Is it right to sexually assist a paralysed patient? - page 2

How do you deal with the paralysed patient with frequent erections? Have you ever been asked to assist? I've never faced this but have seen a heated discussion on another forum. Is it humane to bring... Read More

  1. by   Anniekins
    Quote from donmurray
    Sex is a basic physiological need as described in Maslow's Hierarchy. David's is a valid question. He perhaps set it up a little provocatively in order to make people think, but he seems to have evoked prudishness instead. Air, Water, and Food are also basic needs, but no-one would think of denying a patient access to those, so what is so different about this one, that we deny it to patients who are otherwise unable to meet their needs independently? :stone
    Yes, sex is a basic need for humans........but who is to say it is the nurses responsibility to help patents meet all of the physiological needs described in Maslows Hierarchy? If a mentally ill patient or another patient w/ some type of mental or physical disability could not find a partner, should we as nurses help them meet this need.....NO!
    In my opinion, I feel it is out of the nurses scope of practice, and very unprofessional and unethical.

    I am interested on others thoughts on this subject.
  2. by   ferfer
    Good question- FUNNY- but good. The answer is no, that is crossing a lot of boundaries, ethical, moral, possibly legal, etc. While sex may be a human need, it is not essential to survival. We assist pts in meeting their health needs. One could argue that a healthy sexual life is part of a person's well-being, but it is something up to the person to figure out for themselves and not part of a nurse's job description.:uhoh21: That would then mean that we would have to also deal with patients financial problems and marital problems and finding jobs...........puuuuhhhhleeeeeassssseee.

    PS. Is this a joke?
    Last edit by ferfer on Apr 5, '04
  3. by   Anniekins
    OK - had to laugh

    Do any nurses reading this feel this is OK and within the scope of practice of a nurse? Just wondering
  4. by   jnette
    Nope... not this kid. I'd turn in my licence first. :uhoh21:
  5. by   nurse_mexia
    Quote from DavidFR
    How do you deal with the paralysed patient with frequent erections? Have you ever been asked to assist? I've never faced this but have seen a heated discussion on another forum. Is it humane to bring the patient to ejaculation to relieve his frustration? Is it actually having sex with the patient? Is it permitted where you are? Could you do it?
    I thing there should be some type of medication for that, I think that is not a subject you want to talk about. Talk to his doctor and his family, let them make the decisions.
  6. by   psychomachia
    Quote from Anniekins
    OK - had to laugh

    Do any nurses reading this feel this is OK and within the scope of practice of a nurse? Just wondering
    What's the going rate??
  7. by   jnette
    Quote from psychomachia
    What's the going rate??
  8. by   hobbes
    Quote from DavidFR
    How do you deal with the paralysed patient with frequent erections? Have you ever been asked to assist? I've never faced this but have seen a heated discussion on another forum. Is it humane to bring the patient to ejaculation to relieve his frustration? Is it actually having sex with the patient? Is it permitted where you are? Could you do it?
    LOL...I can't help but think about the scene from World According to Garp starring Robin Williams, where is single mother, a nurse tending to a paralyzed army vet with priapism, takes it upon herself to relieve him and get pregnant without the hassles of a man. At the time, I remember thinking to myself how contrived it seemed...well, I guess not...lol
  9. by   ethelbsnrn
    It was not taught in Nursing 101 or any other nursing subjects in my school. It's not part of my job description, too. If the patient is my husband, I would do it though, in our own privacy.
  10. by   hobbes
    Quote from FutureNurse2005
    hmmm...I'd have to say that sexual gratification is something that we can live without. Sure, we enjoy the feelings that are created, but I wont equate sexual gratification to needing food/water. I for one would be very weary of taking care of a patient in such a way. How would the family feel? Wouldnt you need to ask them about it? What if someone else saw this happening and you were accused of abuse/assault?

    I'm interested in reading more responses to this.
    Speak for youself. IMHO, life without release (assuming your sexually normal) is not worth living.
  11. by   kimlpn
    Definately inappropriate! This is not the resposibility of the nurse. This is when you use nursing 101 and therapeutically tell the client that you don't appreciate these comments and asking this is out of your scope of practice...morally out of mine as well.
    Kim
    Last edit by kimlpn on Apr 5, '04
  12. by   imenid37
    This one is just part of a laudry list of stuff that they don't and couldn't ever pay me enough to take care of. Providing "alone" time for pt. and a s.o. if in a LTC or rehab setting would be more appropriate. I may be wrong, but I look at this post/question and the answer is a big glaring NO WAY!!! :uhoh21:
  13. by   bukko
    Let me relate a situation from a nursing home in Florida where I once worked. One of the residents was a fellow in his early 20s, quadriplegic from a diving accident when he was 14. Aphasic but A&O, with a personality and sexual maturity that was frozen at the teenage level. He had Playboy centerfolds on the walls of his room, cheesecake calendars, and photos of Hooters waitresses mugging with him when his family took him out to eat. He was hard to give care to -- got enraged easily, refused meds, frequently wouldn't eat (feeder, of course.)
    To stay on his good side, some of the younger female CNAs would make sexual innuendo, flash him and there were stories that some did more. I don't know how that worked, because he was catheterized. He did get erections. Many quads get them involuntarily, David. I did home health on a quad who had to be straight-cathed frequently, and it would happen without his control or desire. Perhaps that is the situation you are experiencing?
    As for the nursing home, it was a horrid facility which was forcibly shut down by the state government a few years after I left it. There were stories about discipline against the girls who had allegedly satisfied the poor guy, but I only heard rumor, not fact. However, other nurses, be aware that such sexual situations DO exist.
    In any case, it's never right for STAFF to do this. But if the patient has some OUTSIDER willing to engage him sexually, it would not be right for staff to interfere (as long as they weren't doing it in the day room...)

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