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Chi-Wen Peng

Chi-Wen Peng

Ta-Jen University of Technology, Taiwan

Title: Medication review and constipation in long-term care institute residents

Biography

Biography: Chi-Wen Peng

Abstract

Background and Objectives: Elderly in long-term care institute are suffered from constipation and most of them use psychological medication to treat insomnia, anxiety, or even psychotic conditions as well. This study is one of pilot studies of “Medication review and constipation problem solving for elderly with chronic disease” research. The purpose of this pilot study was to evaluate the prevalence of psychological medication used and the association of constipation among the elderly residents of a nursing home. Patients and Methods: A total of 48 residents older than 65 years old was enrolled in this study. The following variables were gathered: age, gender, body mass index (BMI), length of stay, functional level of ADL, somatic and psychiatric diseases, number of medications, and medication use. The use and dosage of laxatives were also recorded. Bowel function was collected on Bristol Stool Form Scale. Results: Constipation prevalence is high in this sample of 48 elderly (n=26, 54.2%). The amount of total daily drug used was 10.4±6.5. The items and amount of drugs used were correlated to constipation incidence(. Prevalence of psychological medication is high (n=28, 58.3%). The most use of psychological drug is sedatives (n=22, 45.8%). Other categories of drugs, such as CV drugs, were most use of drug. Residents used laxatives due to constipation were also high (n=26, 54.2%). The most frequently used laxatives were senna glycoside, and magnesium oxide. Furthermore, quantity of physical activities was also correlated to constipation incidence (p=0.023, 2=5.185) and CV diseases was correlated to constipation. Conclusions: This study suggested that amounts and items of drugs used, quantity of physical activities, diseases and CV drugs likelihood have some association with residents’ constipation. To improve constipation condition, a coordinated approach with involvement of physicians, nurses, dieticians and pharmacists is needed.