Constipation Care Pathway Template
|Assessment||Evaluate and document constiaption using self-report wherever possible (usually in children 8 years of age and older) and by asking guardians where not possible (for children 2-7 years of age).|
|Prevention||Encourage age-appropriate fluid and dietary fiber intake and daily physical activity.|
|Provide privacy during toileting (if age appropriate).||Treatment||Possible center decision: Administer polyethylene glycol 365 (PEG) in escalating doses.
Add sennosides (patients who cannot swallow tablets) or bisacodyl if PEG alone is insufficient.
|Do not use suppositories or enemas in neutropenic patients.|
|If receiving regular opioids, consider methylnaltrexone.|