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Preventing and managing constipation in older inpatients
Purpose Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm. Des...
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| Published in: | International journal of health care quality assurance 2018-06, Vol.31 (5), p.415-419 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3 |
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| cites | cdi_FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3 |
| container_end_page | 419 |
| container_issue | 5 |
| container_start_page | 415 |
| container_title | International journal of health care quality assurance |
| container_volume | 31 |
| creator | Osuafor, Christopher Nnaemeka Enduluri, Sree Lakshmi Travers, Emma Bennett, Anne Marie Deveney, Elena Ali, Shabahat McCarthy, Frances Fan, Chie Wei |
| description | Purpose
Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm.
Design/methodology/approach
A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation.
Findings
The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients’ bowel habits.
Practical implications
The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved.
Originality/value
The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings. |
| doi_str_mv | 10.1108/IJHCQA-05-2017-0082 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1108_IJHCQA_05_2017_0082</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2049798961</sourcerecordid><originalsourceid>FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3</originalsourceid><addsrcrecordid>eNp1kV1LwzAUhoMobk5_gSADb7ypnny1yaUMdZOBCnodsvZ0dLTpTFrBf2_KpqDg1fngOS_hCSHnFK4pBXWzeJzPXm4TkAkDmiUAih2QMc2kSlIp2CEZg5YsSVXKRuQkhA0AcC6zYzJiWqVSp2JM1LPHD3Rd5dZT64ppY51dD0PeutBVW9tVrZtWbtrWBfrYDJvIh1NyVNo64Nm-Tsjb_d3rbJ4snx4Ws9tlkvMs7RKmYCWB8TjZHHJV5HGRlsJqvUKaZUwqzXIuhbAIiKwAKrJSARaSliCQT8jVLnfr2_ceQ2eaKuRY19Zh2wfDQIJQXAke0cs_6KbtvYuvi5TQmVY6pZHiOyr3bQgeS7P1VWP9p6FgBrFmJ9aANINYM4iNVxf77H7VYPFz820yAmwHYIPe1sU_qb--i38BRoiBXw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2049798961</pqid></control><display><type>article</type><title>Preventing and managing constipation in older inpatients</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>ABI/INFORM global</source><source>Emerald:Jisc Collections:Emerald Subject Collections HE and FE 2024-2026:Emerald Premier (reading list)</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Sociology Collection</source><creator>Osuafor, Christopher Nnaemeka ; Enduluri, Sree Lakshmi ; Travers, Emma ; Bennett, Anne Marie ; Deveney, Elena ; Ali, Shabahat ; McCarthy, Frances ; Fan, Chie Wei</creator><creatorcontrib>Osuafor, Christopher Nnaemeka ; Enduluri, Sree Lakshmi ; Travers, Emma ; Bennett, Anne Marie ; Deveney, Elena ; Ali, Shabahat ; McCarthy, Frances ; Fan, Chie Wei</creatorcontrib><description>Purpose
Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm.
Design/methodology/approach
A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation.
Findings
The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients’ bowel habits.
Practical implications
The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved.
Originality/value
The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings.</description><identifier>ISSN: 0952-6862</identifier><identifier>EISSN: 1758-6542</identifier><identifier>DOI: 10.1108/IJHCQA-05-2017-0082</identifier><identifier>PMID: 29865964</identifier><language>eng</language><publisher>England: Emerald Publishing Limited</publisher><subject>Algorithms ; Audit cycles ; Audits ; Bowel habits ; Constipation ; Critical incidents ; Fecal incontinence ; Habits ; Health administration ; Hospitalization ; Hospitals ; Interdisciplinary aspects ; Laxatives ; Multidisciplinary teams ; Older people ; Patients ; Preventive medicine ; Quality improvement ; Quality management ; Quality of care ; Rehabilitation</subject><ispartof>International journal of health care quality assurance, 2018-06, Vol.31 (5), p.415-419</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3</citedby><cites>FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2049798961/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2049798961?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,12846,21394,21395,27924,27925,30999,33611,33612,34530,34531,36060,36061,43733,44115,44363,74221,74639,74895</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29865964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Osuafor, Christopher Nnaemeka</creatorcontrib><creatorcontrib>Enduluri, Sree Lakshmi</creatorcontrib><creatorcontrib>Travers, Emma</creatorcontrib><creatorcontrib>Bennett, Anne Marie</creatorcontrib><creatorcontrib>Deveney, Elena</creatorcontrib><creatorcontrib>Ali, Shabahat</creatorcontrib><creatorcontrib>McCarthy, Frances</creatorcontrib><creatorcontrib>Fan, Chie Wei</creatorcontrib><title>Preventing and managing constipation in older inpatients</title><title>International journal of health care quality assurance</title><addtitle>Int J Health Care Qual Assur</addtitle><description>Purpose
Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm.
Design/methodology/approach
A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation.
Findings
The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients’ bowel habits.
Practical implications
The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved.
