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Functional constipation is a common condition. In the majority of cases the constipation develops as a result of a complex weave of factors including specific triggers, e.g. reduced fluid intake following a viral infection or periods of restricted access to the toilet. The passage of large painful stools perpetuates the problem when the child begins to(More)
Care pathways to manage continence problems in adults are well established (Bayliss et al, 2003). However, little work had been carried out to develop care pathways in paediatrics. There are increasing numbers of nurse-led clinics for children with continence problems, and nurses need structured systems to guide practice. June Rogers explains how the IMPACT(More)
  • June Rogers
  • Nursing standard (Royal College of Nursing (Great…
  • 2012
The management of constipation can often be a challenge in children who may be fearful of opening their bowels and who may be reluctant to sit on the toilet. This article focuses on guidance produced by the National Institute for Health and Clinical Excellence on constipation in children and young people. The guidance discusses successful treatment of(More)
BACKGROUND AND AIMS Chronic constipation is a serious medical condition that affects 30%-40% of people over 60 years old. Although not normally life threatening, constipation reduces quality of life by the same extent as diabetes and osteoarthritis. There are currently no Europe-wide guidelines for treating constipation in older people, although there is(More)
Faecal incontinence can have a profound effect on the lives of children and their families. Children who have faecal incontinence have a greater risk of being bullied at school, and parents are often frustrated and concerned by the associated social stigma. The social and psychological effects of faecal incontinence on the child can last for a long time.(More)