this post was submitted on 16 Oct 2024
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"AI," what should I do about being constipated?
Painfully stretch your rectum to gaping in order to accommodate your constipation.
That is called impaction removal, and I have done that to people for fun and profit.
As a CNA? Your RNs were lazy. They shouldn't allow CNAs to do digital disimpaction. In some places even RNs aren't allowed to do it, only providers.
Edit: looked it up and it gets so dumb that some MDs will consult surgery to do a digital disimpaction in teaching hospitals, lol.
Eh, they were definitely lazy lol.
It wasn't unusual though. I don't think I ever saw an RN do one.
One nursing home had us doing foleys, and I've started IVs and other stuff that was absolutely not supposed to be done by CNAs.
Nuts. It's something that really needs an order (standing or otherwise) in their charts nowadays because it's considered invasive with a risk of vasovagal response which can lead to a code(for those with fragile cardiac status) and many RNs aren't even trained to do it safely (but let's be real, if you're not sticking your hand up there you're not going to cause a bowel perf). No shortage of lazy RNs in LTC though.
Amen to that. To be kinda fair, most ltc staff develop a sense of "fuck it" and either get lazy or quit entirely. It grinds people down, so the field ends up relying on new hires that are burnt out from other areas, which just completes the cycle
Your rectum stretches anyway. It's actually kind of like a big stretchy poop bag. You're thinking anus. -nurse
Be brave and reach in.