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... Who may likely suffer from fecal incontinence? Pick the correct answer from the following options: - Older people with constipation - People with dementia - not enough information - Healthcare providers
Older people with constipation

This is part two of a four part series on Inner Wisdom Eating (IWE) The 4 steps of Inner Wisdom Eating (or eating like a thin person) are exactly the same as those promoted by Intuitive Eating. Eat when you're hungry Eat what you want Eat consciously Stop when you are full The difference lies in the approach and the detail. I will discuss each step in this four part series. EAT WHAT YOU WANT DOES YOUR FOOD SING TO YOU? Have a look in your fridge and cupboards. Does the food in there sing to you, does it call your name, and are you looking forward to eating it? Do you eat it because you enjoy it or because you think you should? By choosing only to eat what sings to me, I have discovered (again!) that I am not a big fan of meat and would rather eat a predominantly vegetarian diet. Occasionally I'll eat chicken leg and I love bacon but beyond that I'm not fussed. FOOD DOES NOT HAVE A VALUE There are no good and bad foods. There are no trigger foods or forbidden foods. There is nosuch thing as junk. There is a place in your diet for your favourite indulgences in moderation. Believe me that when you let yourself eat cheesecake, chocolate and hot chips, the novelty soon wears off. I mostly eat unprocessed food, not because it's "good" but because I love the taste and prefer how it makes me feel. YOU CAN STILL EAT DIET FOOD Low fat ice-cream, Diet Coke and protein powder are still in my diet but I eat them because I prefer the taste over their 'real' counterparts. I can still ask for dressing on the side and no butter on my sandwich not because I'm counting calories but because I can't see the point in eating food I don't actually want. When is the author likely to eat next? Pick the correct answer from the following options: - when they are hungry - when it's time for dinner - not enough information - when they are offered chocolate
when they are hungry

Q: SEOUL The recent U.S. missile strikes against Syria could increase pressure on North Korea to give up its nuclear weapons, or reinforce in Pyongyang the need for nuclear deterrence. The United States, France and Britain fired 105 missiles at three Syrian chemical weapons facilities on Saturday, in response to an alleged Syrian chemical weapons attack in the city of Douma that killed at least 40 people and wounded or sickened hundreds of others. The Syrian government has repeatedly denied any use of banned weapons. The combined military strike on Syria comes as the administration of U.S. President Donald Trump and the government of North Korean leader Kim Jong Un are preparing for an expected summit in late May or early June to discuss dismantling the North's nuclear program in exchange for security guarantees. Trump's willingness to use force against Syria can be seen to reinforce his "maximum pressure" campaign message, that in addition to imposing tough sanctions banning most North Korean exports, the U.S. would take military action, if necessary, to force Kim to terminate his nuclear program and end the continued development of a nuclear armed intercontinental ballistic missile that can reach the U.S. mainland. Calling the U.S. attack on Syria "a warning for Pyongyang," the South Korean newspaper the Korea Joongang Daily, in an editorial on Monday said, "If Kim wants to be free from the fear of a potential raid, then he must be willing to denuclearize." From this perspective the U.S. show of force in Syria will increase pressure on the leadership in North Korea to offer meaningful nuclear concessions at the Trump-Kim summit. "Unless it abandons at least part of its nuclear and missile capabilities then the Trump administration will not be satisfied," said Bong Young-shik, a political analyst with the Yonsei University Institute for North Korean Studies in Seoul However the U.S. military strike on Syria could also reinforce concerns in North Korea that giving up its nuclear deterrent would make the... Who or what will keep the nuclear program if it thinks that its regime is not guaranteed? Pick the correct answer from the following options: - North Korea - not enough information - President Trump - Syria
A: North Korea