ACTIVE LEARNING TEMPLATE: Nursing Skill
Motunrayo Oladipupo
STUDENT NAME _____________________________________
Bowel Elimination (Enema)
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
Administering an enema to a patient/client safely
Indications CONSIDERATIONS
Constipation
Nursing Interventions (pre, intra, post)
- Preparing for surgery - Perform hand hygiene and collect material (edema, bedpan, etc.)
- Stimulate peristalis -Adjust bed. Position patient in lefts sims position and place waterproof pad under buttocks
-Patients with limited limited bowel control are placed with bedpan under them with back
of bed raised.
- Warm solution to 99 to 106 degrress farenheit. Add sulution to bag and prime tubing
and elevate bag above client no higher than 18 inches
.- Apply lubricate to end of rectal tube, 2 to 3 inches
.- Explain to client what you are about to do, them rais buttocks.
-Slowly insert rectul tube into anus, pointing toward umbilicus and advancing 3 to 4 inches
(in adults). Instill solution over 5 to 10 minutes.
- Assess patient for any side effects and stop sultion iimmediately if observed.
- Once solution is administered, clamp tube and repove slowly wrapping it in paper towel
onse removed.
- Instruct client to retain fluid ofr 5 to 10 min with small volume and 30 for oil enema.
- Assist client tp sitting position on bedpan, commode, or bathroom onse they have the
urge to defecate
Outcomes/Evaluation
Client Education
- properly and Safely adminster edema
-explain the prpose of the eneme and make sure the
- Patient does not feel dicomfort during clients understand.
procedure and after -explain the positioning requirement and tell them
- The desired intention of the edema is how long they should try to retain the enema solution.
obtained. - Explain that they may feel abdominal discomfort and
to report any discomfort during the procedure.
- Explain that they need to retain solution for 5 to 10
minutes, or 30 minutes, for oil retention, after the
procedure.
Potential Complications Nursing Interventions
-Client experiences nausea, dizziness, and The bag should be raised above client but bellow 18 inches,
- Clamp tube and lower bag and tell patient to take a few
clammy skin during pricedure. small quick breaths.
- Enema is insurted too far. Stop procedure emediatly and asses patients if side effects
- Patient experience pain while edema is occure.
-The tube should only be placed 3-4inched for adults, but
being placed know the different depth for children and infants.- Remeber
.-Patient experience abdominal discomfort to place lubricant 2-3 inches up the tube, then insert slowly.
- Enema is raised too high above patient. -Warm solution to body temperature to prevent abdominal
discimfor
- Client expresses discomfort or urger to
defecate during procedure
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9
Motunrayo Oladipupo
STUDENT NAME _____________________________________
Bowel Elimination (Enema)
SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________
Description of Skill
Administering an enema to a patient/client safely
Indications CONSIDERATIONS
Constipation
Nursing Interventions (pre, intra, post)
- Preparing for surgery - Perform hand hygiene and collect material (edema, bedpan, etc.)
- Stimulate peristalis -Adjust bed. Position patient in lefts sims position and place waterproof pad under buttocks
-Patients with limited limited bowel control are placed with bedpan under them with back
of bed raised.
- Warm solution to 99 to 106 degrress farenheit. Add sulution to bag and prime tubing
and elevate bag above client no higher than 18 inches
.- Apply lubricate to end of rectal tube, 2 to 3 inches
.- Explain to client what you are about to do, them rais buttocks.
-Slowly insert rectul tube into anus, pointing toward umbilicus and advancing 3 to 4 inches
(in adults). Instill solution over 5 to 10 minutes.
- Assess patient for any side effects and stop sultion iimmediately if observed.
- Once solution is administered, clamp tube and repove slowly wrapping it in paper towel
onse removed.
- Instruct client to retain fluid ofr 5 to 10 min with small volume and 30 for oil enema.
- Assist client tp sitting position on bedpan, commode, or bathroom onse they have the
urge to defecate
Outcomes/Evaluation
Client Education
- properly and Safely adminster edema
-explain the prpose of the eneme and make sure the
- Patient does not feel dicomfort during clients understand.
procedure and after -explain the positioning requirement and tell them
- The desired intention of the edema is how long they should try to retain the enema solution.
obtained. - Explain that they may feel abdominal discomfort and
to report any discomfort during the procedure.
- Explain that they need to retain solution for 5 to 10
minutes, or 30 minutes, for oil retention, after the
procedure.
Potential Complications Nursing Interventions
-Client experiences nausea, dizziness, and The bag should be raised above client but bellow 18 inches,
- Clamp tube and lower bag and tell patient to take a few
clammy skin during pricedure. small quick breaths.
- Enema is insurted too far. Stop procedure emediatly and asses patients if side effects
- Patient experience pain while edema is occure.
-The tube should only be placed 3-4inched for adults, but
being placed know the different depth for children and infants.- Remeber
.-Patient experience abdominal discomfort to place lubricant 2-3 inches up the tube, then insert slowly.
- Enema is raised too high above patient. -Warm solution to body temperature to prevent abdominal
discimfor
- Client expresses discomfort or urger to
defecate during procedure
ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A9
