Milk molasses enemas-Milk and molasses enemas: clearing things up.

Montclair, N. This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. One of these letters states that Dr. Senn over forty years ago found in his investigations that it was in common use in India and possibly its first employment originated there.

Milk molasses enemas

Milk molasses enemas

Milk molasses enemas

Advanced Search. A retrospective EHR review was chosen, as it Milk molasses enemas no risk to patients. Keywords: constipation ; enema ; milk and molasses ; patient safety. Add Item s to:. Patient characteristics included age, sex, admitting diagnosis, dietary orders, medications, laxatives and enemas given before the milk and molasses enemaand laboratory values. Purchase access Subscribe now. Methods: Data were extracted from the electronic health records EHRs Milk molasses enemas adult patients who had received a milk and molasses enema between July and July at a large midwestern academic medical center. Historical chart molassss showed that milk and molasses enemas in our emergency department were safe and effective with minimal side effects. Toggle navigation. For hospitalized adults with unresolved constipationnurses have often resorted to a historic and trusted treatment option: the administration of a Pornography paysite german free and molasses enema.

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Patient Medications. File Inventory Page. Pad the bed Milk molasses enemas well and you might want to wear a gown and mask. All rights reserved. Milk and molasses in enemas produce large amounts of gas in the large intestine which can causes severe cramping. What are the side effects? And like I said, it's necessary Free linsay lohan nude gallery there to be some gas and cramping for it to work. Many people have reported extreme cramping and abdominal pain when using a milk and molasses enema due to the large amount of intestinal gases formed by the use of this constipation remedy. Note that depending on the number of suggestions we receive, this can take anywhere from a few hours to a few days. The nursing supervisor said they worked great but couldn't tell me why.

Primary success was defined as the patient having a bowel movement.

  • A milk and molasses enema is sometimes used to treat severe cases of constipation , especially if an impaction has developed.
  • Primary success was defined as the patient having a bowel movement.

Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Background: Constipation in hospitalized patients is common. As a treatment of last resort for unresolved constipation , a milk and molasses enema is often used by nursing staff.

But there has been little research investigating the safety and efficacy of this approach. Purpose: The purpose of this retrospective study was to evaluate the safety of milk and molasses enemas for hospitalized adults with constipation that remained unresolved after standard treatment options were exhausted. Methods: Data were extracted from the electronic health records EHRs of adult patients who had received a milk and molasses enema between July and July at a large midwestern academic medical center.

Data analysis occurred for a random subset of this group. Participant characteristic variables included age, sex, admitting diagnosis, diet orders, medications, laxatives and enemas administered before the milk and molasses enema , and laboratory values.

Serious complication variables included bacteremia, bowel perforation, electrolyte abnormalities, allergic reaction, abdominal compartment syndrome, cardiac arrhythmia, dehydration, and death. Findings: The final sample of adults had a mean age of 56 years; A laxative order was present for Sodium and potassium levels remained within normal limits during hospitalization.

For the subset of patients who had these values measured within 48 hours before and after milk and molasses enema administration, no significant changes were found. No cases of nontraumatic abdominal compartment syndrome or other serious adverse enema -related events were documented in the EHR.

Conclusions: No safety concerns were identified from this retrospective EHR review of hospitalized adults who received a milk and molasses enema for constipation relief.

The findings indicate that this treatment is safe, although further study examining its efficacy in this population is needed. The authors of this study evaluated the safety of milk and molasses enemas—a common, long-held, but rarely studied nursing practice—in resolving constipation among hospitalized adults after standard treatment options had been exhausted. Sharon J. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. Constipation has been associated with decreased quality of life, 3, 4 and nurses in a variety of settings routinely encounter this condition.

There has long been a clear need for a bowel regimen that can prevent or treat constipation throughout the continuum of care and across settings. Clearly constipation continues to be a challenging problem. For hospitalized adults with unresolved constipation , nurses have often resorted to a historic and trusted treatment option: the administration of a milk and molasses enema.

The use of milk and molasses enemas for severe constipation that has not resolved with standard measures is common practice in both academic and nonacademic health care centers worldwide. Historically, nurses have used such enemas to preempt surgical intervention. Though there are anecdotal reports describing the effectiveness of such enemas, we found little mention of their use in the literature describing available treatment options.

