Should patients be allowed to refuse LPNs and CNAs? - page 6

Last night on our med/surg unit, we had an elderly woman who was in wiht consitpation. Very stable patient, vitals within normal limits, fairly negative past medical history, no home meds,... Read More

  1. by   mercyteapot
    Okiedokiefine. But I really can't let the remark about the nude beaches go. HUH????
  2. by   LPN1974
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    Last edit by LPN1974 on Mar 7, '05
  3. by   LPN1974
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    Last edit by LPN1974 on Mar 7, '05
  4. by   mercyteapot
    Quote from LPN1974
    Well, it was just a comment about some people don't mind exposing everything....and some people do. That's all.
    Yes, I understand what the comment was. I read it. I don't understand where it came from. Have you one iota of evidence that suggests ANYONE on this thread hangs out at nude beaches? (Not that I have anything against them if they do, to each their own). Just that I personally don't appreciate the implication, because that just isn't for me. That was quite a chasm you crossed to jump to your conclusion.
  5. by   LPNer
    Quote from LPN1974
    Ok, I did take it as a personal attack, but apology accepted. Done and over with.
    But with this intimate thing.....I am a very modest person. I've been that way all my life. I can't HELP it. It's just part of me.
    I am not seeing male nurses as potential sexual patners. It has nothing to do with SEX.
    Some of yall who don't seem to understand where this is coming from might go to nude beaches everyday of the year and think nothing of it.
    I'm not like that. I do not expose my body.
    I would be very embarrassed to have to have a male nurse do very personal care for me. Now, I'm not talking about bringing me my meds, or starting an IV or something like that. But if I have to disrobe and bare every part of my body to a male nurse...well no, thank you I won't do it. And as a nurse, if a female patient expresses those feelings to me, I would do everything in my power to accommodate HER requests also, and would do the same for a man.
    If I am sick and in the hospital, I don't think that would be a time for me to
    try to lose my inhibitions. {sp?] Why should I try to do that at a time when I'm sick?
    Try to understand....it's not about the NURSE is it?
    Isn't this whole thing about the PATIENT anyway?
    Where would we be if it were not for our patients? You or I neither one would have a job.
    I do not see it as imposing on nursing personnel, for a female patient to say, "No, I'd prefer for a female nurse to do the foley catherization on me."
    I would not ask for, as in OP senario, for a certain nurse, ie: RN, LPN, or black or white for everything that was done for me.
    But where I have to disrobe and be exposed, I prefer female.
    You know, we are all different. We were not raised in the same surroundings, and did not grow up with the same feelings about things.
    Our experiences are what makes us who we are and you can't change that just because you're a nurse in the hospital, and in comes this little ole lady who wants only a female nurse for intimate treatments. WHY is that such a big deal to you?
    I don't GET that part of it either.
    If you are H*** bent on changing that part of nursing then do it one patient at a time. I'm sure there are plenty female patients who will accept intimate care from a male nurse. But for the one little lady who comes in and prefers it this way, you should have respect for HER and HER feelings, and not insist on being the provider of that particular care.
    In fact I worked a part time job for a couple of years in a NH. We had male CNAs and I just loved all of them. They were very good to work with.
    And they took care of those little ole ladies in the NH just like it was nothing.
    The ladies accepted it. And I would think, "Gee, I hope they are okay with that."
    But none ever expressed any desire to me to have female caregivers, so I didn't go around saying, "Hey hadn't you rather have a female aide?"
    I don't know, maybe when I'm 90 years old it won't matter anymore, and by that time I won't give a hoot who is doing it, but at this point in my life, I wouldn't like it.
    Anyway, that's my personal feelings.
    Never been to a nude beach and i am way to modest to even think of parading around in front of strangers 1/2 naked, let alone bare naked!
    Being uncomfortable with ones own body is not about modesty. It is about not being able to differentiate between professional and personal contact.
    As nurses, it is our duty to help our pts learn to become comfortable with all care givers, be they RN/LPN/CNA, male or female.
    Yes, I have been slapped at by little old men who, even after being told about the foley, insisted I should not be going there. I even had one, just the other night as a matter of fact, that would not let me change his attends (my CNA was busy so I was going to help him change) Seems he thought I am his wife (God only knows why) and I had been mean to him (I wouldn't let him leave the room and insisted he go back to bed) so I wasn't going to get any of "that!" .......... No, I did not change his attends, he ended up staying wet until my CNA (happened to be a man) was available to change him.
    I never meant to say we should never give into the desires of a pts preferences, but I am saying we, as nurses, need to help all pts, regardless of age, etc to understand that a nurse is a nurse is a nurse.
  6. by   SmilingBluEyes
    The nude beach comment was really out of line if you ask me. But no one asked me did they Rofl???

