Beverly J Greenwald1. 1. Department of Nursing, Angelo State University, San Angelo, Texas, USA. Beverly.Greenwald@angelo.edu
Abstract
PURPOSE: To discuss the diagnosis and management of pediatric constipation by nurse practitioners in primary care. DATA SOURCES: Clinical practice guidelines and selected research articles. CONCLUSIONS: Pediatric constipation is a common complaint. Few children have an organic cause; more common is "functional constipation." Management may include medications, dietary interventions, and behavior modification. Patient and family education is essential. IMPLICATIONS FOR PRACTICE: A successful outcome requires multiple management strategies. There are usually relapses and gradual progress, so follow-up is essential. A consult with a pediatric gastroenterologist is indicated when treatment fails, if there is concern about an organic cause, or for complex management.
PURPOSE: To discuss the diagnosis and management of pediatric constipation by nurse practitioners in primary care. DATA SOURCES: Clinical practice guidelines and selected research articles. CONCLUSIONS:Pediatric constipation is a common complaint. Few children have an organic cause; more common is "functional constipation." Management may include medications, dietary interventions, and behavior modification. Patient and family education is essential. IMPLICATIONS FOR PRACTICE: A successful outcome requires multiple management strategies. There are usually relapses and gradual progress, so follow-up is essential. A consult with a pediatric gastroenterologist is indicated when treatment fails, if there is concern about an organic cause, or for complex management.