Giving An Enema.
An enema is needed when stool must be removed from the bowel or intestine. However, simple constipation in children should not be treated with enemas but with changes in the child's diet.
· Equipment: Lukewarm water (water that feels comfortably warm), salt, measuring spoon, enema kit/prepackaged enema, lubricant such as Vaseline, potty chair or toilet;
· Wash your hands with soap and water. Count to 10 while washing, then rinse with clear water and dry.
· Refer to the chart 1 for the right amount of water and salt for the child's age; never use plain tap water.
· Mix the lukewarm water and salt.
· Measure the rectal tube for the correct distance.
· Check to make sure the tube is clamped shut. Then fill the enema container with the solution.
· Place the child in one of the following positions:
o a. Lying face down on belly with the knees and hips bent toward the chest.
o b. Lying on the left side with the
left leg straight and the right leg bent at the hip and knee and placed
comfortably on top of the left leg.
o c. Sitting on the potty chair or toilet .
· Allow the liquid to flow through the tube to remove air that is present. Clamp the tube.
· Place a small amount of lubricant on your finger or on a tissue and spread the lubricant around the tip of the tube, being careful not to plug the holes with lubricant.
· Gently put the tube into the child's rectum to the marked distance.
· Holding the bottom of the container no more than 4 inches above the child, open the clamp and allow the liquid to flow. You may have to hold the tube in place.
· When the container is empty, remove the tube.
· Have the child keep the liquid inside for 3 to 5 minutes. If the child is too young to follow instructions, then hold the buttocks together to keep the liquid inside.
· Help the child to the toilet or potty chair, or allow the child to release the liquid into a diaper.
· PRAISE THE CHILD FOR HIS HELP.
· Write down the appearance of the results of the enema.
· Wash your hands as above.