Medycyna Paliatywna

Abstract

1/2025 vol. 17
Guidelines/recommendations

Constipation in palliative care patients – clinical practice guidelines

Tomasz Dzierżanowski 1, 2
,
Aleksandra Zając 3
,
Aleksandra Ciałkowska-Rysz 4
,
Iwona Filipczak-Bryniarska 5
,
Michał Graczyk 6
,
Tomasz Grądalski 7
,
Marcin Janecki 8
  1. Klinika Medycyny Paliatywnej, Warszawski Uniwersytet Medyczny, Warszawa, Polska
  2. Caritas Diecezji Warszawsko-Praskiej, Warszawa, Polska
  3. Uniwersytecki Szpital Kliniczny, Poznań, Polska
  4. Klinika Medycyny Paliatywnej, Uniwersytet Medyczny, Łódź, Polska
  5. Klinika Leczenia Bólu i Opieki Paliatywnej, Uniwersytet Jagielloński, Kraków, Polska
  6. Katedra Opieki Paliatywnej, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, Bydgoszcz, Polska
  7. Klinika Medycyny Paliatywnej Uniwersytetu Andrzeja Frycza Modrzewskiego w Krakowie, Kraków, Polska
  8. Zakład Medycyny i Opieki Paliatywnej, Katedra Pielęgniarstwa, Wydział Nauk o Zdrowiu, Śląski Uniwersytet Medyczny, Katowice, Polska
Medycyna Paliatywna 2025; 17(1): 1–13
DOI: https://doi.org/10.5114/mp.2025.148746
Online publish date: 2025/04/02
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Confronting perimenopausal women’s knowledge of coronary heart disease with their health behaviours. Controversial role of hormone replacement therapy in the protection of coronary heart disease
This article presents evidence-based clinical practice guidelines for the diagnosis, prevention, and management of constipation in adult patients receiving palliative care, developed by an expert panel convened by the Polish Society of Palliative Medicine. The recommendations are based on a review of the current literature available in PubMed, MEDLINE, and the Cochrane Library, with particular consideration given to guidelines endorsed by international scientific societies, and the clinical expertise of the panel members. The quality of evidence and strength of recommendations were assessed according to the classification system of the European Society for Medical Oncology. These guidelines aim to standardize the management of constipation in palliative care patients; however, in each case, an individualized approach remains crucial, tailored to the patient’s clinical condition and specific needs.

Keywords

palliative care, constipation, opioid-induced constipation, laxatives, opioid receptor antagonists, management of constipation

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