Understanding constipation as a geriatric syndrome

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-01-01 DOI:10.1016/j.gerinurse.2024.12.012

C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.

{"title":"Understanding constipation as a geriatric syndrome","authors":"C. Ray Cheever B.S. , Rayad B. Shams B.S. , K. Reese Willingham M.D. , Hyoungjun Sim B.S. , Lauren M. Cook B.S. , Mohamed Y. Ahmidouch B.S. , Katherine E. Scholand M.D. , Lindsay A. Wilson M.D., M.P.H., M.M.E.","doi":"10.1016/j.gerinurse.2024.12.012","DOIUrl":null,"url":null,"abstract":"<div><div>Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"Pages 440-448"},"PeriodicalIF":2.5000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S019745722400449X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Constipation is common among older adults and significantly impacts their quality of life (QoL). Prior studies have extensively detailed constipation, but conceptualization of constipation as a geriatric syndrome is lacking. In this review, we provide an overview of constipation in the geriatric population and conceptualize constipation as a geriatric syndrome given its high prevalence, under-recognized status, and association with poor QoL and adverse outcomes among older adults. The conceptualization of constipation as a geriatric syndrome, as with frailty and delirium, highlights its importance and need for a multi-faceted approach. Future research is needed to 1) better define constipation, 2) explore the multifactorial nature of constipation in older adults and relationship with other geriatric syndromes, 3) include more older adults in pharmacological and non-pharmacological interventions for constipation, and 4) curate multidisciplinary care models. Appreciating constipation as a geriatric syndrome will yield tailored management strategies, ensure timely intervention, and avoid adverse outcomes.

查看原文本刊更多论文

理解便秘是一种老年综合症。

便秘在老年人中很常见，并显著影响他们的生活质量。先前的研究有广泛详细的便秘，但便秘作为一种老年综合征的概念是缺乏的。在这篇综述中，我们对老年人群中的便秘进行了概述，并将便秘作为一种老年综合征进行了概念化，因为便秘在老年人中患病率高，未得到充分认识，并且与较差的生活质量和不良结局有关。便秘作为一种老年综合征的概念，与虚弱和谵妄，强调其重要性和需要一个多方面的方法。未来的研究需要1)更好地定义便秘，2)探索老年人便秘的多因素性质及其与其他老年综合征的关系，3)将更多老年人纳入便秘的药物和非药物干预，4)建立多学科护理模式。认识到便秘作为一种老年综合征将产生量身定制的管理策略，确保及时干预，避免不良后果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.