Eeekk!!Patients sexual needs???!!! - page 2

Hi,Im pretty new to all of this so PLEASE help me if you can.Im getting ready to take my exam to be a cna so I can be working while attending nursing school this Fall.I was browsing through my... Read More

  1. by   TeenyBabyRN
    Quote from CHATSDALE
    I dont know about that nurse with 17 y/o considering the chest tube it may have been a correct decision but if there was no medical reason then this may have been wrong parents wishes are not usually considered with late teens they are almost grown and should be allowed to make own decisions
    I would have kicked this girl to the curb as well. First of all, it would be contraindicated with the chest tube in place -- what if it became dislodged during the festivities? I doubt she would have known to place vaseline gauze over the wound (they probably wouldn't even have stopped). And second, I do not think that it is too much to ask that patients in an acute care setting keep it in their pants for a couple of days. In these days of managed care, most people do not stay in the hospital longer than that and those that do are usually so ill that sexual needs are on the bottom of the totem pole. I believe that the sexual needs issue is of much more concern in the extended care or inpatient psychiatric care setting than in the acute care setting.
    JMHO.
  2. by   RNKITTY04
    I'm thinking C
  3. by   CHATSDALE
    TEST: SUSANNA just ask yourself if it was you would you want your sexual activities broadcast to friends and families.....but we have a problem at our facility which draws you in two different directions....we have residents who are hiv + and we also have other residents who are very lonely and yearn for a relationship..what do you do???
  4. by   RNPATL
    Quote from susanna
    i had a question pertaining to this on my CNA exam, to which I still do not know the right answer:

    In a nursing home, you have found out that Mrs. X and Mr. Y, both residents who met in the LTC facility, are having a sexual relationship. You...

    A) Try to keep Mrs. X and Mr. Y in different activities and in different groups as much as possible.

    B) Inform the patients' families of this. They are paying for the stay and are thus legallly responsible.

    C) Understand that it is very important that older persons are sociable and make new friends and give them their privacy.

    And, I think the last one was,

    D) Tell your nursing supervisor immediately before anything else happens.
    I would certainly answer "C" providing both residents were consenting and able to make those consenting decisions.
  5. by   Agnus
    The correct answer is C. Do not read into a question something that is not there.
  6. by   Tony35NYC
    Susanna,

    I would have chosen option "C" as my answer to that question as well. I don't see patient sexual needs as an issue. Its a natural urge. Just because they're laid up in a hospital or because they're in an old folks home doesn't change anything. The way I see it, what the pt wants to do (i.e. masturbate, have sex with other residents...) is their business. I don't get involved in it. Its no different than deferring hygiene care if the pt begins to get sexually excited during the procedure.
  7. by   nursecompassion
    You also need to be aware that some residents (if in LTC) may try to take out their sexual frustration on you. There have been many times where a R has tried to grab or grope me. You soon learn which ones to be wary of. Remember, that not all R in LTC are over 65. We have some as young as 40. For R who do this and are alert and in there "right minds," you need to report it to your supervisor. (Even if they are not, I would still report it, because something may be going on with the R, and this behavior could be an indicator). We have a R who is in their 40's and was going around trying to grope visitors! So, they had to have a discussion with him/her.

