ok, we 2 caregivers (husband + wife who always work as a team, 30 years of cg in july) are infamous for our quick effective painless enema technique, which greatly relieves the patient and saves a huge amount of time & mess for the beleaguered nurse/s ! :d
here you go, this production method we've devised has worked every time:
if pt is sitting on commode, straining, nothing happening after 10 minutes, stand him/her up and there's bulge or stool stuck:
time for compassion and expediting
place interapad in strategic floor spot
place commode over it with bucket on floor
bucket has 1/2 cup water with shaving cream in it to facilitate quick clean-up afterwards and odor control
get order from dr for fleet (or whatever is necessary in your state),
get fleet, fill to top with water, put lubrication on entire tip
heat in microwave exactly 9 seconds, no more
tell patient you are going to give an enema to relieve their obstruction, make them feel better and speed up the relief of their discomfort. explain this involves a pressure sensation in their rectum which will be released as their stool evacuates.
with triple-gloved lubed hand, visually and manually locate anus and digitally gently determine slope of rectum
expel any air from enema bottle
insert carefully and gently and squirt @ 1/3 bottle, remove slowly and wait 2 minutes
first boulders of stool will come out
more comes out
after @ three squirts, volcanic emptying will occur
clean exposed peri area with warm water and peri spray, dry
give pt 10 minutes to finish expelling backed-up stool
can save pt's life (and prevent colostomy) with this method
safe and sensible: pt sitting up, continually supervised, small amounts of fleet at a time, works like a charm, goodbye hemorrhoids, toxins, misery, difficulty breathing, etc. no fainting either :-) saves a lot of time.
re get fleet, fill to top with water:
fleets come with air in top part of bottle. they're too salty as is and cause the colon to contract too quickly to really be effective enough. also a lot of liquid stays in bottle after it crumples from squeezing, so more is needed. so we unscrew the top, fill up space with water, screw top back on, take orange tip off, slather with ky or whatever lub is available, heat for 9 seconds, expel air, ready to squirt.
oh, also, while and after squirting, hold bucket with other hand close to pt's bottom to avoid splatter.
many pts on narcotics, and those not moving around much, experience constipation.
when doing home visits, yep, encounter lots of "haven't had a bm for a week."
we carry a commode and above supplies in our van.