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Klysma

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COUNTRY

Administer of a high rising klysma 

(Text Dutch origin)

According to the LSB-memorandum by December 1988 becomes this skill learned in collected training to:

. Nurse

. Nursing

. ill person groomed with application course or diploma after September 1986

. ill person groomed with diploma for September 1986

. elderly person groomed OVDB 

0 elderly person groomed MDGO-vz 

0 elderly person helper 

 

1 Target of the act 

It rinse of the intestines 

 

2 General remarks beforehand 

KNOWLEDGE

A klysma is the contributions of a liquid via Intestine. It administer of a high up going klysma is for the inhabitant an aggravating experience. 
Hold bill with unwell become. 

ATTITUDE 

Keep recognition with shame feelings the inhabitant. 

Care for sufficient privacy. 

 

3 Instruction Explanation/remarks. 

PREPARATION 

Inhabitant 

- Inform the inhabitant over target and method of the act. 

- Question permission for the act. The inhabitant has dispositions law over the own body.
- Judge the physical condition of the inhabitant.   High rising klysma is very aggravating.
 Materials

Set out ready:

. single celstofmatjes
. irrigator
. soap water
. lukewarm water on bodies temperature
. a single large bowl or some small bowls
. two po' s within reach
. gloves
. rectumcanule
. toilet paper
. vaseline

Surroundings

- Fence the bed. 

- Put the bed on work height.  To relieve your back.

 

EXECUTION 

 

- Help inhabitant in knee-elbow attitude, when not possible: lying on the leftside with the knees some what pulled up. Lay a cushion under the trunk round through fall to prevent, intestine spools to below, place if needed staples under the bed.

- Protect the bed with celstofmatjes. 

-Remove the air from tube and the canule. Closes the crane after that prevent. 

- Move a beaks against the come of the inhabitant. 

- Bring vaseline at across the canule. 

 

- Let the inhabitant sigh with open mouth. 

- Bring in the squeezed canule 15 to 20 cm via the anus of the inhabitant. 

- Keep the irrigator 50 cm above the inhabitant and open the little tap. 

- By the action of intestine cramps close the crane and wait till the cramp is over. 

 

Relax. 
- Close the crane after all liquid walked in the intestine and squeezed the canule by remove from the intestine. 

- Take the canule of the connections piece and lay this in the bowls. 

 

Late the yet possibly remaining liquid walk in the bowls. 

- Take the cushion under the inhabitant way.

- Question the inhabitant the liquid so long possible on to hold. 

- Give the inhabitant, when necessary, the po and set him good supported in the cushions. 

- Give possibly on time a second po. 

- Hands Was. 

Source indication: 

Say what you goes do. 
Protocols verpleegtechnische skills, S. A. M. Bosh-Schroeder, second pressure, 1995, ISBN 90-313-1943-0. 

The book contains in total 34 protocols. 

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