Xyz screening: Difference between revisions

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{{CMG}}; {{AE}}{{EG}}  
{{CMG}}; {{AE}}{{EG}}  
==Overview==
==Overview==
According to the [[USPSTF]], screening for constipation is not recommended in general population. In palliative care patients, screening for constipation by specific questionnaire about subjective and objective findings is recommended.
According to the [[USPSTF]], screening for constipation is not recommended in general population. In [[palliative care]] patients, [[Screening (medicine)|screening]] for constipation by specific [[questionnaire]] about subjective and objective findings is recommended.


==Screening==
==Screening==
*According to the [[USPSTF]], screening for constipation is not recommended in general population.
*According to the [[USPSTF]], screening for constipation is not recommended in general population.


*In palliative care patients, screening for constipation by specific questionnaire about subjective and objective findings is recommended.<ref name="pmid19747036">{{cite journal |vauthors=Noguera A, Centeno C, Librada S, Nabal M |title=Screening for constipation in palliative care patients |journal=J Palliat Med |volume=12 |issue=10 |pages=915–20 |year=2009 |pmid=19747036 |doi=10.1089/jpm.2009.0054 |url=}}</ref>
*In [[palliative care]] patients, screening for constipation by specific [[questionnaire]] about subjective and objective findings is recommended.<ref name="pmid19747036">{{cite journal |vauthors=Noguera A, Centeno C, Librada S, Nabal M |title=Screening for constipation in palliative care patients |journal=J Palliat Med |volume=12 |issue=10 |pages=915–20 |year=2009 |pmid=19747036 |doi=10.1089/jpm.2009.0054 |url=}}</ref>
*The screening Questionnaire is composed of 5 questions, as following:<ref name="pmid19747036" />
*The screening [[questionnaire]] is composed of 5 questions, as following:<ref name="pmid19747036" />
{| class="wikitable"
{| class="wikitable"
!Group
!Group
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!Answer interpretation
!Answer interpretation
|-
|-
| rowspan="2" |Symptoms
| rowspan="2" |[[Symptoms]]
|Do you have pain, discomfort or a sensation of incomplete evacuation when having a bowel movement?
|Do you have [[pain]], [[discomfort]] or a [[sensation]] of incomplete evacuation when having a [[bowel movement]]?
|Positive response reflects constipation
|Positive response reflects constipation
|-
|-
|Please indicate the degree of ‘‘discomfort or difficult with constipation’’
|Please indicate the degree of ‘‘[[discomfort]] or difficult with constipation’’


0=None
0=None
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|Higher scores reflects more constipation severity
|Higher scores reflects more constipation severity
|-
|-
| rowspan="2" |Signs
| rowspan="2" |[[Signs]]
|On average: How many bowel movements per week do you estimate you have had over the last 3 weeks?
|On average: How many [[Bowel movement|bowel movements]] per week do you estimate you have had over the last 3 weeks?
|< 3 movements reflects constipation
|< 3 [[Bowel movement|movements]] reflects constipation
|-
|-
|Please indicate the usual hardness of your bowels.
|Please indicate the usual [[hardness]] of your [[bowels]].


Hard, soft or normal?
Hard, soft or normal?
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|Hard consistency reflects constipation
|Hard consistency reflects constipation
|-
|-
|Fecal impaction
|[[Fecal impaction]]
|Fecal impaction defined as the accumulation of hard feces in the rectum that would require unusual effort to evacuate, such as manual extraction, repetitive enemas, or intensive oral use of laxatives.
|[[Fecal impaction]] defined as the accumulation of hard [[feces]] in the [[rectum]] that would require unusual effort to evacuate, such as manual extraction, repetitive [[enemas]], or intensive oral use of [[laxatives]].
|Positive response reflects constipation
|Positive response reflects constipation
|}
|}

Revision as of 17:25, 12 December 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]

Overview

According to the USPSTF, screening for constipation is not recommended in general population. In palliative care patients, screening for constipation by specific questionnaire about subjective and objective findings is recommended.

Screening

  • According to the USPSTF, screening for constipation is not recommended in general population.
Group Question Answer interpretation
Symptoms Do you have pain, discomfort or a sensation of incomplete evacuation when having a bowel movement? Positive response reflects constipation
Please indicate the degree of ‘‘discomfort or difficult with constipation’’

0=None

10=Maximum discomfort

Higher scores reflects more constipation severity
Signs On average: How many bowel movements per week do you estimate you have had over the last 3 weeks? < 3 movements reflects constipation
Please indicate the usual hardness of your bowels.

Hard, soft or normal?

Are they runny or pasty?

Hard consistency reflects constipation
Fecal impaction Fecal impaction defined as the accumulation of hard feces in the rectum that would require unusual effort to evacuate, such as manual extraction, repetitive enemas, or intensive oral use of laxatives. Positive response reflects constipation

References

  1. 1.0 1.1 Noguera A, Centeno C, Librada S, Nabal M (2009). "Screening for constipation in palliative care patients". J Palliat Med. 12 (10): 915–20. doi:10.1089/jpm.2009.0054. PMID 19747036.

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