Constipation and Fecal Incontinence in Older Person Care
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Questions and Answers

What is one reason older people may not bring up constipation during consultations?

  • They feel embarrassed to talk about it
  • They are not aware of the issue
  • They don't consider it a problem
  • They assume it's a normal consequence of aging (correct)

    • Why is it important for health professionals to enquire sensitively about fecal incontinence?

  • To fulfill their professional obligations
  • To avoid unnecessary embarrassment for the patient
  • To reduce the number of older people living with fecal incontinence
  • To detect the problem early and provide appropriate management (correct)

    • What is one measure to prevent constipation in management plans for people at risk?

  • Reducing fiber in the diet
  • Including regular exercise (correct)
  • Avoiding fluid intake
  • Increasing caffeine intake

    • Why can fecal incontinence be a source of embarrassment for older adults?

    <p>Due to societal stigma surrounding the issue</p> Signup and view all the answers

    What is the role of The Rome Foundation mentioned in the text?

    <p>Advancing the understanding and treatment of functional gastrointestinal disorders</p> Signup and view all the answers

    Why might older people be at risk of fecal incontinence?

    <p>Due to lifestyle factors or medications</p> Signup and view all the answers

    What is an implication of constipation being accepted as a normal consequence of aging?

    <p>People do not seek medical help for constipation</p> Signup and view all the answers

    Which of the following is NOT a symptom of constipation according to the Rome Criteria?

    <p>Rectal bleeding</p> Signup and view all the answers

    What is the recommended minimum duration for a person to experience symptoms to meet the Rome Criteria for constipation?

    <p>3 months</p> Signup and view all the answers

    Which of the following is NOT identified as a potential cause of constipation in older people?

    <p>Increased dietary fiber intake</p> Signup and view all the answers

    What should older people presenting with constipation have during physical examination?

    <p>Rectal examination</p> Signup and view all the answers

    Which specialized test might be required for severe cases of constipation when a secondary cause is not determined after an unsuccessful trial of a high-fiber diet and laxatives?

    <p>Colonoscopy</p> Signup and view all the answers

    What is the aim of treatment for constipation?

    <p>To relieve symptoms, restore normal bowel habits, and improve quality of life</p> Signup and view all the answers

    Which type of laxative increases stool water content?

    <p>Osmotic laxatives</p> Signup and view all the answers

    What are phosphate enemas associated with?

    <p>Rectal bleeding and perforation</p> Signup and view all the answers

    What is prucalopride licensed for use when other laxatives fail?

    <p>As a prokinetic agent targeting gut serotonin receptors</p> Signup and view all the answers

    What should be addressed first in the treatment of constipation?

    <p>Identifying underlying causes and addressing them first</p> Signup and view all the answers

    What type of test should only be considered if it will affect management decisions?

    <p>Anorectal manometry and balloon expulsion tests</p> Signup and view all the answers

    Which medication is NOT listed as a potential contributor to constipation?

    <p>Thyroid function tests</p> Signup and view all the answers

    What is the most common cause of fecal incontinence?

    <p>Fecal impaction</p> Signup and view all the answers

    Which type of fecal incontinence occurs when the person has no awareness of defecation?

    <p>Passive incontinence</p> Signup and view all the answers

    What is the main recommendation for managing fecal impaction?

    <p>Laxatives and enemas</p> Signup and view all the answers

    What are the neurogenic causes of fecal incontinence?

    <p>Multiple sclerosis (MS), Parkinson's disease, and stroke</p> Signup and view all the answers

    What is a red flag for cauda equina syndrome?

    <p>Acute onset fecal incontinence and sensory loss in lower limbs</p> Signup and view all the answers

    What is the second most common cause of fecal incontinence?

    <p>Neurogenic causes</p> Signup and view all the answers

    Which comorbidities are associated with fecal incontinence?

    <p>Parkinson's disease, stroke, and dementia</p> Signup and view all the answers

    What is the most important factor to consider when beginning a conversation about fecal incontinence?

    <p>&quot;Accidental bowel leakage&quot; terminology preference of the patient</p> Signup and view all the answers

    What is the recommended initial management for fecal incontinence?

    <p>&quot;Lifestyle and behavioral interventions&quot;</p> Signup and view all the answers

    "Incontinence pads should be used..."

    <p>...in cases where FI cannot be improved.</p> Signup and view all the answers

    What is the primary focus of management for fecal impaction?

    <p>Treatment with laxatives and enemas.</p> Signup and view all the answers

    What should be considered when probing further if a patient mentions diarrhea?

    <p>Further investigation for underlying causes of diarrhea.</p> Signup and view all the answers

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