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Obstipation hos patienter i palliativ behandling er en behandlingsmæssig udfordring

Tænkerens position – som symbol for omtanke og interventionsmuligheder i forbindelse med obstipation hos palliative patienter.
Forfatter(e)
Lene Jarlbæk1, Berit Johnsen2, Ole Bo Hansen3 & Birte Hedal4 1) REHPA, Videncenter for Rehabilitering og Palliation, Syddansk Universitet 2) Palliativ Enhed, Hvidovre Hospital 3) Tværfagligt Smertecenter, Holbæk Sygehus 4) Hospice Sjælland Ugeskr Læger 2016;178:V03160218
Reference: 
Ugeskr Læger 2016;178:V03160218
Blad nummer: 
Sidetal: 
2-7
Treatment of constipation in palliative care patients is a challenge
The evidence for treatment of constipation in palliative care patients is poor. The condition of these patients is often complex, and results from studies performed in other patient groups cannot be extrapolated unconditionally. However, macrogol (polyethylene glycol), lactulose and sodium picosulphate seem to be well tolerated, and methylnaltrexone could be used in opioid-induced constipation, if the patients are not at risk from gastrointestinal perforation. The patients should be offered quiet and private surroundings, and attention should be payed to securing an optimal body position for defecation.
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