otro duction;- An ena

Liud foto ochuun, which is he louen pant of the

intese. The ufm fs to empty the bowels
alowro examinotion cn admioister mdicatic
Ao enema eon be ellectfw fo touutfra eartin
medical Cendition, but rugule enma wse can Cause
Seiou hecuth probla m.

pelrition :-AnAn fnsechin

enena fs an
hiog cnd evecuating
Solutfons foto Looen bywel t wen
bowel tro wonhing
aso be delasd a otno duetfn
o 3olatfon îo to fotestine tor semovig
Jaeees and cluanig boele.

puspose -
i) To suliene constipe fon on loscal impocton.
iYy To psiauent îoroluntny escape of eegcl matten
Sungied pmosdurs and detiuey
) To help estab tish egules bodel funetionm.
in pse- opbtatiue pocptalon fon bewel Sustgeies.
) To prormote visuelí2cion o fotestinel trrct dwing
cso tnshrumental examineton,
rodiogrhic
To eLaan t e Loge inlestfoe
vi)To lecnt he bocoels pin o X- ray studies,
visuodiaatfn of te bocdel
delivety bedoy. enampe Sealiu enema
vin) To nduce eLnsthenia, Ex cumple -- anes thesie
tnduce
 classiHicafon

Evacuant Cnoma
Retained Enena
Simpe evcuan edicat ed cold
enema e vacuant enema

oil enema Nutrient ens

enema Cmoient
Astigent enema
Aofhelmiatie
enema >Ananthetic
enema.
Cesminetfui ena
Solutons woed'
1.
2.
Hppertonic - Sodium phosphate, enma
Hypotoic Tcp wet eH
Isotonfe -
physfoLogical satine
4.
othes - 3-5ml of con Cant oted socp
Solutia
uwate,
VContrar fndícoticn
Aeute oanl alu
AppeodfHey.
1ntestfnal obstrucfn,
Lamreien and iolecten
OLodomen
 atants
fiuid and. elecrolte imbalance
Hypothermia.
Abdo mn cmps.

Indiceons

ang SigeA
Hyen nexia.
Cosiptfon and inpucted Pueas.
Betme diagrustie test trn evacuatien d bousel.
prion to
begirnirg boiel tr aining pmomomd
a
Genoal Tnstnucion - 6

Review physicians oden

Suggested amount ot solulien P
Tolast ’ 50- oml
To ddleH ’ a50- 350.
Avt
Sehool ¿ 350 - 500m
Adole sont ’
Adelt
solution
Adust ’ |05-
1o |10 F
ehild ’
40-432
 V Poreliminy Assessonent '
chaeu dfagnocis, dete ad 4ima of
4 elieot en
Assess th
eidencs dillichy
coamps, dtecalin of,eonsipal;.
Assess the cliea's complaints of
hulneS
ke
çlical's mobiliby, his ony of any poeviou
Asgess +he
ASSOatd uith nrihaHfonruot 4issu.
lfents Contndl ot entenal
Assess the clfeat
ability to etaun fuid.
Assess fon the physieian
sphincte.
deu neture t ensm
eollecion of Speinen,
- Poeoaion of ArtiuZ
Arotices Reionals
Senen ’ To
Tyeontainig monnun pivaty
enmo pan To pscepoe and Stons
y Tabins and alamp
in Rectal tube
Pon attodhnen
Adults 22-3OFa
childnen- 2- 18 A
Solticn foto Ocun
tnmoa Soluticsn
) A
A
tubricatiun seilg ’ To Luboiecte tube on
mockintosh uoith towel
protechF te bed
viy Covig sleat To nmeinton prirny
Disposol qloves
To reduce trungigso
A stethosco pe of îalectíe
iy kidney deh apapet bage 7 To ausote peut
Sod.
t To is euud woote
 he cifept4
Agsegs the cifept[ complaffs ok
o cunoeri, ab dornfnc
fuptress,
mobil histoyof
Acsess the elieht's poevious enen
49sSus,
Assess the eIfents cunfo of enteunsl pkinete abit
/uid
to sc teafo
cdeuIa natuwe o
Assess
colecfen of Specimen. enma
Nesg actien) steps Ratinals
Befeme pro edw

