A constipation assessment scale for use in pediatric oncology

Title

A constipation assessment scale for use in pediatric oncology

Creator

Woolery M; Carroll E; Fenn E; Wieland H; Jarosinski P; Corey B; Wallen GR

Publisher

Journal Of Pediatric Oncology Nursing

Date

2006

Subject

PedPal Lit; Adolescent Adult Child Constipation/diagnosis/etiology/nursing Female Humans Male Neoplasms/complications/nursing Nursing Assessment/methods Pediatric Nursing/methods Pilot Projects Questionnaires Reproducibility of Results Severity of Illness Index

Description

Constipation is prevalent in pediatric oncology patients because of treatment with vinca alkaloids and/or narcotics and lifestyle changes secondary to disease process. Sequelae of constipation include anorexia, nausea, vomiting, abdominal pain, emergency department visits, and a decrease in quality of life. There are no reliable instruments to measure constipation in children. A pilot study (N = 21) evaluating the presence and severity of constipation and the reliability and validity of a modified version of the adult Constipation Assessment Scale (CAS) in children with cancer was conducted. Patients receiving weekly vinca alkaloids and/or narcotics = 2 times per day were recruited. Initial bowel function assessments included standardized nursing and nutrition assessments, history/physical review, and baseline CAS score repeated at 1 hour to assess test-retest reliability. Subsequent assessments included CAS administered 3 times per week and daily patient bowel diaries. Test-retest reliability was evident (r = .93; P = .000). Acceptable construct validity was indicated by a difference in mean CAS scores (t = 4.4, P <.001). Patients reported difficulty with CAS questions and response selections. Symptoms asked on CAS were often not viewed as a problem.
2006

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Pages

65-74

Issue

2

Volume

23

Citation

Woolery M; Carroll E; Fenn E; Wieland H; Jarosinski P; Corey B; Wallen GR, “A constipation assessment scale for use in pediatric oncology,” Pediatric Palliative Care Library, accessed July 24, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13387.

Social Bookmarking