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Care home opioid constipation — GPhC CRA MCQ

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ModerateGI TherapeuticsCare home opioid constipationGPhC CRA

A 78-year-old man in a care home has constipation after starting co-codamol. He has not opened his bowels for four days, has no vomiting and abdomen is soft. His MAR shows senna prescribed only when required but not given. What is the most appropriate action?

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Correct answer: A — Review administration of prescribed laxative and advise regular bowel monitoring with the care team.

Opioids commonly cause constipation, and laxative prescribing is ineffective if it is not administered when clinically needed. The pharmacist should work with the care team to ensure appropriate laxative use and bowel monitoring. Red flags such as vomiting, severe pain or distension would require urgent escalation.

Reference: BNF; NICE CKS