Assess stotus petfent (ont petenin factons fndicating

bouwel moweme n0nmal bowe
oten, cbdoménd poi)
2DeteHmine te Level
Cnsetoyness end cundoshodi
of petient
Helef
PrOedue glonnig
9.proovfde privacy Reduces embwrasuot fa poticsh
potid
4. choe the medfcol oeondpeteines e pupese of
,to elooity the orentonals, enema adniots trrntfo
physícfant mde
o Bxplosn to ee
the patfent theprso motes Couppyrv attnand
Ppose of enema, we uducey angrchy
kef she an expec and to
hefske. can poshcipete.
Aseemble esetcles.
Pooced were
h hands nd weot Reduces trsansmisin
loves mico ganism,
84 Rafe the hod to aypropict promotes qood body mchan
wormig height othe notse
 Actfon
NHeng to uft sida
orsovides eany a
Ass pafent
posi Hion doconwtYSd
by gemit,
Colon
nd ouctum.
1oplaca ocd empnoff pod. on psUVenhs Seilira
macintosh undey hips and
butocus

n-cour the patfeat epusirg eny Decneone expUswe

petts.
cluody vi Suali2ing

12:
plece bed pan on Commode Lo uwe in co
Con the pal,
nceessiblu postfon
Solufn.
13 Checu tempeHatuwte of tue Hot watey buns inteso
Solufo on innt is mucusa and
use a bath
thmomete cotd wte
Roise contineu eleoe
clame, and ouloto Botutifon
to too Lurg enough to pin Rrorn
Remowe oin tom

15.
eleump Hhe PoeMents
16- Luwoní Cate -gem Sokitfon.
6- of ip of Allow Srmobth insetn
suchul ube uúh jelly
t6 Locate anus, tnstnuctpaten
Slocol boceottng ou exBenal anal ebhinete.
18
Orseut
the eectel
b the tbe
ip in the Caoekul powven
necty ot paent's sana to oectul muCosa
umtcuy
vaes Cngth ot inself nale. fouo non tita
Lontou ot
Hold.
one the tubirg place t
Ratianalg
hend
Bowel ontonecfon
ocactel eube.
Can caus
open

luto
oregulatey
solutforn elamp
to ond
entey Rad ins Hllaon. C eun
ith the
ocfent% ipctoine
leuel at the Simulatetube.eva cuafcno
970ctal
Raise the pnema
b approp ae ma eanean glouly ,to Allouts un
uuel aboe
Cxampe 0 30- 45 cm n
skIatn Confinuon
o alosa
to hi ah
A) 30 cm
em fo lou eo0 |enen peintul lause
enena. potntwl distentfn
disteaton of coi to.
Tofusion 4ime voanies usith
Volume intusin,
of-
a
eig-1'L
Hubing fn
trn 30 sec if patfen
Sotuaen mte.
Administrratfon of
lomplzin o coamping onit crd Stepping thu enemna
teo sloly
âd escapes aseonecctal momenviy decnenes eho
tube Sponm ud
psenctuse
soluti cn, mrechi ur ot the
is fostfiled
oectem

patien uitlbe poepened.

instinaf on inoneHcnd. the fr Lbe uithdralel,
tube wîll be emoned.
P place pYoovides eontunt&c luonlinus
leyes uf 4oilet tfssue

T n to patient thoat feeliog solukin distends the beoey

vates,
9eefr of dfstenfon
Pafent to outain Solutioe on long uuth the type o enma and
n bed. pctfent's ability to contaoct
ADiscond. the micno-
Afsposeole uned itemy qrowth
Vecepeble ifeneMe Redu ces
neods to bee ened., sînge Organism
 4ST Nies fog etfen Rotfemals
R
Asist patfent to toilet n Souatog postHon
902
help to peti Hn n bed pan ele cofn.
0bsesue tho fecel mateH ad Tdentlfes
promote,
epelled sollufon ( ulhen enom Sueh on
S ondered a untl leoe bleo d
abnonnalitie
obseue centents of Solutian
uehen no solid. feol mateia
S psuat nt, but
Co loMad). goluien mawybe Ca

Ats as nuded to ulanh anel

30. Ass Fyaiema Promotes Rinse
cuith sap and latey pate
Afte proa dusu
Comfrot.
Remove and, di_
Cnd ucnh handscad qlowee, Redeuces transmiss fcm e!
Assess +ho conditien of paienfs icro- organieMs.
Ex eA yolure ean distend
abdomo.eumpi:
On disten tfom ma ite
Seious poblems
gid ty n n pe tonute the bo)e
þe
B3 Deeurd. the type ond vo lama eonmunicetes ith ohey
ehoseoc teislils of ctum dmal heol th dedeam.
Artfeles tenínatHon
Assist the qatient to the bethnuom C hulp position
hinhoe io coyntuotable poiion.
posiHon.
') obsexe
chenocteishies o fuces and
Teas and dis Castd. thu tued etn hod
tlbe Socp
iy discatd the 3oiled
lash hande uige pieces (ell od bío
vi)
wanh schicles and
eplace hem
 Do eunta'e
Recerrd
THPe end volum of
8fze an enema
o
lolout
amount and cahettn (Pectuo tute)
othey consistency
obsevatiun fecs o
idy up he bed eod
tho pottent
t Bed pan
in# ith eold atey undu funee efte
s conten s
evocualiy
dash uith Socp cund wate a bnuwh.

Jicfnfacliun socds bed pars in lyol 1.40

Can be Stellzed ina
tottiz e y
fon a teo houss tob
ot bed
béd pans
Junnid
detdufze od dis(ofect them en
edviseable

keep the on dy peu