Two studies considered the use of milk and molasses enemas in pediatric populations, but these produced contradictory findings. Given the long-standing use of milk and molasses enemas by nurses and the scant evidence to support such use, our research team decided to investigate further. If appropriate, a randomized controlled trial would then be conducted to examine both the safety and efficacy of such enemas in this population. Study purpose. The purpose of this phase one study was to determine the safety profile of milk and molasses enemas administered to hospitalized adults for severe constipation that has not resolved with standard treatment measures.

Design and setting. A retrospective EHR review was chosen, as it offered no risk to patients. The study setting was a large midwestern academic medical center. Before data collection began, approval for the study was obtained from the organization's institutional review board, which also granted a waiver of informed consent.

Sample and intervention. Six hundred and fifteen adult patients with a milk and molasses enema order in the EHR between July and July were identified. From this group, a random subset of patients was selected for data analysis. Four of these patients were excluded from the final sample because they were under the age of 18 years.

During the study period, the formulation for a milk and molasses enema may have differed on various units. The specific proportion of milk to molasses and the amounts used for these enemas aren't given in the EHR orders. That said, the current formulation uses a ratio of and is made with mL molasses and mL whole milk, which are provided by the organization's dietary services. Variables of interest included patient demographic and presenting medical characteristics, along with three safety outcomes associated with milk and molasses enemas.

Patient characteristics included age, sex, admitting diagnosis, dietary orders, medications, laxatives and enemas given before the milk and molasses enema , and laboratory values.

Documented comorbidities included anemia, chronic pulmonary disease, congestive heart failure, diabetes, hypertension, liver disease, peripheral vascular disorders, renal failure, and valvular disease.

Safety outcomes of interest included bloating, flatus, and bleeding; serious complications including allergic reactions, bacteremia, bowel perforation, electrolyte abnormalities, abdominal compartment syndrome, cardiac arrhythmia, dehydration, and death; and electrolyte sodium and potassium changes.

Data collection and analysis. A software tool developed by an industry partner Starmaker, Park Street Solutions, Naperville, IL was used to extract data from the EHR for all patients with an order from a licensed independent practitioner for milk and molasses enema administration. Extracted data were then exported into an Excel spreadsheet. Given the number of such enemas administered, we decided to randomly select records for detailed analysis. Randomization was done using the Starmaker tool.

For a subset of patients whose sodium and potassium levels were measured within 48 hours before and after the milk and molasses enema , a manual EHR review was conducted by a member of the research team. Because this study focused on the safety of the milk and molasses enemas as documented in the EHR, it was not powered to assess and detect their effects. Changes in sodium and potassium levels, as measured within 48 hours before and after enema administration, were examined using paired t tests.

Sample characteristics. The final sample included adults with a mean age of 56 years; For a comprehensive list of participant comorbidities, see Table 2. In the study sample, Concerning serious complications, there was no documentation in the EHR of milk and molasses enema —associated allergic reactions, bacteremia, bowel perforation, electrolyte abnormalities, abdominal compartment syndrome, cardiac arrhythmia, dehydration, or death.

Mean laboratory values were extracted for the full hospital length of stay for the study sample. Sodium and potassium levels were not ordered for all patients. Thus, for patients, the mean sodium level was These values are within normal limits. See Table 3 for data on this subset.

Among the hospitalized patients whose EHRs were analyzed, no serious complications occurred following administration of milk and molasses enemas; and their mean sodium and potassium levels remained within normal limits during their hospitalization. In the subset, mean sodium and potassium levels as measured 48 hours before and after enema administration remained essentially unchanged.

These findings are consistent with those of Vilke and colleagues, who described minor adverse effects among just six 2. All of these findings are in contrast to those from five pediatric case studies reported by Walker and colleagues, who described serious complications occurring after the administration of milk and molasses enemas.

In our study, the sample population had numerous significant and diverse comorbidities, according to ICD-9 codes retrieved from the EHR, yet administration of milk and molasses enemas did not result in either significant complications or hemodynamic instability. To our knowledge, this study is the first of its kind to analyze a sample of hospitalized adults who have received a milk and molasses enema.