    Good night everyone It's been .....

    interesting.
  7. by   LPN1974
    Quote from mercyteapot
    Yes, I understand what the comment was. I read it. I don't understand where it came from. Have you one iota of evidence that suggests ANYONE on this thread hangs out at nude beaches? (Not that I have anything against them if they do, to each their own). Just that I personally don't appreciate the implication, because that just isn't for me. That was quite a chasm you crossed to jump to your conclusion.
    It was ONLY a comparison!!!!
    Why are you making a big deal with this?
    Let it go!
  8. by   LPN1974
    Quote from SmilingBluEyes
    The nude beach comment was really out of line if you ask me. But no one asked me did they Rofl???

    Good night everyone It's been .....

    interesting.
    Well, Sorrrrrrrrrrrrrrrry.
    My sincere apologies that I have offended anyone.
    I thought everyone here were adult enough to see that it was only a comparison.
    I am thru with this beating this dead horse.

    And no, no one asked you.
  9. by   jax
    I looked after a male 16 year old the other night who needed to be catheterised. This poor fellow was nearly dying of embarassment, I asked him that if a male nurse was available would he prefer that. I think he nearly cried with relief. This made the procedure easier for him, probably easier for my work mate (as pt. was less tense), and I did some of my colleagues work whilst he was helping me. Win/win all around.

    LPN 1974 I understand where you're coming from.
  10. by   LPN1974
    Quote from jax
    I looked after a male 16 year old the other night who needed to be catheterised. This poor fellow was nearly dying of embarassment, I asked him that if a male nurse was available would he prefer that. I think he nearly cried with relief. This made the procedure easier for him, probably easier for my work mate (as pt. was less tense), and I did some of my colleagues work whilst he was helping me. Win/win all around.

    LPN 1974 I understand where you're coming from.
    Thank you very much. I appreciate that.
  11. by   mercyteapot
    Quote from LPN1974
    It was ONLY a comparison!!!!
    Why are you making a big deal with this?
    Let it go!
    A big deal? Perhaps two posts is how you define a big deal. Things need to be considerably more dramatic before I feel like they are even a small deal, but we all interpret things differently. Small point in discussing those issues on which we all agree. I expressed puzzlement at a comparison that makes no sense to me. Getting patients to feel more comfortable with the integration of the sexes in nursing= cavorting on nude beaches? I must have missed that day in Logic class. And I'm one of the people who expressed a reluctance to push patients past their comfort level when it comes to care provided by the opposite gender!
  12. by   pkapple
    OK, we all have preferences. No one, except some folks with a royalty complex, feels comfortable being exposed or having a stranger perform "intimate" hygiene/procedures. We all learned to provide care with as much regard to dignity as possible. The issue of male/female and race preferences needs to be addressed on an individual basis, BUT addressed and honored are not the same.If a patient has a true fear of possible assault by caregivers, then a family member needs to be present to assist her/him.

    We could of couse start a whole new thread on how helpful these family members are--not!
  13. by   caroladybelle
    I have been nude on stage in "Hair".

    I have been to nude beaches.

    I still do not want a male MD that I do not have established trust relationship with doing a gyn exam on me.

    Besides, if you do not trust them, the muscles tighten up and it makes the procedure much more difficult on the practitioner and the patient, most male MDs would probably want you to have a practitioner that you trust.

    There is difference between being comfortable with nudity that you are "in control" of, and being comfortable with an invasive procedure.

    It does not have to do with nudity....it has to do with trust.

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