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Creating awareness of the antegrade continence enema procedure and why nurses need to know about it

26 March 2020

Constipation in Children

02 March 2020

Volume 29 · Issue 6

ISSN (print): 0966-0461

ISSN (online): 2052-2819

Abstract

The antegrade continence enema (ACE) procedure is mostly associated with children. Many children who underwent this are now entering adulthood and require expert advice and support from nursing and medical services. This article describes how a poster was created to make health professionals aware of this procedure and provide advice for troubleshooting. The type of flushing solution used for irrigation still seems to be selected by trial and error, depending on what suits each individual. There is little evidence in the literature on skin management for patients practising ACE, so it is pertinent to apply the best evidence available. Adult stoma care nurses will need a detailed understanding of this technique and management in the future, as it is likely that they will be called upon for support and advice.

As a senior specialist nurse in colorectal nursing, I have occasionally been asked for advice on the antegrade continence enema (ACE) procedure. My knowledge base in this area was limited, as no adult patients were known to have had this procedure in my trust and children who had undergone it were nursed and advised by paediatric gastroenterology nurses. When these patients were transitioning from children to adult services, they would contact my department if they had any concerns. Invariably, I referred these concerns to other health professionals, as I did not feel sufficiently knowledgeable to answer them.

A poster seemed to be an appropriate resource as it can be a powerful tool to encourage people to find out more about a topic (Erren and Bourne, 2007). It would be a useful tool to encourage fellow nurses to talk about why they needed to know more about this little-known topic in adult nursing.

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Antegrade continence enema (ACE)

Malone (MACE) procedure

Neuropathic bowel

Constipation in children

Transition from child to adult services