Constipation management in people with intellectual disability:A systematic review

Robertson, Janet Margaret and Baines, Susannah May Johnston and Emerson, Eric Broughton and Hatton, Christopher Rowan (2018) Constipation management in people with intellectual disability:A systematic review. Journal of Applied Research in Intellectual Disabilities, 31 (5). pp. 709-724. ISSN 1360-2322

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Abstract

Background Constipation can lead to serious health issues and death. This systematic review summarizes international research pertaining to the management of constipation in people with intellectual disability. Method Studies published from 1990 to 2017 were identified using Medline, Cinahl, PsycINFO, Web of Science, email requests and cross-citations. Studies were reviewed narratively in relation to identified themes. Results Eighteen studies were reviewed in relation to three themes: laxative receipt; interventions (dietary fibre, abdominal massage and macrogol); and staff issues (knowledge and training). Laxative polypharmacy was common. Studies report positive results for dietary fibre and abdominal massage although study quality was limited. Conclusion The main management response to constipation in people with intellectual disability is laxative use despite limited effectiveness. An improved evidence base is required to support the suggestion that an individualized, integrated bowel management programme may reduce constipation and associated health conditions in people with intellectual disability.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Applied Research in Intellectual Disabilities
Additional Information:
This is the peer reviewed version of the following article:Robertson J, Baines S, Emerson E, Hatton C. Constipation management in people with intellectual disability: A systematic review. J Appl Res Intellect Disabil. 2018;31:709–724. https://doi.org/10.1111/jar.12426 which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jar.12426/full This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/3200/3204
Subjects:
ID Code:
89843
Deposited By:
Deposited On:
23 Jan 2018 16:46
Refereed?:
Yes
Published?:
Published
Last Modified:
29 Sep 2020 03:59