PROCEDURAL COLUMNEvaluation and Management of Rectal Prolapse Among Geriatric PatientsLewallen, Kanah May DNP, GNP-BC, AGPCNP-BCEditor(s): Wilbeck, Jennifer DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP, FAAN, Column Editor Author Information Vanderbilt University School of Nursing, Nashville, Tennessee. Corresponding Author: Kanah May Lewallen, DNP, GNP-BC, AGPCNP-BC, Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN 37240 ([email protected]). Disclosure: The author reports no conflicts of interest. Advanced Emergency Nursing Journal 44(4):p 297-301, October/December 2022. | DOI: 10.1097/TME.0000000000000429 Buy CE Test Metrics Abstract Evaluation and management of older adults within emergency care settings is often complex and has the potential for avoidable complications. In an effort to prevent harm to the patient, treatment strategies need to be multifactorial. For geriatric patients presenting with rectal prolapse, unique management strategies, including the use of granulated sugar and gentle pressure, may assist in the reduction of the prolapsed tissue. Additional interventions that are important to incorporate into the older adult's plan of care include gentle approaches to positioning, involvement of family/caregivers, avoiding harmful medications, reducing risk for delirium, and a successful transition of care. A manual reduction completed in the emergency department can relieve discomfort and prevent further complications while the patient awaits surgical evaluation and intervention. Prompt evaluation and management by the advanced practice registered nurse may not only expedite recognition of the prolapse, but can reduce iatrogenic complications that may occur from delayed treatment. © 2022 Wolters Kluwer Health, Inc. All rights reserved.