How to support the accurate diagnosis of constipation in people with learning disabilities.

Rationale and key points: Why you should read this article: • To increase your awareness of the challenges of diagnosing constipation in people with learning disabilities • To understand the potential consequences, for people with learning disabilities, of untreated constipation • To revisit the ass...

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Publicado en:Learning Disability Practice Vol. 27; no. 4; pp. 28 - 33
Autores principales: Marsh, Lynne, McMeel, Ailish
Formato: Journal Article
Publicado: Royal College of Nursing of the United Kingdom (The) Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Royal College of Nursing of the United Kingdom (The)
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        10.7748/ldp.2023.e2231
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        atl: How to support the accurate diagnosis of constipation in people with learning disabilities.
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          Marsh, Lynne
          McMeel, Ailish
        affil: Senior lecturer, School of Nursing and Midwifery, Queen’s University, Belfast, Northern Ireland
      sug:
        subj:
          Constipation Diagnosis
          Persons with Intellectual Disabilities
          Learning Disorders
          Support, Psychosocial
          Constipation Symptoms
          Communicative Disorders Complications
          Mental Health
          Cathartics Therapeutic Use
          Readmission
          Nursing Role
          Patient Assessment
          Diet
          Physical Mobility
          Life Expectancy
      ab: Rationale and key points: Why you should read this article: • To increase your awareness of the challenges of diagnosing constipation in people with learning disabilities • To understand the potential consequences, for people with learning disabilities, of untreated constipation • To revisit the assessments required to diagnose constipation in a person with a learning disability accurately. Constipation is a common health condition that, if not recognised and treated, can have major adverse effects on people’s health and well-being. People with learning disabilities have been shown to have a shorter life expectancy than the general population. Leading causes of premature death in this population group are respiratory disease, cardiovascular disease and gastrointestinal disorders including constipation. Yet, with timely assessments and appropriate interventions, constipation can be prevented or treated. • Consequences of constipation include increased laxative use, frequent hospital admissions and readmissions, suboptimal health outcomes and premature death. • The signs and symptoms of constipation can be challenging to ascertain in people with learning disabilities due notably to communication difficulties and diagnostic overshadowing. • Accurately diagnosing constipation in a person with a learning disability who shows behaviour of concern involves comprehensive and thorough assessments of their physical and mental health, behaviour, medicines and environment. Reflective activity: ‘How to’ articles can help you to update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when supporting the accurate diagnosis of constipation in a person with a learning disability who shows behaviour of concern. • How you could use this information to educate nursing students or colleagues to support the accurate diagnosis of constipation in a person with a learning disability who shows behaviour of concern.
      pubtype: Academic Journal
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    language: English
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