What should the PCA do if a patient has not had a bowel movement for 3 days and requests an enema?

When a patient has not had a bowel movement for an extended period, such as three days, there may be underlying issues that require professional assessment before any intervention is implemented. The decision to administer an enema is not one that a Patient Care Assistant (PCA) should make independently, as it falls outside their scope of practice.

By contacting the agency supervisor, the PCA ensures that the patient receives appropriate guidance and care based on their overall health status and any existing medical conditions. The supervisor can assess the situation, potentially review the patient's medical history, and determine the best course of action, which may involve consulting with a nurse or physician. This approach prioritizes the patient's safety and well-being, ensuring that any intervention is medically sound and appropriate for the patient's needs.