Physical Activity for Constipation Management Working in a medical adult day program, I often hear about the discomfort caused by constipation. McKay, Fravel, and Schoenfelder (2012) describe constipation as a “reduction in bowel movement frequency or difficulty forming or passing stool.” Clients complain of stomach upset, discomfort and becoming more irritable. They are often prescribed stool softeners and laxatives, but with the prevalence of polypharmacy, could their constipation be managed with nursing interventions and without additional medications? According to Kyle (2011), assessing constipation can be difficult for nurses because "communication barriers associated with bowel habits and the embarrassment associated with an intimate rectal examination must be overcome." The ideal outcome in treating constipation is to establish a bowel regimen that provides relief but also prevents future occurrences of constipation (Kyle, 2011). Lifestyle changes, including exercise, increased fluid intake, and increased fiber intake, are recommended as a first intervention....