“…Enemas are widely used in nursing care (Yang et al, 2011), primarily to cleanse the intestinal tract before abdominal surgery, especially intestinal surgery (Aslan et al, 2013;Ihedioha, Vaughan, Mastermann, Singh, & Chaudhri, 2013). Enemas are also used as pretreatment before the use of advanced technology for making certain complicated diagnoses, such as colorectal cancer or diverticula of the colon (Lohsiriwat, Prapasrivorakul, & Suthikeeree, 2012;Niikura, Nagata, Shimbo, Akiyama, & Uemura, 2013). Enemas are also effective as treatment for conditions such as constipation (Rodriguez, Nurko, & Flores, 2013), intussusception (Chien, Willyerd, Mandeville, Hostetler, & Bulloch, 2013), and colitis (Flourié et al, 2013).…”