CauseIntermediate
What should you do if the person complains of pain, you feel resistance, or bleeding occurs during enema tube insertion?
Stop inserting the enema tube immediately. Report the pain, resistance, or bleeding to the nurse and record it according to the care plan.
During enema tube insertion, if the person complains of pain, you feel resistance, or bleeding occurs, you must stop inserting the tube at once. This instruction appears for both cleansing enemas and small-volume enemas. The source also lists noting bleeding or resistance when inserting the tube, and complaints of pain or discomfort, as items to report and record. Therefore, after stopping, notify the nurse and document the event per facility policy.
Key points
- Stop inserting the enema tube immediately if the person reports pain, if resistance is felt, or if bleeding occurs.
- This rule applies to both large-volume cleansing enemas and small-volume enemas.
- Bleeding, resistance, and complaints of pain or discomfort should be reported and recorded.
Mosby‘s Textbook for Long-Term Care Nursing Assistants
Clare Kostelnick
EIGHTH EDITION