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Training Manual, part 4, sections 3 (126kb, pdf)

Training Manual, part 4, sections 3 (126kb, pdf)

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Constipation: Simple Interventions<br />

• Review medications and use of laxatives<br />

• Recommend at least 6-8 cups of fluid daily<br />

• Recommend a slow but steady increase in dietary<br />

fibre:<br />

-Wholegrain cereals such as porridge, muesli,<br />

All-Bran, Fibre Plus, Just Right, Sultana Bran<br />

-Wholemeal breads or high fibre white bread<br />

-Fruits such as pineapple, apricots, fresh fruit<br />

-Fibrous vegetables, legumes<br />

• Offer hot tea and coffee (caffeine)<br />

• Recommend mobility and activity as tolerated<br />

• Recommend regular toileting<br />

Monitoring: daily fluid and fibre intake<br />

Check outcomes: gradual improvement in<br />

bowel actions (months)?<br />

RM 4.9; OHT 3.11b<br />

Identifying and Planning Assistance for Home-Based People Who are Nutritionally at Risk: A <strong>Training</strong> <strong>Manual</strong> (2001)<br />

133

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