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Date Posted: Monday, September 24, 2012, 04:43: pm
To Fran and others.....Since there seems to be considerable interest in my suggested positioning, perhaps a more complete explanation would be helpful.
Just prior to giving a patient their first enema in a session, I ask "have you ever had an enema before?" Nearly all say they have. I then say something like "Then you know it can sometimes feel a little uncomfortable, but that you feel better when everything is out of your system." I then ask (if they have experience) "do you have a favorite position for receiving your cleansing enema?" If they do I accommodate it, however most do not express a preference.
I then say, "i recommend for the first placing you on your side with both of your knees up in a fetal position while you hold a pillow under your chin with your arms wrapped around it. Would you like to try it that way?" most say okay. After I get them positioned I assess if there penis and scrotum has naturally gotten tucked under their legs. If not, I say, "for my sons, as well as for me when I receive an enema in this position, I find it more comfortable to pull the penis and scrotum down under like this". I say this as I pull it into position. I then say something like "is that more comfortable? Most of the time they say yes. If that is the case, I then proceed with the lubrication and insertion. If it is not more comfortable, I help them raise their right leg and let it the "family jewelry" go where it wants which means it gets squeezed between the abdomen and the upper legs/ front of the thighs. If that is better for them, so be it!
I think some of the confusion is my former choice of the words "modified sims position". It really is more of a fetal position which instinctinively tends to be comforting to people, cats and dogs! I never use e sims name in patient explanation as it is not a familiar term, but fetal position is usually familiar and descriptive.
As a further explanation, I usually only use this for the first and fourth enema, but on the fourth in a right side fetal. For the second I suggest a head down, butt up if they are mobile and agile, and if not face down on the bed. For the third, I recommend a back lying position. If still not clear, and if I am continuing their enemas (sometimes it falls to the next shift to continue til clear, it depends on time, number of patients getting enemas, how many enemas are needed for complete results with a particular patient as wll as how much is inside the other patients etc.) then I usually go to right fetal, then back, and continue to rotate until the cleansing enema is complete!
I hope this clears up any questions!
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