benito JA, Arriero Anes M. Manejo del estreñimiento en personas mayores. Vol.IV, Nº 6. 2008. Disponible en: http://sescam.jccm.es/web1/gaptalavera/prof_enfermeria/boletines/boletin_enfermeria6_2008.pdf

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