13. Combattere disidratazione e stipsi nell'anziano

La disidratazione e la stipsi sono disturbi comuni ma potenzialmente pericolosi negli anziani. In questa puntata, faremo luce su questi problemi, spiegando come riconoscerne i segnali precoci e, soprattutto, come prevenirli. Parleremo dell'importanza di un'adeguata idratazione, fornendo consigli pratici e semplici per mantenere il tuo genitore in salute e benessere.Mi chiamo Andrea Arnaldi e sono un infermiere esperto in assistenza domiciliare. Il mio percorso professionale e personale mi ha spinto a creare questo spazio per te. Per approfondire gli argomenti o semplicemente per confrontarti, puoi lasciare un commento sulla piattaforma del podcast o contattarmi direttamente tramite il sito web.ContattiSito web: https://iltuoalleato.itE-mail: [email protected] * Li S, Xiao X, Zhang X, et al. Hydration Status in Older Adults: Current Knowledge and Future Challenges. Nutrients. 2023;15(11):2480. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC10255140/ * Jafri W. Epidemiology and management of chronic constipation in elderly patients. Clin Interv Aging. 2015. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC4459612/ * Gandell D, Straus SE, Bundookwala M, Tsuyuki RT, Alibhai SM. Constipation in older adults: Stepwise approach to keep things moving. Can Fam Physician. 2015;61(2):152-158. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC4325863/ * Pourbakur A, Cohen S, Shuvy M, et al. Prevalence, Recognition, and Risk Factors of Constipation among Medically Hospitalized Patients: A Cohort Prospective Study. Medicina (Kaunas). 2023;59(7):1299. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC10385149/ * AARP. 8 Signs of Dehydration That You Shouldn't Ignore. Disponibile su: https://www.aarp.org/health/conditions-treatments/dehydration-in-older-people/ * Mounsey A, Raleigh M, Wilson A. Chronic Constipation in the Elderly Patient: Updates in Evaluation and Management. Gastroenterol Nurs. 2020;43(3):205-212. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC7272371/ * BPAC NZ. Managing constipation in older people. Best Practice Journal. 2019. Disponibile su: https://bpac.org.nz/2019/constipation.aspx * Hooper L, Abdelhamid A, Attreed NJ, et al. Clinical symptoms, signs and tests for identification of impending and current water‐loss dehydration in older people. Cochrane Database Syst Rev. 2015;(4). Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC7097739/ * Fortes MB, Hordern B, Johnson L. New horizons in the diagnosis and management of dehydration. Age Ageing. 2023;52(10). Disponibile su: https://academic.oup.com/ageing/article/52/10/afad193/7317735 * Systematic Review and Meta-Analysis of Risk Factors for Constipation. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC12385403/ * Benelam B, Jones JG. A multidisciplinary consensus on dehydration: definitions, diagnostic methods and clinical implications. Ann Med. 2019. Disponibile su: https://www.tandfonline.com/doi/full/10.1080/07853890.2019.1628352 * Hooper L, Abdelhamid A, Ali A, et al. Clinical and physical signs of water-loss dehydration in older people: a diagnostic accuracy systematic review. ResearchGate. 2015. Disponibile su: https://www.researchgate.net/publication/259435802_Clinical_and_physical_signs_of_water-loss_dehydration_in_older_people_a_diagnostic_accuracy_systematic_review * NHS inform. Dehydration. Disponibile su: https://www.nhsinform.scot/illnesses-and-conditions/nutritional/dehydration/ * Abdel-Rahman ME, et al. Dehydration in older people: A systematic review of the effects of dehydration on health outcomes, healthcare costs and cognitive performance. Clin Nutr. 2021. Disponibile su: https://pubmed.ncbi.nlm.nih.gov/33636649/ * Lawlor PG. Dehydration and Delirium—Not a Simple Relationship. J Gerontol A Biol Sci Med Sci. 2004;59(8):811–812. Disponibile su: https://academic.oup.com/biomedgerontology/article/59/8/M811/709321 * Tene O, et al. Dehydration and Cognition in Geriatrics: A Hydromolecular Hypothesis. World J Psychiatry. 