Constipation is a common problem in older people, especially if they
are in long term care. This is due to a number of reasons, eg:
Low fluid intake
Ignoring the urge to go
to fibre and fluid
Studies have shown the beneficial
effects of consuming an increased intake of fibre and fluid on the use of laxatives and reported constipation
rates in aged care residents. It may be possible to reduce the frequency of constipation and the use of
laxatives through dietary change. 25 to 30g of fibre and 8 to 10 cups of fluid is the theoretical requirement
but can be difficult to achieve.
Care homes should have protocols in place for management
Ensure the food provided to the residents meets the recommended intake
of fibre and fluid.
Those patients who are unable to consume the minimum intake or those
who remain constipated should be provided a high fibre mixture e.g. Prune- Bran Puree mix and/ or pear
juice x 300ml per day
A fibre supplement eg Metamucil or Benefibre may be added
If the resident has not experienced a bowel action on day 2 post fibre mixture and supplement
then an osmotic laxative or stool softener may be needed
If constipation remains an issue
after these measures, an enema may be required- contact the GP.
Prune Bran Puree Mix
THere are many varients of this recipe- try adding to breakfast for residents with particular
issues with their bowels.
box (875g) Allbran
2 cups orange juice
3kg can apple puree or apples, pureed
pulp or 1kg prunes, soaked and pureed
Mix Allbran and juice
and allow to soak and soften.
Add fruits and mix all ingredients together.
Puree to required
Add a little more juice if mix is too dry.
Keep in the fridge.
porridge or cereal at breakfast time.
Don't forget to register for our 2 Day Improving Nutrition in Aged
Care Seminar in Sydney on 14th and 15th July.
We have had a last minute change of venue! Now
to be held at The Vibe Sydney:
Goulburn St, Sydney NSW 2000.
Please download the program
form for more details.
Glorious Food: Aveo have partnered with NPA to provide a nutritional framework across Aveo's
restaurant and catering services.
Food in Retirement: As we age our appetites drop, digestion is less effective and nutrient needs
change. Watch our U Tube video about the importance of good food choices.