ENEM
A
Definition
An enema is an
introduction of fluid into
the lower bowel through
the rectum for the
purpose of cleansing or to
introduce medication or
nourishment
Digestive system
Your Digestive tract
consists of mouth,
esophagus,
Stomach, small instestine,
colon and the rectum.
Food travels down the
digestive tract in this order.
The main functions of
the colon are to absorb
water into the body.
Change liquid waste
material into solid waste
material called “feces”.
And store feces until
enough accumulates
to be passed from the
anus as a bowel
movement.
Purpose of enema
To stimulate defecation & to treat constipation ex: simple
evacuant enema
To soften hard faecal matter ex: oil enema
To administer medication ex: sedative enema
To protect and soothe the mucus membrane of intestine & to
check diarrhoea
ex : emollient enema
To destroy intestinal parasites
ex : anthelminitic enema
To relieve the gaseous distention
ex : carminitive enema
Cont. Purpose
To administer the fluid and nutrients
ex: nutritive enema
To relieve inflammation ex : astringent enema
To induce peristalsis ex : purgative enema
To stimulate a person in shock and collapse ex:
stimulant enema
To reduce the temperature
ex : cold enema or ice enema
Cont. Purpose
To clean the bowels prior to x-ray studies , visualization
of the bowel , surgery on the bowel or delivery of a baby
ex : saline enema
To make diagnosis ex: barium enema
To establish regular bowel functions during a bowel
training programme
To induce anesthesia ex : anesthetic enema
Evacuant enema
Retained Enema
General instructions
When enema is administered, the client usually assumes a left
lateral position/ Sim’s position
Thedistance to which the tube is inserted depends upon the
age and the size of the client
The height of the can should be adjusted to regulate the flow
of the solution according to the type of the enema
The length of time that the enema solution is retained will
depend upon the purpose of enema and the ability of the
client to contract the external sphincter to retain the solution
General instructions
The appropriate size catheter or rectal tube need to be used
the rectal tube needs to be smooth and flexible
The rectal tube is lubricated with water soluble lubricant to be
adjusted according to the purpose
The temperature of the solutions needs of enema
The amount of the solution to be administered depends upon
the type of the enema and the age & size of the person
General instructions
Make sure the whole apparatus used for the administration of
enemas is in a good working condition
Regulate the flow of fluid according to the type of the enema,
give retention enema very slowly, usually by a Murphy drip.
If the rectum is impacted, attempt to remove the faecal
matter with gloved finger.
Listen to the complaints of the client and should not ignore
Prepacked enemas will have their own instructions
Equipment/ articles needed
The end…
Thank you…
Prepared by:
Melissa L. Bucao, RN