What should the aide do when Mrs. Amos requests an enema after not having a bowel movement for 3 days?

When Mrs. Amos requests an enema after not having a bowel movement for 3 days, the appropriate action is to contact the agency supervisor to discuss the situation. This response is critical for ensuring patient safety and adhering to best practices in home health care.

Enemas can have contraindications and potential complications, especially for individuals with certain medical conditions. It is essential for the aide to uphold their scope of practice by consulting with a supervisor or a qualified healthcare professional before administering any type of intervention that could affect the patient's health. The supervisor can assess whether an enema is appropriate and discuss alternative solutions or medications that may be more suitable for Mrs. Amos's condition. This collaborative approach emphasizes the importance of communication in health care settings and ensures that care decisions are made with the best interest of the patient in mind.

In this scenario, taking immediate action without consultation could overlook underlying issues that may require medical evaluation. Encouraging a delay or suggesting alternative methods without professional guidance may not safely address the patient's needs. Thus, contacting the agency supervisor aligns with responsible, patient-centered care.