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From fecal impaction to colon perforation.

Abstract
The authors present the case of an elderly, nonverbal nursing home resident with dementia who developed fecal impaction, despite interventions such as enema. Subsequent stercoral perforation of the sigmoid colon resulted in peritonitis, sepsis, and death. The authors discuss colon perforation as a result of fecal impaction, as well as the difficulties of pain assessment and communication in patients with dementia.
AuthorsLeah Craft, Joseph A Prahlow
JournalThe American journal of nursing (Am J Nurs) Vol. 111 Issue 8 Pg. 38-43; quiz 44-5 (Aug 2011) ISSN: 1538-7488 [Electronic] United States
PMID21795932 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Alzheimer Disease (complications, nursing)
  • Colonic Diseases (etiology)
  • Enema
  • Fatal Outcome
  • Fecal Impaction (complications, nursing, therapy)
  • Female
  • Humans
  • Intestinal Perforation (etiology, nursing)
  • Pain Measurement
  • Peritonitis (etiology)

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