Originality/value
The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings.</description><subject>Algorithms</subject><subject>Audit cycles</subject><subject>Audits</subject><subject>Bowel habits</subject><subject>Constipation</subject><subject>Critical incidents</subject><subject>Fecal incontinence</subject><subject>Habits</subject><subject>Health administration</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Interdisciplinary aspects</subject><subject>Laxatives</subject><subject>Multidisciplinary teams</subject><subject>Older people</subject><subject>Patients</subject><subject>Preventive medicine</subject><subject>Quality improvement</subject><subject>Quality management</subject><subject>Quality of care</subject><subject>Rehabilitation</subject><issn>0952-6862</issn><issn>1758-6542</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M0C</sourceid><sourceid>M2S</sourceid><recordid>eNp1kV1LwzAUhoMobk5_gSADb7ypnny1yaUMdZOBCnodsvZ0dLTpTFrBf2_KpqDg1fngOS_hCSHnFK4pBXWzeJzPXm4TkAkDmiUAih2QMc2kSlIp2CEZg5YsSVXKRuQkhA0AcC6zYzJiWqVSp2JM1LPHD3Rd5dZT64ppY51dD0PeutBVW9tVrZtWbtrWBfrYDJvIh1NyVNo64Nm-Tsjb_d3rbJ4snx4Ws9tlkvMs7RKmYCWB8TjZHHJV5HGRlsJqvUKaZUwqzXIuhbAIiKwAKrJSARaSliCQT8jVLnfr2_ceQ2eaKuRY19Zh2wfDQIJQXAke0cs_6KbtvYuvi5TQmVY6pZHiOyr3bQgeS7P1VWP9p6FgBrFmJ9aANINYM4iNVxf77H7VYPFz820yAmwHYIPe1sU_qb--i38BRoiBXw</recordid><startdate>20180611</startdate><enddate>20180611</enddate><creator>Osuafor, Christopher Nnaemeka</creator><creator>Enduluri, Sree Lakshmi</creator><creator>Travers, Emma</creator><creator>Bennett, Anne Marie</creator><creator>Deveney, Elena</creator><creator>Ali, Shabahat</creator><creator>McCarthy, Frances</creator><creator>Fan, Chie Wei</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7QJ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>F~G</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K6~</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0T</scope><scope>M1P</scope><scope>M2S</scope><scope>PQBIZ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20180611</creationdate><title>Preventing and managing constipation in older inpatients</title><author>Osuafor, Christopher Nnaemeka ; Enduluri, Sree Lakshmi ; Travers, Emma ; Bennett, Anne Marie ; Deveney, Elena ; Ali, Shabahat ; McCarthy, Frances ; Fan, Chie Wei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-280b5023c37ac0c8dc80b6f4a99be17725892c3544ae0ee2d0147f80ed51f04e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Algorithms</topic><topic>Audit cycles</topic><topic>Audits</topic><topic>Bowel habits</topic><topic>Constipation</topic><topic>Critical incidents</topic><topic>Fecal incontinence</topic><topic>Habits</topic><topic>Health administration</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Interdisciplinary aspects</topic><topic>Laxatives</topic><topic>Multidisciplinary teams</topic><topic>Older people</topic><topic>Patients</topic><topic>Preventive medicine</topic><topic>Quality improvement</topic><topic>Quality management</topic><topic>Quality of care</topic><topic>Rehabilitation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osuafor, Christopher Nnaemeka</creatorcontrib><creatorcontrib>Enduluri, Sree Lakshmi</creatorcontrib><creatorcontrib>Travers, Emma</creatorcontrib><creatorcontrib>Bennett, Anne Marie</creatorcontrib><creatorcontrib>Deveney, Elena</creatorcontrib><creatorcontrib>Ali, Shabahat</creatorcontrib><creatorcontrib>McCarthy, Frances</creatorcontrib><creatorcontrib>Fan, Chie Wei</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central</collection><collection>ProQuest Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Business Collection</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ABI/INFORM global</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Sociology Database</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of health care quality assurance</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osuafor, Christopher Nnaemeka</au><au>Enduluri, Sree Lakshmi</au><au>Travers, Emma</au><au>Bennett, Anne Marie</au><au>Deveney, Elena</au><au>Ali, Shabahat</au><au>McCarthy, Frances</au><au>Fan, Chie Wei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preventing and managing constipation in older inpatients</atitle><jtitle>International journal of health care quality assurance</jtitle><addtitle>Int J Health Care Qual Assur</addtitle><date>2018-06-11</date><risdate>2018</risdate><volume>31</volume><issue>5</issue><spage>415</spage><epage>419</epage><pages>415-419</pages><issn>0952-6862</issn><eissn>1758-6542</eissn><abstract>Purpose
Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm.
Design/methodology/approach
A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement “plan-do-study-act” cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation.
Findings
The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients’ bowel habits.
Practical implications
The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved.
Originality/value
The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings.</abstract><cop>England</cop><pub>Emerald Publishing Limited</pub><pmid>29865964</pmid><doi>10.1108/IJHCQA-05-2017-0082</doi><tpages>5</tpages></addata></record> |
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| ispartof | International journal of health care quality assurance, 2018-06, Vol.31 (5), p.415-419 |
| issn | 0952-6862 1758-6542 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ABI/INFORM global; Emerald:Jisc Collections:Emerald Subject Collections HE and FE 2024-2026:Emerald Premier (reading list); Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection |
| subjects | Algorithms Audit cycles Audits Bowel habits Constipation Critical incidents Fecal incontinence Habits Health administration Hospitalization Hospitals Interdisciplinary aspects Laxatives Multidisciplinary teams Older people Patients Preventive medicine Quality improvement Quality management Quality of care Rehabilitation |
| title | Preventing and managing constipation in older inpatients |
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