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Titolo:
THE ASSESSMENT OF CONSTIPATION IN TERMINAL CANCER-PATIENTS ADMITTED TO A PALLIATIVE CARE UNIT - A RETROSPECTIVE REVIEW
Autore:
BRUERA E; SUAREZALMAZOR M; VELASCO A; BERTOLINO M; MACDONALD SM; HANSON J;
Indirizzi:
EDMONTON GEN HOSP,PALLIAT CARE PROGRAM,11111 JASPER AVE EDMONTON T5K 0LA AB CANADA UNIV ALBERTA,HLTH CARE QUAL & OUTCOME RES CTR EDMONTON AB CANADA
Titolo Testata:
Journal of pain and symptom management
fascicolo: 8, volume: 9, anno: 1994,
pagine: 515 - 519
SICI:
0885-3924(1994)9:8<515:TAOCIT>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Keywords:
CANCER; CONSTIPATION; ASSESSMENT; SYMPTOMS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
E. Bruera et al., "THE ASSESSMENT OF CONSTIPATION IN TERMINAL CANCER-PATIENTS ADMITTED TO A PALLIATIVE CARE UNIT - A RETROSPECTIVE REVIEW", Journal of pain and symptom management, 9(8), 1994, pp. 515-519

Abstract

Constipation is a frequent and distressing complication in patients with advanced cancer. However, very few studies have reviewed the assessment and management of these patients. The purpose of this study was to review the documentation, and assessment and diagnosis of constipation, in patients admitted to a Palliative Care Unit, and the correlation between those findings and radiological evidence of stool in the colon. The records of 122 consecutive patients admitted to the Palliative Care Unit, Edmonton General Hospital were reviewed in order to assess the physician's and the nurse's record of symptoms, physical findings, and diagnosis and treatment of constipation. All patients also underwent a flat abdominal radiograph that scored for the presence of stool in the colon (0 = no stool; and 12 = stool occupying all the lumen of the four quadrants of the colon). The radiograph was scored blindly by two different physicians. Of 103 evaluable patients, a rectal exam was reported only in 42. Correlation between the assessment by the twophysicians' radiograph score was high (0.78, P nd nurses' diagnosis of constipation, the presence of laxative treatment, the number of dayssince the last bowel movement, and the source of the admission (hospital vs home) were not associated with higher radiological scores for constipation. Assessment is insufficient in this population at high risk for severe constipation. Radiological examination may be necessary for adequate diagnosis in some patients. More research is needed in this area.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/08/20 alle ore 07:24:16