By | July 26, 2021



Providing help, companionship, and dedicated, compassionate care can go a long way, but the deadly four can destroy any foundation that works to build you. Dehydration, constipation, cravings, and seizures can be fatal. These conditions can potentially have a devastating effect on a person’s quality of life and, in some cases, can be fatal.

Why is constipation IDD one of the four deadliest?

No one likes to poop. At best, it’s something we shouldn’t think about too much. Worst of all, it can kill. Some even say that chronic constipation is what killed Elvis.

Constipation is usually defined as no bowel movement in 3 days or only three bowel movements per week. Although everyone is different, some people may have constipation even if they do not meet this standard.


How constipation impacts health. In one survey, people with intellectual and developmental disabilities (IDD) were 250 times more likely than the general population to repeat the prescription. The same study found that 33% to 50% of the IDD population suffers from constipation.

Risk factors for constipation

Constipation is often a problem in lifestyle, but medical facilitators are also familiar.


Not enough dietary fiber

Muscle function/head loss

Neurological problems or damage

Disability / instability

Some medications, including iron and calcium supplements

Surgery or hospitalization

To be a woman

Getting old

Constipation can be relieved by some medical disorders, such as Crohn’s disease, multiple sclerosis, irritable bowel syndrome, pregnancy, and diabetes.

Some of these factors are common to the entire IDD population. People with cerebral palsy and Down syndrome, for example, have lower muscle tone. A large majority of people with IDD have restricted mobility or use numerous medicines. PKA patients consume non-nutrients, which can lead to intestinal blockage. As a result, constipation is common in people with IDD.

Note that dehydration – one of the helpers for constipation – is one of the four fatal conditions that disproportionately affect people with intellectual disabilities.


Constipation is unpleasant, and you’re likely to notice it in yourself. However, determining whether or not someone you assist is constipated might be tricky.

Pay attention to the following:

Frequent bowel movements. Generally, a red flag is less than three times a week or more than three days between bowel movements.

Hard or lumpy stools Normal stools are usually soft but not loose and form a sausage.

We are putting pressure on the toilet. The stool should pass easily and with relatively little effort.

Feeling we have ‘Run out of gas’ emotionally. People who have constipation may pass a small amount of stool but cannot empty the bowels.

Swelling or pain in the abdomen. This may be due to gas trapped in the intestines, or the stool itself backs up in the body with the help of a stool.

Gas or liquid stools. Sometimes when the stool gets stuck in the intestine, the gas or liquid stool retreats and escapes around the obstruction.

9 Route Direct Assist Professionals (DSPs) can prevent constipation

Preventing constipation is the most efficient method to cope with it. Direct Serve Professionals (DSPs) should use these nine strategies to help persons they support avoid constipation.

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  1. Encourage a balanced diet.

A high-fiber diet aids the passage of liquids and chemicals through the digestive system. When you consume a lot of dairy products or red meat, you may develop constipation. This might be related to a person’s allergies. Alternatively, these items might be replacing fiber in their diet.

Coordinate physical activity throughout the day. Physical activity increases digestive motility and can help prevent bowel movements from entering the intestines.

  1. Try probiotics

Some studies show that probiotics, such as those commonly found in some types of yogurt, can improve many bowel problems, including constipation.

  1. Be aware of sodium

Salt in the body causes excess water to be absorbed in the intestines, the stools become dry, and the risk of constipation increases.

  1. Increase fluid volume

Constipation occurs when the stools are dry, so increasing fluids can reduce or prevent constipation.

  1. Discourage drinking

Alcohol increases the risk of dehydration, and therefore increases the risk of constipation.

  1. Track bowel movements

Track the frequency, size, and consistency of bowel movements in persons with risk factors or a history of constipation. This will assist you in detecting probable constipation and intervening as soon as possible. Toilet users should think about assisting them in developing self-contained tracking systems that they can finish independently.

  1. Support regular bowel habits

Avoiding bowel movements can lead to constipation, which can lead to constipation. Assist those you help develop routines, such as going to the bathroom at specific times of the day to promote good bowel habits. Plan for individuals to be able to use the restroom when they are away from home. Never tell someone to “stop” unless it’s essential.

  1. Consider a stool softener.

Many people benefit from regular use of stool softeners or fiber supplements to make bowel movements easier. Note that although numerous of these are available over the counter, you will likely need a doctor’s order in many service settings.

If a person suffers from recurrent constipation despite these strategies, it is essential to notify the person’s medical team. Notice signs of other health difficulties and can be caused by a fundamental and unresolved medical problem.

Constipation is unpleasant:

But it does not have to be life-threatening. Learning more about Fatal Four’s condition can help your organization better support individuals who are at risk.

DSPs and other caregivers need to know that constipation and other deadly four causes – desire, dehydration, and seizures – interactions and possibly other serious health problems. The only way to stop the deadly four from claiming more lives is through education and prevention.

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