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The management of constipation is a problem in anyhealthcare setting and, if managed incorrectly, can affectquality of life. Sussex Health Care explain their research intothe subject with associated training.
comprised Carol Dilley, Head of Training,
learning disabilities, 61 elderly mentally ill,
medication appeared to be the first resort
users and the General Practitioners (GPs)
training. Staff needed further knowledge on
Castledine from the University of Central
the medications being used and their impact
England and his research assistant Michele
by home staff, ensuring confidentiality was
cases, improved input from the GPs as well.
on constipation the topic was deemed very
suitable as it directly affects service users’
reference. The analysis of this information
indicated extensive use of aperients.
A representative of European pharmaceutical
Lactulose and Senna were the leaders with
discuss using the research and the need for
training. Training sessions were impartial
quality of life and lifestyle changes that could
questionnaire. A second questionnaire for
was the preferred method for service users
objective method of assessment. A range of
staff learnt about their effect on the body.
46 | CAREMANAGEMENTMATTERS OCTOBER 2008
5.7_OCT_Training:Layout 1 15/9/08 10:17 Page 47
could then discuss use of medication with
approach to each individual service user.
their meeting to pass on the information.
were perceived to be able to look after their
adapted to SHC service users. It included
own needs, were found not to be consuming basis and continues to discuss and monitor
Body Mass Index, calculation of individual
any new developments in the topic as well
that placed the individual at low, medium
being used to monitor and flag up risks on a will improve the quality of care of service
or high risk. A list was devised of measures
daily basis and the risk assessments were
to be taken once the risk had been assessed
For more information contact
exercise, and regular medication review. Implementation Carol Dilley, Sussex Health Care, email: email@example.com
The new assessment tool and protocol were
implemented and after six months a second
questionnaire and baseline data was carried
out. This showed improved staff knowledge
Royal College of Physicians, was revised to
and altered use of aperients, with reduced
lower incidence of medication use and some
Castledine G, Grainger M, Wood N, Dilley C (2007) Management of constipation in long-term care
consideration of dignity in its treatments. settings: research study. Part 1. Br J Nursing 16(18): 1128-31
held to pass on the information, assessmenttool and protocols to nursing homes and
Castledine G, Grainger M, Wood N,
health professionals with an interest in this
Dilley C (2007) Management of constipation in long-term care
topic on a six monthly basis using baseline
settings: research study. Part 2.
charts. The team also continues to put on
Br J Nursing 16(19): 1212-17
education days for staff to ensure continuity. Average combined training budget of
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