Take a history and perform necessary assessments to determine the most likely cause of Mrs Browningís constipation and incontinence.
Click on the questions below to see Mrs Browning's response.
Mrs Browning, can you please tell me about your diet. What foods do you regularly eat?
What about snacks during the day?
Do you eat out very often?
Do you prepare most of your own meals?
How many glasses of water would you drink each day?
Do you drink much tea of coffee?
Well, I guess my evening meals are pretty standard - meat, potatoes and some vegetables. At present I have porridge or fruit toast for breakfast and soup for lunch.
Oh, I have a real sweet tooth and love and good piece of cake or a few cookies with my cup of tea or a bit of chocolate of an evening. I sometimes have cheese with crackers in the afternoons.
A diet low in fibre and high in fat can contribute to constipation.
Not at restaurants, no, but I regularly have dinner with my neighbour June, who is also a widow, and I go to one of my childrenís homes for lunch every Sunday. Itís a lovely family time.
Yes, Iím pleased to say that I do. Sometimes, though, if Iíve been out and about during the day, I will defrost one of the home-cooked dinners that the kids drop off for me.
Well, perhaps not as much as I should. In winter, perhaps only one glass with lunch and one glass with dinner. I get more thirsty when I swim, so I might drink a couple of extra glasses those days.
Inadequate fluid intake can cause dehydration and subsequent constipation.
I have a cup of black tea before breakfast and with my afternoon tea. I have coffee with breakfast and apart from that, I drink herbal tea for the rest of the day and the occasional hot chocolate at night.
Overuse of caffeine, which is a diuretic, can cause dehydration and subsequent constipation.