Is it right to sexually assist a paralysed patient? - page 3

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   jusjan67
    I know I wouldn't do this...my young male dog gets an erection about 3 times a day, I'm not helping him either!!! :chuckle
  2. by   JerseyGirl
    I agree with the majority here, I can't really believe a nurse would have to ask this question, it is so obviously inappropriate it shouldn't even be considered. As someone else stated, the only exception should be a spouse and that should be done in complete privacy. I don't remember learning in school that it was our responsibility to gratify our patients, no matter what they may think.
  3. by   BBFRN
    Lol...I don't know about sex being a basic physiological need- nobody ever DIED from not getting any.

    I have a story- and it is true, believe it or not. When I was agency, I used to go to this nursing home that had a paraplegic pt. On his Tx order sheet (and I swear to God this is true) there was an order that read something like this: "Apply Pocket Pu**y PRN and clean thoroughly with S&W afterwards." I had to ask the staff nurses if this was for real or if they were playing a joke on me. Apparently it was for real, because they showed me where it was kept. I had half a mind to call that Doc and give him what-for...like that's our job...lol. This patient was really gross anyway, and would make sexually explicit remarks to the staff all day. He was A&O, so he knew what he was doing. Thank God he didn't ask me for his Pocket Pu**y or I would've run outta there. Not only would I refuse to apply it- but CLEANING it afterwards??? Gack!
  4. by   PA-C in Texas
    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 suppse this brings the "hollistic" nursing model of health care to a whole new level.
  5. by   JerseyGirl
    Quote from lgflamini
    Lol...I don't know about sex being a basic physiological need- nobody ever DIED from not getting any.

    I have a story- and it is true, believe it or not. When I was agency, I used to go to this nursing home that had a paraplegic pt. On his Tx order sheet (and I swear to God this is true) there was an order that read something like this: "Apply Pocket Pu**y PRN and clean thoroughly with S&W afterwards." I had to ask the staff nurses if this was for real or if they were playing a joke on me. Apparently it was for real, because they showed me where it was kept. I had half a mind to call that Doc and give him what-for...like that's our job...lol. This patient was really gross anyway, and would make sexually explicit remarks to the staff all day. He was A&O, so he knew what he was doing. Thank God he didn't ask me for his Pocket Pu**y or I would've run outta there. Not only would I refuse to apply it- but CLEANING it afterwards??? Gack!

    WOW!!! We have a hard time getting our doctors to prescribe WINE for our residents!!!
  6. by   Agnus
    That does not fall in my professional role. Sex is a basic human need no doubt. Though it sometimes seems like we are all things to all people we are not.

    As a nurse I feel this needs to be addressed. If the patient expresses frustration over this issue then it needs to be discussed. On the other hand erections go away. Many live without a sexual partner in their life. It is not life threatening to not recieve gratification. It is a quality of life issue thought.

    So as I said if it poses a problem for the patient. Do not make assumptions that it does. Then it should be discussed. A solution acceptable to the patient should be sought. Other professionals can be broght in and consulted. Most helpful might be a sexual therapist.

    Now if you are talking about prolonged irrections that are excessively long and painful and perhaps causing hypoxial to the scrotal area (though it doesn't have to be that extreem) then you are talking about a purley physical and medical issue that needs to be addressed by the physician.

    It is not in my role and not appropriate nor ethical to provide sexual gratification.
  7. by   writer2nurse+
    Quote from RN Rotten Nurse
    reminds me of THE WORLD ACCORDING TO GARP. Garp was conceived by his mom (the nurse) jumping on an unconscious patient with priapism. hahahahhahahahah!

    THought of "...Garp" immediately, too!
  8. by   MandyInMS
    hmmm...how would they charge that procedure anyway? would it be considered a treatment? physical therapy (massage)? errrrr whatttttt? hehe...j/k
  9. by   Tweety
    The erections that a quadraplegic or a paraplegic get are usually not sexual in nature. Quite often they are unaware of them. They just happen during baths, catheterizations, etc. Best to ignore them.

    If ever I was taking care of a patient that had feeling down there and had needs (females have feelings too you know, men don't have license on sexuality), and for some reason could not relieve themselves, I wouldn't do it.
  10. by   Elenaster
    Quote from lgflamini
    Lol...I don't know about sex being a basic physiological need- nobody ever DIED from not getting any.

    I have a story- and it is true, believe it or not. When I was agency, I used to go to this nursing home that had a paraplegic pt. On his Tx order sheet (and I swear to God this is true) there was an order that read something like this: "Apply Pocket Pu**y PRN and clean thoroughly with S&W afterwards." I had to ask the staff nurses if this was for real or if they were playing a joke on me. Apparently it was for real, because they showed me where it was kept. I had half a mind to call that Doc and give him what-for...like that's our job...lol. This patient was really gross anyway, and would make sexually explicit remarks to the staff all day. He was A&O, so he knew what he was doing. Thank God he didn't ask me for his Pocket Pu**y or I would've run outta there. Not only would I refuse to apply it- but CLEANING it afterwards??? Gack!


    Oh my goodness....

    If I ever got an order like that, I would think it would be time for me to go get a job at Sprawl-Mart.
  11. by   ktwlpn
    Hey DaveFR-are you going to masturbate this patient? And any other that presents to you with the need? I,myself will not-it is ethically and morally SO NOT MY JOB...So many of us really try hard to work against that sexy **** nurse stereotype...Something like this comes up and it puts us all down...Would you expect your gyn to give you an orgasm for the first time if you were unable to achieve? Would not even dream of it....because the gyn doc is a PROFESSIONAL...I do believe in providing a private area for LTC residents that are inclined to seek gratification with their s.o.-or by themselves.I am no prude....I just don't believe that this is a legitimate nursing dx....Can you see the careplan?
  12. by   Krissy NY
    OMG! Well...I'll expect some overtime pay for THAT job... LOL

    gosh! lol

    Krissy
  13. by   RN-Josey
    Whether or not a nurse would choose to relieve a patient if faced with this situation is something for the nurse to decide at that moment, keeping in mind that there definitely could be legal and job repercussions if some kind of prior approval was not obtained.

    I want to comment, though, more on the hypocrisy I hear stated throughout this thread. Several nurses have stated that this is an inappropriate question because either it's not something we are trained to do or because it is not a vital life or death function. And the tone used by these nurses is very sanctimonious and puritanical when making these arguments. I would ask these very same nurses, however, if they have ever prayed with a patient at the patient's request, or if they had encouraged prayer from a patient who hadn't brought the subject up themself. Prayer is neither something we are trained to do in nursing school nor is it a "vital" life or death function. Yet I will bet money that many, if not most, of the nurses who practically condemned the original poster for even asking the question would not think twice about praying with a patient, and probably have done so many times in the past. Thus their arguments about only doing what is medically necessary don't hold water, and in fact reveal them as hypocrites who object purely on their own moral grounds, not for any medical or professional reason.

    And just for the record, I am not opposed to a nurse praying with their patient if that helps comfort the patient. I also don't see a problem with a nurse objecting to masturbating a paralyzed patient on moral grounds (or objecting to prayer for the same reason). However, be honest in stating the reasons why you approve or disapprove, and don't act judgemental to those who hold a different moral viewpoint than your own.

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