Constipation in Cancer Patients on Morphine

Added on - 21 Apr 2020

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Running head: CONSTIPATION IN CANCER PATIENTS ON MORPHINEManagement of constipation in cancer patients on morphineName of the student:Name of the university:Author note:
1CONSTIPATION IN CANCER PATIENTS ON MORPHINETable of ContentsIntroduction:....................................................................................................................................2Constipation in cancer patients:.......................................................................................................2Role of opioids in pathogenesis of constipation:.............................................................................3Interventions and management of constipation:..............................................................................5Conclusion:......................................................................................................................................8Bibliography....................................................................................................................................9
2CONSTIPATION IN CANCER PATIENTS ON MORPHINEIntroduction:There are a myriad of different lateral complications that cancer patients in advancedstages go through, and constipation is one of the most common co-lateral medical constipationthat the cancer patients suffer with. Studies suggest that close to 50% of the cancer patientssuffer from constipation and 16% of them report it to be extremely severe[ CITATION Can15 \l1033 ].According to the most of research studies, the onset of constipation in the advancedstages of cancer might lead to a number of more complex health adversities like urinarydysfunction, overflow diarrhea and anorexia[ CITATION Mer17 \l 1033 ].And that is the reasonwhy this particular health complexity in the cancer patients leads to the most of emergencydepartment visits in the health care sectors band enhances the hospital costs for the patients aswell.Although the underlying reason behind the onset of constipation in the cancer patients isnot yet understood completely, however substantial number of research studies argue that theside effects generated by the opoid medication plays an important role in the pathogenesis ofconstipation in the cancer patients[ CITATION Coy16 \l 1033 ].This assignment will present aliterature review on the role of morphine on facilitating constipation in the cancer patients andthe management techniques that can be opted for the predicament.Constipation in cancer patients:The pathogenesis process of constipation can be considered multi- factorial, as there arevarious physiological and biochemical factors associated with the entire mechanism. However,constipation is considered to be one of the primary grievances expressed by the cancer patients in
3CONSTIPATION IN CANCER PATIENTS ON MORPHINEthe severe or advanced stages. According to the article by Gonzalez and Halm (2016), almost50% of the entire emergency room visits for the cancer patients are due to constipation and therelated complexities that it comes accompanied with[ CITATION Gon16 \l 1033 ]. According totheDroney et al. (2013), there are many health care complications that are facilitated by theonset of constipation[ CITATION Dro13 \l 1033 ]. It has to be mentioned in this context that thedisrupted bowel movements leads to urinary dysfunctions and overflow diarrhea.Anotherpharmacological side effect of the constipation in the cancer patients is the decreased drugabsorptions, nausea, vomiting, and intestinal obstruction. Now it must not escape notice that forthe cancer patients the burden of the terminal disease and its extreme treatments already affectsthe quality of life and the trouble of constipation facilitates an added bonus of distressing anddebilitating elements into their life. On a more elaborative note, the constipation facilitatesfeelings of pain, confusion, anxiety, insomnia and spiritual distress in the cancerpatients[ CITATION Ril15 \l 1033 ]. Although there are various kinds of effects of theconstipation on the cancer patient, the magnitude of the effects generally depends on the severityof constipation that the cancerpatient might be having. For instance, constipation in the cancerpatients can range from mild to intermittent to chronic in terms of severity; the effect impartedon the quality of life for the cancer patient will also depend completely on the severity scale.Although, regardless of the severity of the constipation the patient might be having, themanagement technique depends entirely upon the etiology and patho- physiology of thecondition[ CITATION Ahm15 \l 1033 ].Role of opioids in pathogenesis of constipation:In cancer patients, the use of opoids has been considered to be the main underlyingcontributing factor behind the onset of restricted bowel movements[ CITATION Oos16 \l 1033 ].
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