- Procedures related to elimination
- Enemas
- Purpose
- Techniques (age/weight appropriate)
- If prepared saline is not available, the nurse can make some by adding 1 tsp of table salt to 500 mL (1 pint) of tap water.
- An enema is an intrusive procedure and thus threatening to preschool children
- Therefore, a careful explanation is especially important to ease possible fear.
- Ostomies
- Purpose
- Techniques
- The major emphasis in pediatric care is preparing the child for the procedure and teaching care of the ostomy to the child and family.
- Skin/stoma care
- Ostomy equipment consists of a one- or two-piece system with a hypoallergenic skin barrier to maintain peristomal skin integrity.
- The pouch should be large enough to contain a moderate amount of stool and flatus but not so large as to overwhelm the infant or child.
- A backing helps minimize the risk for skin breakdown from moisture trapped between the skin and pouch.
- Avoid small clips and rubber bands to prevent choking in young children.
- Enemas
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