Assessment 评估
1、 Determine last bowel movement and presence of bowel sounds or abdominal pain.
确定上次排便、肠鸣音或腹痛。
2、 Assess ability to control external sphincter.
评估病人外括约机控制情况。
3、 Determine presence of hemorrhoids.
确定有无痔疮。
4、 Assess abdominal pain.
评估腹痛。
5、 Assess client's understanding of procedure.
评估病人是否了解操作程序。
6、 Assess client's mobility status.
评估病人移动状况。
Implementation实施
1. Use Standard Protocol.
采用标准仪式。
2. Enema bag: 灌肠包
a) Fill enema bag with 750 to 1000 ml warm tap water.
将750至1000ml温水倒入灌肠包。
b) Check temperature of water.
检查水温。
c) Fill tubing with solution, removing air, and clamp.
在胶管内倒入溶液，排出空气，夹好。
3. Add soap to water if ordered.
安医嘱加入肥皂。
4. Assist client to side-lying (Sims') position with right knee flexed.
协助病人到侧卧(Sims’)位，屈右腿。
5. Place waterproof pad under hips and buttocks.
臀下放置防水垫。
6. Cover client with bath blanket, exposing only rectal area.
替病人盖上小毯，露出肛门。
7. Ensure that toilet, bedpan, or commode is available.
备好卫生纸、床边盆或马桶。
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