Florida Home Health Aide Competency Practice Test

What should be done if a patient has not had a bowel movement for three days and requests an enema?

1. Administer the enema

2. Suggest a laxative first

3. Contact the agency supervisor

4. Tell the patient to wait another day

The correct answer is: Contact the agency supervisor

When a patient has not had a bowel movement for an extended period, such as three days, and requests an enema, it's important to recognize that such a situation falls within a delicate scope of practice for home health aides. Contacting the agency supervisor is the best course of action because it ensures that a qualified healthcare professional can assess the situation and decide on the appropriate intervention. This approach is crucial for several reasons. First, it allows for an evaluation of the patient's overall condition, as constipation can sometimes signal underlying health issues that need to be addressed by a physician. Second, administering an enema — while it may seem like an immediate solution — requires specific training and medical justification. Medical professionals can provide guidance on whether an enema is safe and appropriate in this particular case. Choosing to contact the supervisor not only follows proper protocols and safeguards the patient's health but also upholds the standards set forth for home health aides, ensuring that care is provided responsibly and with the right support.