Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Jill Rushing is a nursing instructor at Amarillo Tex. Richard L.
Potter, P. Medically reviewed by Elaine K. One thing that nurses try to avoid at all cost is manual disimpaction. To lessen the pressure felt in your colon, empty your bladder before you begin the enema. However, it doesn't seem like there was anything Enema from nurse particular to panic about with nurze to the OP scenario - although it should be noted that it wasn't effective and so it was a waste of time and a huge mess Enema from nurse no benefit.
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An enema administration is a technique used to stimulate stool evacuation.
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Malaysia: Aging gracefully in the 21st century. A nurse coming in to do an enema procedure is all smiles, ever pleasant and quick to reassure the worried patient. That's professional demeanor. But deep inside, this nurse is dying for having been assigned to do the procedure. Here's a secret: there are nursing procedures that nurses utterly dread doing. The two-volume reference material narrates in detail, yet in a simplistic manner, the - as the title suggests - fundamentals of nursing.
The books discussed the rationales behind various nursing procedures, and interventions with brief touches on anatomy and physiology. These books were my, and many other nursing students' companion for more than a semester, and then again as we studied for our Nursing Licensure Examination NLE. It was a wonder for a nursing student: flipping through each page and viewing the procedures and their step-by-step guides, including photos of the instruments used and expected outcomes.
But not all nursing procedures are welcome for students and practicing professionals. We are okay with dressing wounds, ambulatory assistance, and catheter insertions. But some nursing procedures are just ugh!
Even to us. In short, nurses can get grossed out, too, and become fidgety. It is a struggle not to be repulsed while performing the procedure, yet at the back of our minds, we already dread the next time we have to do the procedure again. Squirming is not beyond nurses, and they dread certain nursing procedures if only for the reason that they don't want to hurt patients while performing things that can be quite uncomfortable or painful. This feeling is especially true for paediatric nurses who go to great lengths to make certain procedures as comfortable as possible for their young patients.
Enema works by filling a patient's rectum with a fluid solution and then waiting for stools to pass. It is done to help patients relieve constipation or as part of the bowel cleansing routine before a procedure. Nurses deal with many constipated patients and one of their responsibilities to ensure that post-op patients regularly move their bowels. In some cases, nurses have to drain stool, strain it, and then re-administer it via jejuneostomy. A female ward nurse, Beatrix Ocanna, not her real name said even a simple diaper change could leave her cringing because of the smell and faecal appearance.
And she admits that getting into contact with a patient's faeces is something she gets apprehensive about. And even after three years of being assigned in wards, she still is not used to it.
Fortunately, doing enema today is more sanitary than before. In the past, nurses had to do milk and molasses using an open beaker and without protective gear. One thing that nurses try to avoid at all cost is manual disimpaction. It is done with the assistance of oil enema and then a cleansing enema afterward. Nasopharyngeal suctioning Nurse Michelle Liboro said she dreads performing suctioning on a paedia patient.
Honestly, at times, nurses dread procedures because of their uncomfortable effect on the patients. The purpose of nasopharyngeal suctioning is to clear the airways for infants who were unable to do it on their own. As such, nurses must take certain care when suctioning patients, especially small babies because it can cause bradycardia, laryngospasm, trauma to the mucous membrane, cardiac dysrhythmias or even cardiac arrest.
According to Nicki L. Because play is familiar, kids do not associate it with stress, anxiety, or even fear. Through playing, the nurse could communicate information while engaging the child. Among the strategies is drawing with crayons, playing with dolls and puppets, and even storytelling. Post mortem care One of the most devastating experiences for a nurse is when a patient dies. Nurse Beatrix said she dreads post mortem care PMC because, just like an enema, nurses get in contact with bodily fluids.
But more importantly, some nurses dread post-mortem care because of the exhaustion accompanying it, both physical and emotional. It helps to comb the deceased's hair, clean away blood and cover the wounds as well as remove lines unless scheduled for an autopsy.
RNC discusses how slowly moving the patient, and treating the body with utmost respect is important. Finally, experiencing a death makes everyone exhausted. The nurse should also be there to offer assistance, in case the family wants to call in the chaplain and to help seat everybody present in the room.
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How to administer an enema
Forgot your password? Or sign in with one of these services. Hey guys. So the patient can walk and my preceptor told her to go into the bathroom and bend over near the toilet. My preceptor has me lubricate the tube and he holds the tap water bag while I insert the tube into the patients rectum.
Like it did nothing. So, my questions are, is it common for patients to be unable to retain the fluid? Like there would be pain and bleeding or something? I really am. I asked the patient if she had any pain after the enema and she said she felt fine, no pain. Please help!! You did fine. The patient is fine. With the soft flexible enema tube you cannot puncture the bowel. Enemas are difficult under the best circumstances.
There are several different ways to give them. Not really a wrong or right way. It depends on the patient's condition and what the nurse is comfortable with or used to doing. Also what equipment you have available. I haven't given an enema the way you describe. Look on YouTube. They have great educational videos for health care workers on all kinds of procedures. I'm sure enemas are one of them.
But as I said there is not just one correct way. There are several positions that work but what probably happened is that you did not have enough of the tip in and you probably did not get enough of the solution up into rectum and bowel.
If the patient is in bed you can have them change positions if needed for larger volume enemas. Fleets enemas have such a small volume you can get them in easily. This way you can disperse the enema. Also if in bed it leaks on the bed and not on you and the floor. I have never administered an enema with a patient in standing position and struggle to understand why I would ever attempt it outside of a patient being absolutely adamant that I try it that way.
If nothing else, it really runs the risk of offending someone's sense of dignity and bodily privacy, whether they say so or not. I much prefer a slower approach which is more successful in allowing the patient retain it for a helpful amount of time. And if nothing else, with a side-lying position one can take every possible measure to maintain someone's dignity - and I do just that.
I'm pretty sure I will make it through my career without asking anyone to bend over near the toilet. However, it doesn't seem like there was anything in particular to panic about with regard to the OP scenario - although it should be noted that it wasn't effective and so it was a waste of time and a huge mess for no benefit. Edited Feb 23 by JKL OldDude specializes in Pediatrics.
The first thought that came to my mind when I read the post was when I would get in trouble in school and would get "licks. You may have to remove or disimpact stool first or else it may not go in far enough to produce results, I believe this can make it come back splashing at you within seconds.
An enema can produce a bowel movement within seconds also, and for minutes thereafter. General Nursing. World Marketplace Leaders. Or sign in with one of these services Sign in with Google. Sign in with Facebook. Sign in with LinkedIn. Share this post Link to post Share on other sites. Feb 23 by brownbook. Are you a credible source? Add your Credentials, Experience, etc.
Feb 23 by JKL I didn't think tap water enemas were still a thing Feb 25 by OldDude. Feb 26 by fibroblast. Feb 26 by allymdd. Yeah, I'm a bit surprised by the fact the patient was standing, as well. Open An Account To Comment. Sign In.