ReviewofPatient

• 6yearsoldfemalepatientpresentingwithfecalincontinenceduetospina bifida

ContrastEnema(Wednesday)

BMWFridayClinicandX-ray

• Residualcontrastonx-ray• Enema- 350mLNS+20

mLglycerin• Motherwastaught

enematechniqueinclinic• MotherwillcallRN

Mondaymorningafterx-raywithweekendreport

BMWMondayClinicandX-ray• ReportofonefecalsmearonSaturday

• Leakingenemasolutionduringinfusion

• X-rayclean• Enemachangedto350mLNS+15mLglycerin

• Reeducatedonenematechnique

BMWDay4(Tuesday)• Reportof3diarrhea

accidentsMondayafternoonafterclinicvisit

• Reportofsmallsmearsthismorning2hoursafterenemagiven

• X-rayclean• Continuewithsame

enemaof350mLNS+15mLglycerin

BMWDay5(Wednesday)• Reportofmediumsizediarrhea6hoursafterenema

• X-rayclean• Enemachangedto300mLNS+10mLglycerin

BMWDay6(Thursday)• Accidentfree• X-rayclean• Continuewithsameenemaof300mLNS+10mLglycerin

BMWDay7(Friday)• Accidentfree• X-rayclean• SuccessfulBowelManagement