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I am not a nurse and can only share from my experiences with my elderly dad and mom. I did have a long career in the medical field. .
My dad was on a liquid restricted diet due to cardiac disease so constipation was a constant problem. The last weeks of his life the palliative care team suggested giving him "Calm Magnesium Powder" and a teaspoon of olive oil everyday. The olive oil gave his bowels moisture to keep things moving and it helped him a great deal. One of his caregivers had to very carefully manually move some hard pieces along. She had a lot of experience doing this. She used vaseline to give the rectal area addition moisture.
Mom drinks very little and has had one fecal impaction but now is backed up again. Her doctor prescribed one capful of Miralax in 8 ounces of liquid everyday. This has to be followed by as much liquid as you can get them to take. Warm liquids seem to help and we are using a heating pad to relax her abdomen. On the first day she had success.
I in no way am suggesting you try a manual extraction of the blockage. Maybe all these "tricks" will soften the impaction.
I wish you the best.
Does the primary doctor understand what happened in the ER?
Once a ER nurse told me that I could do this for her at home. I gave that nurse a piece of my mind telling her I do everything for her and this was a boundary. I will not do that!