New Guidelines Combat Constipation in Care Facilities
Obstipation, or constipation, is a common issue among long-term care residents. According to new guidelines developed by V&VN and SKILZ, up to 80% of nursing home residents and 7 in 10 individuals with severe intellectual disabilities residing in care facilities may experience constipation. Marleen Vingerhoed, a wound care nurse at Leyhoeve care center, spearheaded the implementation of these guidelines with promising results.
Affecting Daily Life
Constipation can significantly impact the daily life and well-being of individuals. While many residents cannot express their discomfort verbally, Marleenobserves telltale signs such as restlessness, hand-gripping gestures, and frequent requests to use the toilet to indicate distress due to constipation.
A Comprehensive Approach
The new guidelines emphasize the importance of good nutrition and physical activity to maintain regular bowel movements. Leyhoeve has implemented a daily exercise routine with their physiotherapist and encourages mobility among residents, reducing reliance on wheelchairs. Additionally, the care team collaborates with dietitians to address dietary needs and only prescribes laxatives after considering dietary measures.
Reevaluating Medications
Moreover, the guidelines recommend reevaluating medications that may contribute to constipation, such as sedatives and antipsychotics. Marleen found that critically reviewing these medications improved the overall well-being and comfort of her residents.
Success Stories
Under these guidelines, Leyhoeve has seen improved comfort and reduced restlessness among its residents. "Our residents are happier, and we, as healthcare professionals, have gained valuable insights and new skills," Marleen concludes, laughing about her past misconception that bananas have constipating effects.
For more information on managing obstipation in care facilities, visit the V&VN knowledge platform.
