Constipation
Care Process Models (CPMs) promote evidence based, safe, and high-value care for patients with common or high-risk clinical conditions when national or international guidelines are not available or applicable. CPMs are informed by methodical review of scientific literature and the consensus of a multidisciplinary committee of subject matter experts and key stakeholders at Children’s Mercy Kansas City. Processes within CPMs may be specific to Children’s Mercy Kansas City and should be evaluated before applying to a different setting.
Algorithms associated with this CPM for viewing on a smartphone or computer:
Algorithms associated with this CPM for viewing as a PDF:
Inclusion and exclusion criteria
Inclusion:
- > 2 years of age.
- Two or fewer defecations per week .
- History of:
- Excessive stool retention.
- Painful or hard bowel movements.
- Large diameter stools.
- Presence of large fecal mass in the rectum.
Exclusion:
- Signs/symptoms of bowel obstruction.
Team members involved in the development:
- A. Daly, MD | Hospital Medicine | Committee chair
- K. Kaufman APRN | Gastroenterology | Committee member
- B. Weller PharmD | Pharmacy | Committee member
- N. Sharma MHA | Quality Improvement Consultant | Committee member
- L. Schroeder MD | Chief Medical Quality and Safety Officer | Committee member
- H. Nall DNP, APRN, FNP-C, CPEN | Neurology | Committee member
- J. Johnson MD, FAAP | Director, Division of Urgent Care | Committee member
- H. Johnson MD | Emergency Medicine | Committee member
- S. Dillman MD | Emergency Medicine | Committee member
- C. Kapalu PhD | Gastroenterology | Committee member
- D. Wyly MSN, RN, APRN, CPNP-AC, PPCNP-BC, ONC | Urgent Care Clinics | Committee member
- J. Bartlett PhD, RN | Evidence Based Practice Department | Committee member
- N. Allen MS, MLS, RD, LD, CPHQ | Evidence Based Practice Department | Committee member
Publication dates:
- Finalized date: February 2021
- Next expected revision date: February 2024
Concerns with content
If you have any questions regarding this content, or identify a broken link, please email evidencebasedpractice@cmh.edu.
Disclaimer
This care process model does not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare care process models for each. Accordingly, this care process model should guide care with the understanding that departures from them may be required at times.