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When patients are on bed rest or immobilized and are unable to use the
bathroom or a bedside commode, they use a bedpan. Because bedpans can
be difficult to use, it is important to position it properly so that the patient
is as comfortable as possible.
There are two types of bedpans: a regular bedpan and a fracture pan. - ✔✔
A regular bedpan - ✔✔is hard plastic and has a curved, smooth upper end
and a tapered lower end. Patients who are able to lift their hips and have
no mobility restrictions of the lower extremities use this type of bedpan.
Patients who are in body or leg casts, have a lower-extremity fracture, or
are unable to raise their hips use the other type, - ✔✔the fracture bedpan. It
is made of hard plastic and has a flat upper end that makes sliding the
bedpan under the patient much easier.
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,How to position bedpan properly - ✔✔1. place the upper end underneath
the patient's buttocks and the lower end under the upper thighs.
2. To keep the linens from becoming wet or soiled, place a waterproof pad
underneath the patient before positioning the bedpan.
If the patient is able to get out of bed but cannot walk to the bathroom, -
✔✔1. place a bedside commode at the bedside for easy accessibility. If the
patient is able to use the bathroom, keep the path to the bathroom free of
furniture and any clutter to prevent trips and falls.
When administering a large-volume or return-flow enema, you'll use the
same basic supplies. These include a - ✔✔1. container or bag for the fluid
with a rectal tube attached, 2. the solution to be instilled
3. water-soluble lubricant,
4. gloves,
5. an IV pole on which to hang the container or bag.
When administering a small-volume or oil-retention enema, you'll most
likely use a prepackaged, commercially available enema kit. In the kit, -
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, ✔✔you'll find a plastic container prefilled with the solution and with a
rectal tip attached, water-soluble lubricant (if the tip is not pre-lubricated),
and gloves.
Administering an enema involves - ✔✔1. instilling a solution into the
rectum and the sigmoid colon to stimulate peristalsis and promote
defecation.
The most common reason for administering an enema is to - ✔✔1. relieve
constipation. An enema can also be administered to expel flatus, to empty
the bowels before a diagnostic procedure or surgery, to instill a medication,
or to initiate a bowel training program.
Before administering an enema, - ✔✔1. position the patient on his left side
in Sims' position or left lateral position with the right knee flexed, which
will adequately expose the anus. This position allows the solution to flow
downward by gravity along the curve of the sigmoid colon and rectum,
thus improving the effectiveness of the enema.
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