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  • 1. Source: Palliative Care Nursing- A Guide to Practice, 2003. 733 Dr. Geminer St., Karkafa, Bethlehem –Palestine. P.O. Box: 19960 East Jerusalem 97200 Telefax: 972 2 2767337 , Mobile: 972 522495249 , E-mail: sadeelsoc@yahoo.com
  • 2. Constipation Assessment Scale Directions: Circle the appropriate number to indicate whether, during the past three days, you have had No problem, Some problem or a Severe problem with each of the items listed. No Some Severe Item problem problem problem 1. Abdominal distension or 0 1 2 bloating 2. Change in amount of gas 0 1 2 passed rectally 3. Less frequent bowel 0 1 2 movements 4. Oozing liquid stool 0 1 2 5. Rectal fullness or 0 1 2 pressure 6. Rectal pain with bowel 0 1 2 movement 7. Smaller stool size 0 1 2 8. Urge but inability to pass 0 1 2 stool Patient’s name Date Source: Palliative Care Nursing- A Guide to Practice. 733 Dr. Geminer St., Karkafa, Bethlehem –Palestine. P.O. Box: 19960 East Jerusalem 97200 Telefax: 972 2 2767337 , Mobile: 972 522495249 , E-mail: sadeelsoc@yahoo.com