PMID: 11899755Mar 20, 2002Paper

The nursing management of diarrhoea and constipation before and after the implementation of a bowel management protocol

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
S McKennaJ Cawood

Abstract

Intensive care unit (ICU) patients frequently suffer problems associated with both diarrhoea and constipation. Strategies to optimise the management of these conditions need to focus on improving the communication between staff and ensuring effective treatment is implemented. The team involved in this study developed a Bowel Management Protocol (BMP). The effect of this BMP on the documentation of assessment and management of diarrhoea and constipation was evaluated using a quasi-experimental research design. Data were collected via a retrospective audit of medical records. Two groups of patient records were randomly sampled. The records of 60 patients who were admitted to ICU in the 6 months before the introduction of the BMP were accessed together with the records of 60 patients admitted in the 6 months following the introduction of the BMP. Data were collected regarding patient demographics and the assessment and management of bowel function before and after BMP introduction. The results indicated that a BMP improved documentation of the assessment of bowel function. In addition, there was an improvement in the documentation of nursing intervention in the presence of constipation and diarrhoea. These results have to be inter...Continue Reading

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Citations

Dec 18, 2013·Enfermería intensiva·M Orejana MartínE Alted López
Apr 12, 2007·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Suzie Ferrie, Vivienne East
Aug 10, 2011·Nursing in Critical Care·Joanne McPeakeGraham MacIntosh
May 9, 2014·Journal of Gerontological Nursing·Jennifer Klein, Sandra Holowaty
Nov 17, 2009·Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses·Serena KnowlesSandy Middleton
Mar 30, 2017·Critical Care Medicine·Simon J W OczkowskiDeborah J Cook
Jan 1, 2014·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Margaret M WillsonOpal Kathleen Porras

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