Urgent Question- Toileting

nursenatalie, ADN, RN · Apr 15, 2004

You are kidding right? not every area of nursing is a science, you can titrate the amount of water to use according to when the butt is clean!!!!

Renee' Y-Y · Apr 15, 2004

No, there is no set protocol. Depending on how much stool there is I either just gather wet rags or a bath basin with water & soap. Do use soap...either in the bath basin or squirted in the rags...it's less damaging to the skin as well because it decreases friction. Make sure you clean from front to back (as much as possible). Make sure you clean very well around the foley if the patient has one. If the patient is stooling alot, you may want to find some skin protectant or at least some lotion. Always bring plenty of washcloths & towels. There is nothing worse than getting in the middle of something...having to deglove...to go get more supplies.

Hope this helps.

Susie08 · Apr 15, 2004

ktwlpn, LPN · Apr 15, 2004

Hi Nursenatalie,
I hope I did not offend you with my question. I am actually very seriously seeking this information. I am involved in the creation/design of a toileting device for a client who, due to impairment, cannot reach far enough back or grip toilet paper well enough to clean herself. In order to do this, I must justify the amount of water I am using and support that with a standard protocol/proven or researched evidence. That is the basis of my question!
E

hmmmm.....If this person is bedridden how in the world will they get on and off of this thing without making a mess? If able to get up and use a toilet or commode I think a better solution would be some type of tongs to use for the wiping...Unless you have excellent water pressure (like Old Faithful,baby) you are always going to have kling-ons or dingleberries....You have to have that friction to get those nooks and crannies squeeky clean....I think.....If she is bedridden then maybe she could roll her self over onto a fracture pan and then roll back off and use some kind of device to reach and wipe....

gwenith, BSN, RN · Apr 15, 2004

If you can find anyone to make them - extra large baby wipes. feed through front to back and then pull along - ummm the indented portion of the anatomy. I have seen many older/arthritic/obese patients use this technique but they were not bedridden. Of course care must be taken that the front areas are not contaminated,

P_RN, ADN, RN · Apr 15, 2004

https://allnurses.com/forums/showthread.php?t=35608&highlight=toilet+paper

i found this by our excellent admin. nrskaren

hope this helps, but you do know that conducting research on allnurses is not allowed by the terms of service.