Administering a Cleansing Enema

Ashraf Z Qotmosh
24 Jun 202006:57

Summary

TLDRThis instructional video provides a comprehensive guide on administering enemas, detailing preparation, execution, and post-procedure care. Viewers learn the importance of patient identification, privacy, and comfort, as well as the correct techniques for different types of enemas—pre-packaged and bag methods. Emphasis is placed on patient interaction, ensuring a supportive environment during the process. The guide also covers necessary documentation and follow-up assessments, highlighting the procedure's role in treating constipation and preparing for medical evaluations. This informative resource is essential for healthcare professionals seeking to enhance their skills in patient care.

Takeaways

  • 😀 Enemas are utilized to treat constipation and prepare the bowel for medical procedures.
  • 👩‍⚕️ Always introduce yourself to the patient and confirm their identity using two identifiers.
  • 🛏️ Ensure patient privacy by closing curtains or doors and adjusting the bed height for comfort.
  • 🔍 Inspect the perianal area for abnormalities before administering the enema.
  • 🧤 Always wear clean gloves during the procedure to maintain hygiene.
  • 💧 Use warm water or saline for the enema solution, and ensure the correct temperature before administration.
  • 🛁 Administer the enema at the appropriate angle and depth, based on the patient's age and comfort.
  • ⏳ Instruct patients to retain the solution for 2-5 minutes before the urge to defecate occurs.
  • 🚽 Monitor the patient after the enema, assisting them to the toilet while observing stool characteristics.
  • 📝 Document the type and volume of enema administered, along with patient tolerance and stool characteristics.

Q & A

  • What is the purpose of administering an enema?

    -An enema can be used to treat constipation or to prepare the bowel for certain medical procedures.

  • What initial steps should be taken before administering an enema?

    -Introduce yourself to the patient, confirm the patient's identity using two identifiers, and verify the type of enema ordered.

  • How should a patient be positioned for an enema administration?

    -The patient should be assisted into a left side-lying or Sims position with the right knee flexed.

  • What is important to check before administering a medicated enema?

    -Check the accuracy and completeness of the medication administration record against the healthcare provider's order.

  • What should be inspected before the enema insertion?

    -The perianal area should be inspected for abnormalities such as hemorrhoids, anal fissures, and rectal prolapse.

  • What should you do if you encounter resistance while inserting the enema tip?

    -If you feel resistance while inserting the tip, stop the procedure and notify the healthcare provider.

  • How long should a patient retain the enema solution?

    -The patient should retain the solution until they have the urge to defecate, which typically occurs in 2 to 5 minutes.

  • What steps should be taken after administering the enema?

    -Assist the patient to the commode or bedpan, observe the characteristics of the stool, and ensure to record the type and volume of enema given.

  • How can cramping during the enema administration be managed?

    -If the patient experiences cramping or fluid escapes around the rectal tube, lower the enema container or close the clamp.

  • What is the importance of performing hand hygiene after the procedure?

    -Performing hand hygiene after removing gloves is essential to prevent infection and maintain proper hygiene standards.

Outlines

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Étiquettes Connexes
Healthcare TrainingPatient CareEnema ProcedureMedical EducationNursing SkillsBowel PreparationPatient ComfortClinical GuidelinesConstipation ReliefHealth Procedures
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