You are caring for an elderly patient diagnosed with a broken hip. When assessing the patient you find that they also have chronic constipation. What should be included in patient teaching to prevent constipation?
A) Establish a bowel routine based upon the fact that the best time for defecation is after dinner.
B) Exercise may prolong a bowel movement.
C) Consume high-residue, high-fiber foods.
D) Resist the urge to defecate until the scheduled time.
Ans: C
Feedback: Goals for the patient include restoring or maintaining a regular pattern of elimination by responding to the urge to defecate, ensuring adequate intake of fluids and high-fiber foods, learning about methods to avoid constipation, relieving anxiety about bowel elimination patterns, and avoiding complications. Identifying a regular time, such as after stimulation of the gastrointestinal (GI) tract by breakfast intake, may aid in initiating the reflex. The urge to defecate should be heeded. Increased mobility helps to maintain a regular pattern of elimination.
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