Protocol on the constipation in an oncology palliative care unit

Constipation is a problem relatively common even in healthy people, mainly in the western world, influenced mainly by the nutritional diets and the diminution of the physical activity. It is a symptom of difficult valuation by its subjective nature and the difficulty to establish a normality pattern...

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Main Authors: Montserrat Cordero Ponce, Isabel María Romero Sánchez
Format: Article
Language:Spanish
Published: Fundación para el Desarrollo de la Enfermería 2008-07-01
Series:NURE Investigación
Subjects:
Online Access:http://www.fuden.es/protocolos_detalle.cfm?ID_PROTOCOLO=88&ID_PROTOCOLO_INI=1
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author Montserrat Cordero Ponce
Isabel María Romero Sánchez
author_facet Montserrat Cordero Ponce
Isabel María Romero Sánchez
author_sort Montserrat Cordero Ponce
collection DOAJ
description Constipation is a problem relatively common even in healthy people, mainly in the western world, influenced mainly by the nutritional diets and the diminution of the physical activity. It is a symptom of difficult valuation by its subjective nature and the difficulty to establish a normality pattern.The incidence is high. It is observed in a 70 - 80% of the patients in terminal situation, the 40 - 50% of the patients with disease outpost and in 90% of the patients dealing with opiate.As nurses in of a palliative care unit we detected the high number of patients which they present/display the symptom and the time that takes in its diagnose and treatment, increasing the incidence-appearance of fecal impactación and intestinal obstruction. It is one of the symptoms that worry to our patients more.We take too frequently the “rectal measures,” being more painful and a little shameful for these patients, instead of using preventive measures, precocious oral treatment and continuous evaluation of the symptom. The knowledge that these patients have of the constipation is in many deficient cases. In order to be able to educate and to take care of to the oncology terminal patient in terminal state with constipation it is essential that we know its physiopathology, causes and complications. Also we will deepen in the most suitable treatment according to the consistency, the effort that the patient must make when defecating and the symptoms that presents/displays, trying that the treatment is customized and individual, although starting off of a previous protocol of performance decided by the health professionals who are going to treat the patient.
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spelling doaj.art-a82ab70984754818a8b9ace436197f732022-12-21T22:10:03ZspaFundación para el Desarrollo de la EnfermeríaNURE Investigación1697-218X2008-07-01535Protocol on the constipation in an oncology palliative care unitMontserrat Cordero PonceIsabel María Romero SánchezConstipation is a problem relatively common even in healthy people, mainly in the western world, influenced mainly by the nutritional diets and the diminution of the physical activity. It is a symptom of difficult valuation by its subjective nature and the difficulty to establish a normality pattern.The incidence is high. It is observed in a 70 - 80% of the patients in terminal situation, the 40 - 50% of the patients with disease outpost and in 90% of the patients dealing with opiate.As nurses in of a palliative care unit we detected the high number of patients which they present/display the symptom and the time that takes in its diagnose and treatment, increasing the incidence-appearance of fecal impactación and intestinal obstruction. It is one of the symptoms that worry to our patients more.We take too frequently the “rectal measures,” being more painful and a little shameful for these patients, instead of using preventive measures, precocious oral treatment and continuous evaluation of the symptom. The knowledge that these patients have of the constipation is in many deficient cases. In order to be able to educate and to take care of to the oncology terminal patient in terminal state with constipation it is essential that we know its physiopathology, causes and complications. Also we will deepen in the most suitable treatment according to the consistency, the effort that the patient must make when defecating and the symptoms that presents/displays, trying that the treatment is customized and individual, although starting off of a previous protocol of performance decided by the health professionals who are going to treat the patient.http://www.fuden.es/protocolos_detalle.cfm?ID_PROTOCOLO=88&ID_PROTOCOLO_INI=1ProtocolConstipationOncology patientFecal impactationHealth Education.
spellingShingle Montserrat Cordero Ponce
Isabel María Romero Sánchez
Protocol on the constipation in an oncology palliative care unit
NURE Investigación
Protocol
Constipation
Oncology patient
Fecal impactation
Health Education.
title Protocol on the constipation in an oncology palliative care unit
title_full Protocol on the constipation in an oncology palliative care unit
title_fullStr Protocol on the constipation in an oncology palliative care unit
title_full_unstemmed Protocol on the constipation in an oncology palliative care unit
title_short Protocol on the constipation in an oncology palliative care unit
title_sort protocol on the constipation in an oncology palliative care unit
topic Protocol
Constipation
Oncology patient
Fecal impactation
Health Education.
url http://www.fuden.es/protocolos_detalle.cfm?ID_PROTOCOLO=88&ID_PROTOCOLO_INI=1
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