Improvement of Constipation Symptoms in an Older Adult Patient by Defecation Care Based on Using a Handheld Ultrasound Device in Home Care Settings: A Case Report.

Aged, 80 and over Constipation / diagnosis Home Care Services / trends Humans Japan Male Point-of-Care Systems / trends Prostatic Neoplasms / complications Ultrasonography / instrumentation

Journal

Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
ISSN: 1528-3976
Titre abrégé: J Wound Ostomy Continence Nurs
Pays: United States
ID NLM: 9435679

Informations de publication

Date de publication:
Historique:
entrez: 14 1 2020
pubmed: 14 1 2020
medline: 18 9 2020
Statut: ppublish

Résumé

Although previous studies have demonstrated the ability of ultrasound to detect stool in the colon and rectum, the clinical utility of evaluating constipation via ultrasonic imaging by nurses has not been determined. In this case report, we observed fecal retention, assessed the presence of constipation, and performed defecation care in an older adult patient in a home care setting in a city near the metropolitan area in Japan. An 85-year-old male with advanced stage prostate cancer and multiple metastases was diagnosed with fecal impaction via digital rectal examination and evaluation of stool consistency. He was managed by regular digital evacuation of stool, but ultrasonic imaging indicated constipation with fecal retention in both the rectum and the colon despite this bowel evacuation program. When faced with this situation, we advocate a bowel management program that considers both intestinal elimination dysfunction and fecal transport dysfunction. Based on ultrasonic imaging, stool consistency was altered by promoting water intake, and we promoted self-defecation by asking the patient to attempt to move his bowels (regardless of cues to defecation) by sitting on the toilet every morning. As a result, the number of weekly enemas and digital dis-impaction episodes decreased while the number of spontaneous defecations increased. This case report demonstrated that ultrasonography improved bowel management in this patient with clinically severe chronic constipation.

Sections du résumé

BACKGROUND BACKGROUND
Although previous studies have demonstrated the ability of ultrasound to detect stool in the colon and rectum, the clinical utility of evaluating constipation via ultrasonic imaging by nurses has not been determined. In this case report, we observed fecal retention, assessed the presence of constipation, and performed defecation care in an older adult patient in a home care setting in a city near the metropolitan area in Japan.
CASE METHODS
An 85-year-old male with advanced stage prostate cancer and multiple metastases was diagnosed with fecal impaction via digital rectal examination and evaluation of stool consistency. He was managed by regular digital evacuation of stool, but ultrasonic imaging indicated constipation with fecal retention in both the rectum and the colon despite this bowel evacuation program. When faced with this situation, we advocate a bowel management program that considers both intestinal elimination dysfunction and fecal transport dysfunction. Based on ultrasonic imaging, stool consistency was altered by promoting water intake, and we promoted self-defecation by asking the patient to attempt to move his bowels (regardless of cues to defecation) by sitting on the toilet every morning. As a result, the number of weekly enemas and digital dis-impaction episodes decreased while the number of spontaneous defecations increased.
CONCLUSION CONCLUSIONS
This case report demonstrated that ultrasonography improved bowel management in this patient with clinically severe chronic constipation.

Identifiants

DOI: 10.1097/WON.0000000000000610 PMID: 31929449
pubmed: 31929449
doi: 10.1097/WON.0000000000000610
pii: 00152192-202001000-00014
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

75-78

Références

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Auteurs

Masaru Matsumoto (M)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Koichi Yabunaka (K)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Mikako Yoshida (M)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Gojiro Nakagami (G)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Yuka Miura (Y)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Yohei Okawa (Y)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Junko Sugama (J)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Shingo Okada (S)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Hideki Ohta (H)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

Hiromi Sanada (H)

Masaru Matsumoto, PhD, RN, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Koichi Yabunaka, PhD, RT, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Mikako Yoshida, PhD, RNM, Department of Imaging Nursing Science, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Gojiro Nakagami, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yuka Miura, PhD, RN, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Yohei Okawa, PhD, RN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Junko Sugama, Institute for Frontier Science Initiative, Kanazawa University, Kanazawa, Ishikawa, Japan.
Shingo Okada, MD, Department of Surgery, Kitamihara Clinic, Hokkaido, Japan.
Hideki Ohta, PhD, MD, Medical Corporation Activities Supporting Medicine: Systematic Services (A.S.M.ss), Tochigi, Japan.
Hiromi Sanada, PhD, RN, CWOCN, FAAN, Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Gerontological Nursing/Wound Care Management, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes digestifs › Constipation › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de soins infirmiers › Services de soins à domicile › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Régions géographiques › Iles › Japon › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Systèmes automatisés lit malade › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Maladies urogénitales › Tumeurs de l'appareil urogénital › Tumeurs de l'appareil génital mâle › Tumeurs de la prostate › Improvement of Constipation Symptoms in an...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Échographie › Improvement of Constipation Symptoms in an...