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Specialties LTC Directors

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I'm wondering if anyone else has dealt with this and what the outcome was. We have a 59 year old quad (quad x 33 years) who likes to watch Mediaographic movies. Since he cannot put the movies on himself, employees have to assist if he's going to watch. Some staff do not mind this at all, but others are outraged that we would allow these movies in a hospital. I have set up a plan so that nobody who is uncomfortable with the movies has to go in to assist him, and a stop sign must be placed on the door whenever he is viewing to alert housekeeping, dietary, etc from walking in on this. The problem is that he is lewd and disrespectful toward the nurses anyway, and some of them feel that the Mediaography is contributing to his attitude. They are probably right, truth be known, but the bottom line is that he is an adult and what he is doing is not illegal. He has no family, so having a relative assist isn't an option. Any advice here?

We used to have a guy who watched 'Girls Gone Wild' ads every --early morning--....at least we knew where to find the aides LOL....

Specializes in Post Anesthesia.

This person isn't a child. If he wants to watch Media it's up to him. It sounds like you have set up reasonalbe precautions to allow him his privacy and forwarn the staff. His abusiveness toward the staff is a separate issue and needs to be delt with as such. I don't see the Media turning a sweet dispositioned quiet gentleman into a obnoxious cad. Odds are he is an obnoxious cad with or without the Media.

Specializes in geriatric & childrens psych, rehab, woun.

I realize this is an older post, however the lewd behavior is to be documented and care planned. A " family meeting" with the resident, administration, nursing and social services and set up boundries. He is entitled to see what ever programs in his room he likes. We are entilted to work in a sexually harrassment free establishment. He is just as liabel as any one else, who harasses you. It doesn't change because he lives at the home. A resident in tlc as long as he is a&ox3. Just because he is a quad doesn't make it different. and this needs to be explained to him. He should only be cared for by male staff or female staff if he were gay or it was a female. they too can sexually harass. if it is only ladies on days and guys on evenings or nights his shower times are changed, if he ever acts out on his behavior. such as attacking a staff member that the police will be brought in. case in point when i first got out of school in 79 vcr did not exist, it was playboy magazines a young male resident who had uncontrollable myoclonic sezures, would look at his mag and masterbate, on the sun deck. I had to explain that although he had the right to look at his magazines, he could not masterbate in a public area. He would have to take it back to his room. If he failed to cooperate with this the pokice would have to step in because it was a public lewd act. He explained he like being in the sun and really had no privacy in his room because in drawing the curtains he blocked visual observation for his room mates since it was a 4 bedder the only privacy was the curtain. our solution was to move him to the end of the room by the window, if his curtain was drawn by him. an his cassett player on a certain tape. he was given his space. we had total compliance after that

now i also worked on a unit where we had and old untreated std resident. he was part of a goverment experiment in the 30's had severe dementia and he was strong, he would grab any female member of staff. one girl he pulled into this bed. He hurt her back adn caused her to miscarry, she ended up having to have her spine fused. She went out permenent disability which was bad since she was only 20. we finally refused to work with him. he was moved to a va wing which was all male staffed. It was heavely documented. Now because the std effected his mind he could not be held liabel but the hospital ended up paying s small fortune for her surgery her pain and suffering and pain and suffering

Specializes in acute care and geriatric.

I think you have to separate the two issues- by law he has a right to watch what he wants and we all have to help him (no different than lighting up a cigarette to your COPD patient -without the oxygen,of course,,) but if his lewd behavior is a problem (which of course it is)- he has to have SW talk to him that if he cant behave- the nurses can't properly take care of him and will leave the room immediately. You can't punish him by refusing him his method of entertainment, but u can leave the room immediately and he will get the message. We once manged to calm a combative patient this way and his family thanks us to this very day.

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