Male pericare

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    I have a lot of concerns when it comes to performing pericare on a male. So far I have only done it on a maniquin (sp?). That didn't bother me because there was no real person attatched to the penis but in real life I know there will be a person at the other end. I'm very scared of the male getting an erection or saying something crude and sexual. Has this ever happened to you? As a female, you do pericare on a male by yourself (noone else in the room)? What is your centers policy on doing pericare on the opposite sex?
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    Its been a long time since Ive performed male peri care,but I think if hes alert and oriented enough to get an erection and say crude remarks,maybe he might be able to do his own peri care.Offer to assist with preparing his bath equiptment,water ,towels,ect.It does sometimes happen.Be the professional you are.If he speaks crudely or sexuallly to you ask him not to talk to you like that.
    pca_85 likes this.
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    You should always provide the equipment necessary for the pt to do their own pericare, falls under the subject of doing maximum ADLs for self. If the person is incapacitated and you have to do it: Suggestions: Be as quick as possible, if an erection occurs, ignore it, unless the pt makes a remark. Usually they are embarassed and you can just say something inocuous like "It's ok, this happens sometimes" If he is inappropriate, then, like allantiques4me says, call him on it. Document if he is inappropriate, and inform your supervisor. Next time, take a witness into the room. Remember, you always have to protect yourself.
    leemacaz likes this.
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    On my first day of clinicals the first thing I was checked off on was male pericare. I thought it would be really embarassing, which it was but it wasn't as bad as I thought. You just have to go in with a professional attitude and get it done as fast and efficiently as possible while doing it the correct way. My instructor said she can do entire pericare in 3 minutes. But usually if you are in a LTCF with elderly residents, most men need a lot of stimulis to get an erection. And if something is said I agree that you should report it and say that you don't appreciate the remarks. Good Luck!
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    this actually happened to me the other day. I was giving pericare on an elderly resident who had fallen asleep and he got an erection. Truth be told, even if they are old, the are still human. Its a natural response to stimulation.
    loriangel14 and PAR67 like this.
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    hi there!i hear you on the peri-care,male or female it is certainly not the highlight of their day....however unless they are a new admission it is something they are "used to".i make sure i am prepared,proffessional and depending on their cognition i will say"excuse my reach" or something similiar.i work in a complex care facility so the range of dementia ,brain damage,etc varies greatly and you get to know who may be uncomfortable or who perhaps is resistive!i find just as many women wish they could do everything themselves again{if they are unable}so that is hard to do sometimes.good luck to you,every day shows you what works better and what doesn't!!! take care
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    Thanks for the responses. I finally performed my first male pericare yesterday and I have to admit that it didn't bother me at all. I think it was because I had put on my CNA game and just went in there and did what needed to be done. I didn't freak or anything. The guy was acting more embarassed than I was.
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    Good for you!
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    That was the biggest question I had for my mother who was a nurse for years. I asked her, what am I supposed to do if they get an erection!??? And she told me, just go on with what youre doing. I have two residents, who get errections EVERY time peri-care is done on them. Im pretty much oblivious to one of them the other one is, well, a little perverted. But you just do what you gotta do. I find myself excusing myself as I do it- I think it helps them realize that I am not in it for, well, ya know. GOod luck!
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    Quote from allantiques4me
    Its been a long time since Ive performed male peri care,but I think if hes alert and oriented enough to get an erection and say crude remarks,maybe he might be able to do his own peri care.Offer to assist with preparing his bath equiptment,water ,towels,ect.It does sometimes happen.Be the professional you are.If he speaks crudely or sexuallly to you ask him not to talk to you like that.
    First of all, in doing pericare it depends on who you are working with. If the man is an elderly, then it will require a lot of stimulis to get an erection. However, if he does have an erection, this is normal and he might be embrassed, so say that it's normal and it happens from tme to time. I agree with allantiques4me in saying that if he is alert eneough to have an erection, then he can do his own pericare. I too, have practiced on maniquins in school and I would be a bit nervous on doing pericare on a male. I think it takes practice with the procedure. The more real-life expierence you get the more comfortable you will become with the procedure. If you do feel uncomfortable on your first time doing pericare, then ask an RN to supervise you. As for doing the pericare on the oppsite sex, I believe that there has to be another witness in the room, but I'm not completely sure. I wish you the best of luck!


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