2016. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC4860410/ * La Trobe University. Dehydration – Standardised care process. Australian Centre for Evidence Based Aged Care. Disponibile su: https://www.latrobe.edu.au/aipca/australian-centre-for-evidence-based-aged-care/resources/standardised-care-dehydration.pdf * Werth BL. Functional Constipation in Older Adults: Prevalence, Clinical Symptoms and Subtypes, Association with Frailty, and Impact on Quality of Life. Geriatrics. 2021. Disponibile su: https://pubmed.ncbi.nlm.nih.gov/34265780/ * Dietary Guidelines for Americans. Food Sources of Fiber: Standard Portions. U.S. Department of Agriculture. Disponibile su: https://www.dietaryguidelines.gov/sites/default/files/2024-08/Food-Sources-Fiber-Standard-508C.pdf * Registered Nurses' Association of Ontario (RNAO). Best Practices for Assessment and Prevention of Constipation. 2016. Disponibile su: https://ltctoolkit.rnao.ca/sites/default/files/resources/rnao_prevention_of_constipation_presentation_2016-finalfeb.11.pdf * Volkert D, Beck AM, Cederholm T, et al. ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clin Nutr. 2022. Disponibile su: https://www.espen.org/files/ESPEN-Guidelines/ESPEN_practical_guideline_Clinical_nutrition_and_hydration_in_geriatrics.pdf * Alzheimer's Society. Drinking, hydration and dementia. Disponibile su: https://www.alzheimers.org.uk/get-support/living-with-dementia/drinking-hydration * Adante Assisted Living. Effective Ways to Encourage Hydration in Dementia Care. Disponibile su: https://www.adanteassistedliving.com/blog/the-best-strategies-to-encourage-drinking-water-and-staying-hydrated-in-a-dementia-care-community/ * Alden Debes. Hydration Strategies for Adults With Dementia. Disponibile su: https://www.aldendebes.com/hydration-strategies-for-adults-with-dementia/ * Schuster BG, Kosar L, Kamrul R. Medical Management of Constipation in Elderly Patients: Systematic Review. J Neurogastroenterol Motil. 2015. Disponibile su: https://www.jnmjournal.org/journal/view.html?uid=1704&vmd=Full * McRorie JW Jr, McKeown NM. Effectiveness of Fiber Supplementation for Constipation, Weight Loss, and Supporting Gastrointestinal Function: A Narrative Review of Meta-Analyses. J Am Coll Nutr. 2017. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC7646157/ * Kaiser Permanente. Are Prunes Good for Constipation? My Doctor Online. Disponibile su: https://mydoctor.kaiserpermanente.org/mas/news/are-prunes-good-for-constipation-2350793 * MedicineNet. How Much Prune Juice Should I Drink to Poop? Disponibile su: https://www.medicinenet.com/how_much_prune_juice_should_i_drink_to_poop/article.htm * Senior Services of America. Soft Foods for Seniors With Swallowing Issues. Disponibile su: https://seniorservicesofamerica.com/blog/soft-foods-for-seniors-with-swallowing-issues/ * Bouras EP, Tangalos EG. Management of Constipation in Older Adults. Am Fam Physician. 2015;92(6):500-504. Disponibile su: https://www.aafp.org/pubs/afp/issues/2015/0915/p500.html * Fleming V, Wade WE. Review of efficacy and safety of laxatives use in geriatrics. Clin Interv Aging. 2010. Disponibile su: https://pmc.ncbi.nlm.nih.gov/articles/PMC4848256/ * Hsieh C. Treatment of Constipation in Older Adults. Am Fam Physician. 2005;72(11):2277-2284. Disponibile su: https://www.aafp.org/pubs/afp/issues/2005/1201/p2277.html

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