{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:18:33Z","timestamp":1756682313739,"version":"3.41.2"},"reference-count":7,"publisher":"Emerald","issue":"5","license":[{"start":{"date-parts":[[2018,6,11]],"date-time":"2018-06-11T00:00:00Z","timestamp":1528675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJHCQA"],"published-print":{"date-parts":[[2018,6,11]]},"abstract":"<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title>\n<jats:p>Constipation in hospitalised older adults leads to adverse events and prolonged stay. The purpose of this paper, therefore, is to effectively prevent and manage constipation in older adults undergoing inpatient rehabilitation using a multidisciplinary war on constipation (WOC) algorithm.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title>\n<jats:p>A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted. Quality improvement \u201cplan-do-study-act\u201d cycles included an initial constipation audit in the wards and meetings with the multidisciplinary team (MDT) to develop an algorithm for the preventing, detecting and effectively treating constipation.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Findings<\/jats:title>\n<jats:p>The project resulted in a 14 per cent reduction in constipation incidence after the newly developed WOC algorithm was introduced. The project also improved communication between patients and the MDT around patients\u2019 bowel habits.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title>\n<jats:p>The project shows that using quality improvement methods in rehabilitation settings, earlier detection, earlier intervention and overall reduction in constipation in older adults can be achieved.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title>\n<jats:p>The WOC algorithm has been developed and institutionalised in the current setting. This algorithm may also be applicable in other inpatient settings.<\/jats:p>\n<\/jats:sec>","DOI":"10.1108\/ijhcqa-05-2017-0082","type":"journal-article","created":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T07:05:28Z","timestamp":1525158328000},"page":"415-419","source":"Crossref","is-referenced-by-count":3,"title":["Preventing and managing constipation in older inpatients"],"prefix":"10.1108","volume":"31","author":[{"given":"Christopher Nnaemeka","family":"Osuafor","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sree Lakshmi","family":"Enduluri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Travers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"Bennett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Deveney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shabahat","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frances","family":"McCarthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chie Wei","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"issue":"1","key":"key2020092815562764700_ref001","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s12876-015-0366-3","article-title":"Chronic constipation in the elderly: a primer for the gastroenterologist","volume":"15","year":"2015","journal-title":"BMC Gastroenterology"},{"issue":"3","key":"key2020092815562764700_ref002","first-page":"195","article-title":"Management of chronic constipation in the elderly","volume":"43","year":"2011","journal-title":"Indonesian Journal of Internal Medicine"},{"issue":"9","key":"key2020092815562764700_ref003","first-page":"920","article-title":"Stool form scale as a useful guide to intestinal transit time","volume":"132","year":"1997","journal-title":"Scandinavian Journal of Gastroenterology"},{"issue":"5","key":"key2020092815562764700_ref004","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1053\/j.gastro.2005.11.061","article-title":"Functional bowel disorders","volume":"130","year":"2006","journal-title":"Gastroenterology"},{"issue":"11","key":"key2020092815562764700_ref005","doi-asserted-by":"crossref","first-page":"1596","DOI":"10.1111\/jgh.13011","article-title":"Constipation prophylaxis reduces length of stay in elderly hospitalized heart failure patients with home laxative use","volume":"30","year":"2015","journal-title":"Journal of Gastroenterology and Hepatology"},{"key":"key2020092815562764700_ref006","first-page":"919","article-title":"Epidemiology and management of chronic constipation in elderly patients","volume":"10","year":"2015","journal-title":"Clinical Interventions in Aging"},{"key":"key2020092815562764700_ref007","unstructured":"Wald, A. (2017), \u201cManagement of chronic constipation in adults\u201d, available at: www.uptodate.com\/contents\/management-of-chronic-constipation-in-adults (accessed 19 July 2017)."}],"container-title":["International Journal of Health Care Quality Assurance"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/IJHCQA-05-2017-0082\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/IJHCQA-05-2017-0082\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T01:04:44Z","timestamp":1753405484000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/ijhcqa\/article\/31\/5\/415-419\/124820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,11]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,6,11]]}},"alternative-id":["10.1108\/IJHCQA-05-2017-0082"],"URL":"https:\/\/doi.org\/10.1108\/ijhcqa-05-2017-0082","relation":{},"ISSN":["0952-6862"],"issn-type":[{"type":"print","value":"0952-6862"}],"subject":[],"published":{"date-parts":[[2018,6,11]]}}}