Let the enema flow for around 10–15 minutes, during which time the enema tube should be held in place.However, if they report pain or nausea, clamp the tubing and wait for the symptoms to subside before restarting Inform the client that they might feel some cramping and distention.Unclamp the tubing, and allow the solution to flow out slowly After the tube is in place, the enema bag should be held about 12 inches above the level of the anus.Telling the person to take a deep breath during insertion can also ease discomfort This will help relax the anal sphincter and make the procedure easier. Ask the client to breathe out slowly through the mouth.Stop if you feel resistance or if the client reports feeling discomfort.In an adult client, the tip should be inserted about 2–4 inches.Slowly insert the tube so it moves toward the umbilicus.Then, grasp the enema tube with the other hand, and lubricate it with the water-soluble lubricant With one hand, raise the upper buttock.Cover the person so that they are comfortable, leaving the buttocks exposed If one isn't already in place, put a bed protector under their buttocks to prevent the linens from getting dirty.Help the client into the left Sims' position.Raise the bed to a comfortable working height, and lower the side rails on the side you'll be working.An "enemas until clear" order means repeating the enema, usually for a maximum of three times, until the client expels clear fluid without any feces.Finally, check the plan of care to determine how long the client should retain the enema.Using a solution that's slightly warmer than body temperature.Lubricating the tip of the enema tube before insertion.Other tips for making clients feel comfortable include:.Before you begin, provide anticipatory guidance to the client about what to expect from the procedure.Close the bed curtains and door, and keep the person covered as much as possible for privacy reasons.It's important that there's a vacant bathroom nearby or a bedpan or a bedside commode if the client has mobility problems.The client should empty their bladder before the procedure to make sure there are no accidents. Check the client's plan of care for the type of enema, the amount of solution, and any other special instructions.Always double-check the client's identity to make sure the procedure is performed on the right person.PRIVACY POLICY: Access AUA’s Privacy Policy ( Privacy Policy). For special projects and reprints (non-U.S./Canada), contact Avia Potashnik at or. For special projects and reprints (U.S./Canada), contact Alan Moore or. For license to republish and distribute requests, contact Licensing. Permissions FAQs and information on authors permission requests are available at Journal Permission.įor translation rights requests, contact Translations. For questions about the Rightslink service, e-mail or call 87 (U.S. Permissions and photocopying: For permission and/or rights to use content for which the copyright holder is Wolters Kluwer or the society we have partnered with the Copyright Clearance Center to provide permissions for our products through their RightsLink service, please go to the journal's website and after clicking on the relevant article, click on the Get Content & Permissions link under the Article Tools box that appears on the right side of the page. Therefore no portions of the work(s) can be reproduced without written consent from the Publisher. The American Urological Association grants the Publisher full and exclusive publishing and distribution rights, worldwide, for both print and electronic media. and is published monthly by Wolters Kluwer Health Inc. Google ScholarĬOPYRIGHT AND PERMISSIONS: The Journal of Urology® is the Official Journal of the American Urological Association Education and Research, Inc. 15 : Sodium concentration of water from softeners.14 : Comparison of results of laparoscopic and open antegrade continence enema procedures.13 : The MACE procedure: experience in the United Kingdom.12 : The Malone (antegrade colonic enema) procedure: early experience.11 : Continent appendicostomy in the bowel management of fecally incontinent children.10 : The Malone antegrade continence enema for neurogenic and structural fecal incontinenceĪnd constipation.9 : The Malone antegrade continence enema.8 : Water intoxication following tap-water enemas.7 : Hyponatremia from tap-water enema.J Pediatr Gastroenterol Nutr 2000 30: 220. 6 : A fatal small dose of phosphate enema in a young child with no renal or gastrointestinalĪbnormality.5 : Fatal hypocalcemic, hyperphosphatemic, metabolic acidosis following sequential sodium.4 : Hypocalcemia and hyperphosphatemia after phosphate enema use in a child.3 : Phosphate enema poisoning in children.2 : Fatal hypernatremia associated with the antegrade continence enema procedure.1 : Preliminary report: the antegrade continence enema.
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