A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities

Constipation is a condition that is very prevalent and is reported in up to 40 percent of individuals with intellectual and developmental disabilities (IDD). Constipation in this patient population is most commonly secondary to neuromuscular abnormalities, immobility, suboptimal diet, and medication...

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Autores principales: Reshmi Mathew, Barrett O. Attarha, Govind Kallumkal, Morgan Cribbin, Christopher Izzo, Linda Edwards, Rafik Jacob
Formato: article
Lenguaje:EN
Publicado: Hindawi Limited 2021
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Acceso en línea:https://doaj.org/article/c63fe66561e940f8a05d923cf847f8a8
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spelling oai:doaj.org-article:c63fe66561e940f8a05d923cf847f8a82021-11-29T00:56:40ZA Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities2314-758X10.1155/2021/3248052https://doaj.org/article/c63fe66561e940f8a05d923cf847f8a82021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/3248052https://doaj.org/toc/2314-758XConstipation is a condition that is very prevalent and is reported in up to 40 percent of individuals with intellectual and developmental disabilities (IDD). Constipation in this patient population is most commonly secondary to neuromuscular abnormalities, immobility, suboptimal diet, and medication side effects. History taking is frequently limited in adults with IDD due to communication barriers, often leading to a missed diagnosis of constipation. Inadequately treated constipation may lead to adverse effects including behavioral disturbances, fecal impaction, intestinal obstruction, and even death from intestinal perforation and sepsis. As a result, a high index of suspicion must exist for this patient population. Treatment in these patients requires an individualized approach, to reduce the constipation and its associated health complications.Reshmi MathewBarrett O. AttarhaGovind KallumkalMorgan CribbinChristopher IzzoLinda EdwardsRafik JacobHindawi LimitedarticleMedicineRENAdvances in Medicine, Vol 2021 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Reshmi Mathew
Barrett O. Attarha
Govind Kallumkal
Morgan Cribbin
Christopher Izzo
Linda Edwards
Rafik Jacob
A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
description Constipation is a condition that is very prevalent and is reported in up to 40 percent of individuals with intellectual and developmental disabilities (IDD). Constipation in this patient population is most commonly secondary to neuromuscular abnormalities, immobility, suboptimal diet, and medication side effects. History taking is frequently limited in adults with IDD due to communication barriers, often leading to a missed diagnosis of constipation. Inadequately treated constipation may lead to adverse effects including behavioral disturbances, fecal impaction, intestinal obstruction, and even death from intestinal perforation and sepsis. As a result, a high index of suspicion must exist for this patient population. Treatment in these patients requires an individualized approach, to reduce the constipation and its associated health complications.
format article
author Reshmi Mathew
Barrett O. Attarha
Govind Kallumkal
Morgan Cribbin
Christopher Izzo
Linda Edwards
Rafik Jacob
author_facet Reshmi Mathew
Barrett O. Attarha
Govind Kallumkal
Morgan Cribbin
Christopher Izzo
Linda Edwards
Rafik Jacob
author_sort Reshmi Mathew
title A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
title_short A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
title_full A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
title_fullStr A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
title_full_unstemmed A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities
title_sort primary care approach to constipation in adults with intellectual and developmental disabilities
publisher Hindawi Limited
publishDate 2021
url https://doaj.org/article/c63fe66561e940f8a05d923cf847f8a8
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