Research on the efficacy of such enemas is also warranted, and our team plans to investigate further. The generalizability of the findings is limited to hospitalized adults.

Also, the data were extracted from records at one large academic medical center; it's possible that findings involving multiple sites might differ. Lastly, during the study period it's possible that enema formulations may have varied. Nursing implications. Frontline nurses are well positioned to do so; indeed, this is an essential way to ensure the quality and safety of patient care.

Such problems and questions can be investigated through approaches that consider the existing evidence and employ research methods when existing evidence is scant. This study's findings indicate that milk and molasses enemas are safe for administration to adult patients, and other relevant studies though few in number appear to support this. Nurses should feel comfortable encouraging the use of milk and molasses enemas as a treatment option in cases of unresolved constipation when other treatments have failed.

A thorough assessment for contraindications is still essential with acutely ill and hemodynamically unstable adult and pediatric patients. This study focused solely on the safety of milk and molasses enemas. For nine additional continuing nursing education activities on the topic of constipation , go to www. You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent.

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Put the milk in a saucepan and bring to a boil, then add the molasses, remove from heat, and stir thoroughly. For a powerful enema, this one is worth the little extra effort. The patient should try to hold the fluid inside the rectum for as long as possible before defecating. The RNs weren't familiar with this type of enema, but the doctor ordered it for her after four days of pain meds following fusion of L1 to S1. I don't have any lactose intolerance or sensitivity to milk or molasses so the gas I experienced wasn't really bothersome for me. Thank you for helping to improve wiseGEEK! Extreme caution should be employed when using this type of enema, as it tends to create severe cramping.

Milk molasses enemas

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It will work wonders for patients that are so constipated they cant see straight. It is probably the best thing I have ever used as a geriatric nurse for constipation. The milk probably works as a stimulant for the bowels but the molassis adheres to the stool to bring it down for evacuation I seem to remember it was one carton whole milk warmed and 60cc dark molasses.

Fonenurse specializes in Multiple. Is this evidence based practice? What are the side effects? If your patient is milk or lactose intolerant would they have an anaphyllactic reaction? Have any patients ever had any severe reactions to this practice? We were always taught in nursing school not to undertake tasks if we were unsure of them - is it wise to give out enemas like this?

What is wrong with a sterile mass produced enema that can be prescribed? I dunno about "evidence based," but if you ever give one you will see the evidence, rely upon it. This was used before any of these companies made the newer things It sure makes me look at molasses in a different light Patient Medications. World Marketplace Leaders. Or sign in with one of these services Sign in with Google. Sign in with Facebook. Sign in with LinkedIn.

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Are you a credible source? Add your Credentials, Experience, etc. Put the milk in a saucepan and bring to a boil, then add the molasses, remove from heat, and stir thoroughly. Effects: For a powerful enema, this one is worth the little extra effort. Caution: As with any enema in which a food products are used they tend to produce a tremendous amount of gas in the intestinal tract.

You can Use your back button to return to the previous page. Main Page. You will be absolutely amazed at the supply of herbs and herbal products!! If it's about health Coffee enemas have amazing benefits for detoxifying the liver. Try Wilson's. File Inventory Page. Warning: Do not use enemas or laxatives if abdominal pain, nausea, or vomiting are present unless directed by your health care provider.

Rectal bleeding or failure to have a bowel movement after use of a laxative or enema may indicate a serious condition. Discontinue use and consult your health care provider.

Montclair, N. This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. One of these letters states that Dr. Senn over forty years ago found in his investigations that it was in common use in India and possibly its first employment originated there.

My own professional work dates to early The three previous years, while a student, I had the privilege of riding with my grandfather, a physician of wide experience, over a large country field. I found him at that time using this formula frequently and I recall his stating to me that it was an old and valuable therapeutic measure. I have no knowledge of it beyond this.

He was educated in the Yale University Medical School, graduating about Something like twenty years ago two surgeons in the Mountainside Hospital began using the milk and.

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Milk molasses enemas

Milk molasses enemas

Milk molasses enemas