How would you prepare your client for an enema differently if he/she was a: A. child B. teenager C. confused older adult D. person not understanding English
a, Constipation associated with many adults and children..If it
is a chronic constipation it is better to go with enema
administration and some special procedure need enema for there
their surgical preparation..It can be vary from person to person in
different age group and size of the person..
child:
Providing enema to the child can be done with experienced clinical
person they have the idea for how best the administration to be
done..Proper and complete explanation needed from provider side to
the parents..enema uses,administration procedure and side effects
etc..it help cope up with procedure and avoid errors..Get
assistance for performing the procedure,if the child is under
5years or older and child with fear we make parents to hold
them..make sure the tube size and tip is lubricated with lubricants
to avoid injury and pain..Allow the child to relax and by talking
and gently insert against it..It will be less recommended if child
is under 2 years..in this case doctor will perform the
procedure..;watch the child for adverse effects and keep all the
available resources near to the patient to prevent bed wet..
b, Teenager:
It it is teenager they will be little matured enough than child
under 10 years..so provide simple explanation about enema procedure
and explain them about side effects if is experienced by them
during procedure tell them to inform immediately..Advice them to
take deep breathe to hold the control till the enema react..select
the appropriate size tube for administration..use lubricants before
administration..
c, confused older adults:
Confused older adults need special attention when they getting
confusion with the procedure..need extra attention and explanation
to avoid harm..It can be used as a rescue therapy to prevent
painful fecal impaction..Tap water enema or mineral oil enema will
be recommended than saline enema..find help for the procedure to
prevent harm and any unusual effects..watch for alarmed symptoms
like red blood stool,dark black or tarry stools and other worsening
symptoms..
d, Person not understanding english:
communication is a important sources when doing any procedure,if
person can not understand the language we can get help from
interpreter for translating the procedure..prepare the patient
culturally appropriate and provide respect for their concern and
queries..
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