ProcessIntermediate
What is the recommended approach to manage opioid-induced constipation according to the chapter?
To manage opioid-induced constipation, a preventive approach is recommended, which includes administering a stool softener plus a mild stimulant laxative for the duration of opioid therapy. It is important to assess previous bowel habits, encourage adequate fluids and activity, and provide foods high in roughage. If these measures are ineffective, a suppository or Fleet's enema may be tried, and for long-term cases, drug therapy options like lubiprostone or methylnaltrexone can be used.
Key points
- Assess previous bowel habits and keep a record of bowel movements.
- Administer a stool softener plus a mild stimulant laxative during opioid therapy.
- Encourage adequate fluids, activity, and high-fiber foods.
- Consider using a suppository or Fleet's enema if initial measures fail.
- For chronic cases, drug therapies like lubiprostone or methylnaltrexone may be appropriate.
Source:Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care· Assessment and Concepts of Care for Patients With Pain· p. 304–325
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