    Julee
  8. by   meownsmile
    Out on a limb here, but IMHO. I would have kicked the girl to the girl to the curb also, but for a different reason. As far as I know a person is not legally responsible for themselves until they are 18. They cant sign legal documents etc unless they have been emancipated from parents. Legally they cant even sign their own discharge papers unless they are 18. Therefore, my thought on the teen thing is it could be a case for the lawyer if the little rendevous isnt stopped. In our sue happy society, it would only take a good lawyer to pull up a contributing to the delinquancy charge for any and all staff that knew of the situation and didnt put a stop to it. Would you allow a 17year old to drink if their friend brought them beer in the hospital? I feel its also my responsiblity as a nurse to make sure the minor patient isnt exposed to illegal/illicit activities while under my care.
    The LTC thing, unless the patient has competancy papers on file, or as someone else said completely bedridden and obviously unable to consent its the patients business. And unfortunately the gossip mill will continue to grind that one up and spit it out.
  9. by   kimburlynn
    Quote from meownsmile
    Out on a limb here, but IMHO. I would have kicked the girl to the girl to the curb also, but for a different reason. As far as I know a person is not legally responsible for themselves until they are 18. They cant sign legal documents etc unless they have been emancipated from parents. Legally they cant even sign their own discharge papers unless they are 18. Therefore, my thought on the teen thing is it could be a case for the lawyer if the little rendevous isnt stopped. In our sue happy society, it would only take a good lawyer to pull up a contributing to the delinquancy charge for any and all staff that knew of the situation and didnt put a stop to it. Would you allow a 17year old to drink if their friend brought them beer in the hospital? I feel its also my responsiblity as a nurse to make sure the minor patient isnt exposed to illegal/illicit activities while under my care.
    The LTC thing, unless the patient has competancy papers on file, or as someone else said completely bedridden and obviously unable to consent its the patients business. And unfortunately the gossip mill will continue to grind that one up and spit it out.
    I agree,and if one of the patients turned up to be HIV positive then you could really have a mess on your hands.
  10. by   mushberry
    Quote from TeenyBabyRN
    I would have kicked this girl to the curb as well. First of all, it would be contraindicated with the chest tube in place -- what if it became dislodged during the festivities? I doubt she would have known to place vaseline gauze over the wound (they probably wouldn't even have stopped). And second, I do not think that it is too much to ask that patients in an acute care setting keep it in their pants for a couple of days. In these days of managed care, most people do not stay in the hospital longer than that and those that do are usually so ill that sexual needs are on the bottom of the totem pole. I believe that the sexual needs issue is of much more concern in the extended care or inpatient psychiatric care setting than in the acute care setting.
    JMHO.
    You definitely have a point, but I think the thing is, there are ways to ask them to stop, and ways not to. Just to be like, Get the **** out, you know, that seems to be a little harsh. haha, I probably would have been like woah woah woah chest tube!! and asked them to put their clothes on and then explained afterwards why it was a bad idea for them to do that, and why they'd have to wait a few days. and probaby assured them I wouldn't tell their parents as well. You know, confidentiality and all. I think the most important thing is to keep the patient's needs in mind...put yourself in their shoes, especially for long term, but acute care, it just takes a little bit of care in explaining sometimes, I think.

    Though, that said, sometimes there are cases where it is inappropriate...like if you have a young girl in long term care, who ends up getting friendly with an older married man, still not OLD but old enough to be her father. And then they get caught in the same bed together. THEN I think maybe there are issues that need to be addressed.

    Edit: and just read the post before mine. lol. I never thought about the legal implications. Man, always something to think about!
  11. by   Marie_LPN, RN
    As for the answer to the question, that would be C.


    As for people in the hospital, who seem to think that it's fine and dandy to act like the hospital bed is their bedroom, i say no. If you're in here for a lappy appy, you're going home in a few days, you can wait till you get home to scratch your itch. It's a roayl pain in the rear to have to ask some dude's g/f to get out of the bed because she keeps laying on his chest tube/IV tube, etc. Not to mention that the person asked to move is usually all cranky and ticked off. Well, honey, he's the pt., not you.

    I could see it if someone's in pain, or scared, or dying, but it's gotten downright ridiculous lately.
  12. by   txspadequeenRN
    Let me tell you I am a nurse at a long term care facility.And several years ago I had a man and woman ( not married ) having sex 3 times a day after meals( just like desert) . Both of the families consented (alzheimers) and I was required by law to give them privacy. However I was requested by the womans familiy to "PEEK" in and just make sure he wasent raping her. GET REAL, she was the one dragging him down the hall to the room. This went on for weeks and weeks then one day (no lie) she fell off the bed, then they both got infections because they were incont of B&B. GO FIGURE I said this in the begining they have no buisness having sex, not because of their age or living arrangments. THEY ARE BOTH INCONT, and the lady became septic and died. Now, did the familiy understand that she was septic and needed to recover ,NO they did not . But this nurse stopped the whole deal, and I got a doctors order to cover that but GEEEZ. After that I deserved a gold medal...:uhoh21: :imbar




    Quote from kimburlynn
    Hi,Im pretty new to all of this so PLEASE help me if you can.Im getting ready to take my exam to be a cna so I can be working while attending nursing school this Fall.I was browsing through my workbook this weekend and found a section asking me how I can help patients fulfill their sexual needs .Needless to say I was shocked:imbar .I want to be a nurse but not a sex therapist.I will be working in a nursing home this summer/fall and the mental images this dredged up were not pretty.Also there was a section on preparing a dead body although this suprised me I know I could handle it if I had to but the before mentioned sex thing :uhoh21: Yikes!!!!!
  13. by   Chad_KY_SRNA
    I think that the correct answer is D. It is in my facility anyway. If you witness this you better run to the nursing supervisor. They would STAT page the social worker and start charting q15 or q10. If either one has the slightest amount of confusion or altered mental status they would put them on different units. I am pretty sure that only the married couples in my facility can have sexual relations.

close