How is constipation best managed in care settings?

• A. Use stimulant laxatives without fluids.
• B. Limit fluids to prevent edema.
• C. Increase fluids and activity, consider fiber; use stool softeners or laxatives if prescribed; monitor.
• D. Ignore constipation and wait for spontaneous resolution.

Answer: (C)

Constipation in care settings is best managed by starting with nonpharmacologic steps: ensure adequate fluids, encourage activity as tolerated, and consider increasing dietary fiber when appropriate. These actions help soften the stool, add bulk, and stimulate normal bowel movements. If constipation persists or is anticipated due to factors like immobility or medications, stool-softening agents or laxatives may be prescribed, but they should be used only as directed and with attention to dosing and potential side effects. Ongoing monitoring is essential to track stool frequency and consistency, comfort, and any signs of dehydration or electrolyte issues, so the plan can be adjusted. Restricting fluids or using stimulant laxatives without proper hydration can cause harm, and ignoring constipation can lead to complications like stool buildup or impaction.