Enema: Procedure of introducing liquids into the rectum and colon to expel its contents.
CSS Considerations:
- An enema is part of a bowel routine prescribed by an physician.
- Assess the client for wounds, bleeding, or skin breakdown in the perineal area and determine how to proceed.
- Assess for physical obstructions or barriers (i.e. inability to reposition the client, a wound dressing over the area) which would prevent safe administration of an enema.
PSW Considerations:
- Report immediately to the office at 416-635-2860 and do not proceed with the enema administration if the client has:
- Exposed or open wounds in the perineal area
- Bleeding from the rectum or surrounding areas
- Broken skin
- Pain in the rectum or abdomen
- Resistance on insertion of the enema
- If the client refuses treatment, do not proceed and report to the office.
- Report to the office if the client does not have a bowel movement after administration of the enema.
- Report to the office but proceed with the enema administration if the client has diarrhea or constipation.
Required Supplies:
- Enema solution
- Enema bag
- Warm water (if instructed)
- Soap and water
- Gloves
- Enema tip
- Lubricant
- Bedpan or commode (if needed)
- Bed protector (if needed)
Procedure for Enema Administration:
Preparation for Insertion of Enema
- Open the package and remove the plastic container with the enema solution. If instructed to be warmed, place the container with the solution into warm water.
- Wash hands thoroughly with soap. Put on gloves.
- If the toilet is not readily available, place a bedpan or commode nearby.
- Assist the client to turn on their left side.
- Place the bed protector under the client.
Insertion of Enema
- Expose the client’s buttocks.
- Remove the cover from the enema tip and gently squeeze to ensure the tip is undamaged.
- If the tip is not pre-lubricated, use the lubricant recommended by the healthcare professional.
- Separate the buttocks to expose the anus.
- Instruct the client to breathe deeply.
- Insert the lubricated enema tip 2 inches into the rectum towards the navel.
- Squeeze the plastic container at a slow and steady rate from the bottom of the container until all the fluids have entered the client’s body.
- Stop if there is excessive resistance or if the client is experiencing discomfort. Monitor for verbal and non-verbal signs of discomfort.
Removal of Enema and Defecation
- Encourage the client to hold the solution for as long as possible. The enema should be retained for 20 minutes, or as long as instructed.
- Remove the enema tip from the client. Replace the used enema unit in its original container and discard.
- When the client feels the urge to defecate, assist them with toileting.
- Remove gloves and wash hands thoroughly with soap.
Video Resource
Please click on the video links below for a visual demonstration of the procedure:
References:
- Forgarty, A.M. (2022, June 21). Administration of an enema.
https://free-resources.anatomystuff.co.uk/administration-of-an-enema/ - Nursing and NCLEX Mastery. (2021, November 18). Administering a fleets enema
[Video]. YouTube. - Nursing Times. (2006, May 16). How to administer an enema.
https://www.nursingtimes.net/clinical-archive/gastroenterology/how-to-administer-an-enema-16-05-2006/ - Osmosis. (2023). Administering an enema: Clinical skills notes.
https://www.osmosis.org/learn/Administering_an_enema:_Clinical_skills_notes - Rushing, J. (2003, November 28). Administering an enema to an adult.
https://journals.lww.com/nursing/Citation/2003/11000/Administering_an_enema_to_an_adult.25.aspx#:~:text=Raise%20the%20enema%20container%2012,fluid%20escapes%20around%20the%20tub - Spichak, S. (2022, November 15). What is an enema?
https://www.health.com/enema-6827450 - UM FZV UM FHS. (2022, August 29). I-BOX – Enema administration [Video]. YouTube.
https://youtu.be/dJqVL4Wc8qY