Treatment FAQ

when an elderly diabetic patient is constipated the best treatment options include:

by Miss Izabella Gulgowski MD Published 2 years ago Updated 2 years ago

When an elderly diabetic patient is constipated the best treatment options include:

  1. Mineral oil
  2. Bulk-forming laxatives such as psyllium
  3. Stimulant laxatives such as senna
  4. Stool softeners such as docusate

Full Answer

What are the treatment options for constipation in the elderly?

Feb 03, 2016 · When an elderly diabetic patient is constipated the best treatment options include: asked Feb 3, 2016 in Nursing by SundayCandy. 1. Mineral oil. 2. Bulk-forming laxatives such as psyllium. 3. Stimulant laxatives such as senna. 4.

Should laxatives be prescribed to diabetes patients with chronic constipation?

Sep 06, 2021 · When an elderly diabetic patient is constipated the best treatment options include: 1)Mineral oil 2)Bulk-forming laxatives such as psyllium 3)Stimulant laxatives such as senna 4)Stool softeners such as docusate

What is the primary aim of intervention in diabetic patients with constipation?

Lactulose, polyethylene glycol and lactitol are the most frequently prescribed osmotic agents. Lactulose has a prebiotic effect and a carry-over effect (continued laxative effect for at least 6 to 7 days, post cessation of treatment). Stimulants such as bisacodyl, sodium picosulphate and senna are indicated if osmotic laxatives are not effective.

Which medications are used in the treatment of constipation?

Aug 09, 2010 · Treatment algorithm for the management of chronic constipation in the elderly. Fluid intake and exercise, caloric intake and timed toilet training Although useful, there is little evidence to support maintenance of adequate hydration and regular nonstrenuous exercise in the management of constipation.

What do principles of prescribing for older adults include?

These include avoidance of inappropriate medications, appropriate use of indicated medications, monitoring for side effects and drug levels, avoidance of drug-drug interactions, and involvement of the patient and integration of patient values [17].Apr 26, 2021

What steps should the NP take to avoid polypharmacy?

Tips for Avoiding Polypharmacy Issues in Older AdultsWork diligently with patients and families to secure an accurate list of medications. ... Reorganize the medication list in a patient's EHR. ... Look for inappropriate and incorrect prescriptions. ... Use caution when deprescribing medications.More items...•Jan 12, 2021

What is meant by the term polypharmacy?

The use of multiple medicines, commonly referred to as polypharmacy is common in the older population with multimorbidity, as one or more medicines may be used to treat each condition.Oct 10, 2017

What physiological changes affect drug pharmacokinetics in older adults?

Pharmacokinetic changes include a reduction in renal and hepatic clearance and an increase in volume of distribution of lipid soluble drugs (hence prolongation of elimination half-life) whereas pharmacodynamic changes involve altered (usually increased) sensitivity to several classes of drugs such as anticoagulants, ...

What interventions will the nurse use to improve adherence to a medication regimen for the older adult?

Previous studies have shown that interventions such as patient education, the use of medication management tools or electronic monitoring reminders, can help to improve medication adherence and continuity of care among older adults [15, 16].May 16, 2017

What is the Stopp start criteria?

STOPP (Screening Tool of Older Persons' Prescriptions) and START (Screening Tool to Alert to Right Treatment) are criteria used as a tool for clinicians to review potentially inappropriate medications in older adults and have been endorsed as a best practice by some organizations.Jan 8, 2020

What are the four types of polypharmacy?

Table 1TermNumerical onlyTotal number of definitionsModerate polypharmacy11Major polypharmacy1112Hyperpolypharmacy12Excessive polypharmacy8109 more rows•Oct 10, 2017

What is polypharmacy elderly?

Polypharmacy, defined as regular use of at least five medications, is common in older adults and younger at-risk populations and increases the risk of adverse medical outcomes.Jul 1, 2019

What medication can you not take with high blood pressure?

Some common types of OTC medicines you may need to avoid include:Decongestants, such as those that contain pseudoephedrine.Pain medicines (NSAIDs), such as ibuprofen and naproxen.Cold and influenza medicines. ... Some antacids and other stomach medicines. ... Some natural health products.

What is the most common adverse drug effect seen in the elderly?

Adverse drug reactions (ADRs) are common in older adults, with falls, orthostatic hypotension, delirium, renal failure, gastrointestinal and intracranial bleeding being amongst the most common clinical manifestations.

What is the most common medication problem in the elderly?

Drug-related problems are common in older adults and include drug ineffectiveness, adverse drug effects, overdosage, underdosage, inappropriate treatment, inadequate monitoring, nonadherence, and drug interactions. (See also Overview of Drug Therapy in Older Adults.

Which medication may cause impotence in older adults?

The most common types of medication that are linked to ED include antidepressants, anti-ulcer drugs, tranquilizers, and diuretics—which help the body get rid of sodium and water, and are used to treat heart failure, liver failure, and certain kidney disorders.

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