Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Question: How long does it take a person to get evaluated for constipation? Options: - probably less than an hour - not enough information - probably less than 4 hours - probably about 2 hours === The correct answer is
probably less than an hour

(Question)
Young undocumented immigrants seeking permanent status in the United States received an unexpected boost Thursday on Capitol Hill as a small group of House Republicans mounted a last-minute effort to bring up an immigration vote in Congress. The group of eight Republicans some freed from political considerations by upcoming retirements and others facing tough re-elections races defied their own party leadership, quickly persuading 10 more Republicans to sign on to a petition that would force debate on the Deferred Action for Childhood Arrivals (DACA) program. With all 193 Democrats expected to sign on, Republicans will have to persuade just seven more members of their own party to join the petition to trigger a vote on several immigration bills on the House floor. But Republican leadership said the effort would be wasted if the end result is a presidential veto. "I think it's important for us to come up with a solution that the president can support," House Speaker Paul Ryan told reporters Thursday. These types of petitions are rare and seen as a threat to leadership's ability to direct legislative action. "It's better to use the legislative process," Republican Majority Leader Kevin McCarthy told reporters Wednesday. But that argument appears to be losing sway with House members who see an opportunity for legislative action in a mid-term election year. The growing group of House Republicans are joining Democratic colleagues who have long criticized Ryan for not bringing immigration bills up for a vote. "This is about making sure we're not consolidating power in the White House," said Representative Mia Love, a Republican from Utah and one of the first lawmakers to sign petition. The immigration issue had all but died after an effort to pass a DACA fix collapsed in the U.S. Senate earlier this year. The program has been the focus of fierce negotiations on Capitol Hill since last September, when President Donald Trump announced he was ending the 2012 Obama-era program and called for a legislative fix. Question: The entire immigration issue probably has lasted for: Options: - years - not enough information - hours - seconds === The correct answer is
(Answer)
years

Ques: It was their first official date. Greg Tenorly and Cynthia Blockerman had been through quite an ordeal together--being hunted by police for the murder of her abusive husband while they ran from the real killer. But all that was behind them now. All charges against them had been dropped, and Cynthia's husband had been buried. And the rumors would have died down eventually if they had gone their separate ways. They could feel the stares as they walked to their table. Greg had requested the most private booth, way in the back. Coreyville Pasta House was the oldest Italian restaurant in town. And still the best. Mama Castilla had run the place for over thirty years. She had taken over for her grandfather in 1973. A sign on the wall said so. Cynthia ordered the Fettuccini Alfredo. Greg went with his favorite, the Chicken Parmesan. Both ordered iced tea and salad. The bread and olive oil with roasted garlic and pepper came with every meal. Greg could not resist great bread. And this was the best. He tore off a chunk as soon as the waitress delivered it. Cynthia would wait for the salad. "So we're finally on a real date," said Greg. "Yeah. So how does it feel?" "Kinda weird and scary and...wonderful." Cynthia smiled and Greg momentarily forgot all about the amazing aroma in the restaurant. All he wanted to do was kiss her. But that would have to wait. So, his hunger came rushing back. Cynthia's mood turned serious. "I don't want to spoil our date, but I've got to tell you something." Greg wondered if he had done something wrong. He could fix it--whatever it was. "I've asked Mom to move in with me." "Why? I thought she was happy living in Marshall." "She was." "What do you mean? What happened?" "The other night a friend of hers was murdered. And the woman lived on her street. They killed her nurse too." Question: When did Cynthia tell Greg the news about her mother? Options: - After the charges against them had been dropped - After they ordered their food - not enough information - After Greg thought he had done something wrong === The correct answer is
Ans:
After they ordered their food