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Nursing intervention for schizophrenic patient having sex?



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Oct 22, 2009 01:29 PM

Nursing intervention for schizophrenic patient having sex?


I had an argument with a collegue, I am not a psychiatric nurse rather a pediatric nurse.

What do you do when you see 2 schizophrenic patients having sex? will you stop them? or let them because its a physiologic need? help pls.


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6 Comments
No. 1
from Smitty08
Old Oct 22, 2009, 03:04 PM

Default Re: Nursing intervention for schizophrenic patient having sex?
I think the context would be important to look at here. Are they out in a common area of a psych. unit having sex. UMMMM...I think that would need to be quickly re-directed. I'm asssuming you are seeing them, so they must be having sex out in the open. Nope we don't condone that in this society, needs intervention! However, can they have sex in the privacy of their own space. Sure. Another question I would have is are they psychotic at the time or are their symptoms managed - this would speak to the issue of judgement/competency on their part and might impact your response/intervention/teaching. Just my
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No. 2
from Whispera
Old Oct 23, 2009, 02:10 PM

Default Re: Nursing intervention for schizophrenic patient having sex?
Context is absolutely important. Consider what is acceptable by society as ok as far as sexual activity is concerned. Then anything that is acceptable by society should be acceptable in psych patients, and anything unacceptable in society is unacceptable in psych patients.

I think there's a gray line here in patients that have altered thinking though, and in those who have no boundaries. If there's any possiblity one of those involved could be unable to decide for his or herself, then staff has to step in and stop things from happening. In those cases, if the other person can't behave appropriately, it's up to staff to see that he or she DOES....even if that means isolation or 1:1 supervision.
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No. 3
Old Nov 05, 2009, 12:21 AM

Default Re: Nursing intervention for schizophrenic patient having sex?
i'm sure the area you work in has polices around sex and keeping patients safe. For a start walking in on someone having sex is not the norm in a hospital setting.
If they are a couple (in a relationship) and you walk in on them and they are community based (living in a community home/flat) then I'm sure this would be no different to walking in on two people with no mental illness having sex.
Someone with a mental illness still has the same sexual needs and desires as someone without a mental illness.
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No. 4
from davebigs
Old Nov 05, 2009, 01:47 AM

Default Re: Nursing intervention for schizophrenic patient having sex?
I would let them finish and then have a talk with them.......
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No. 5
from tewdles
Old Nov 05, 2009, 06:44 AM

Default Re: Nursing intervention for schizophrenic patient having sex?
Sort of depends...did I walk into a patient room and discover them have sex (in private)....or....did I walk into the day room and find them on the billiards table.

No crime in sex between two consenting adults. We could have long discussions about competency to give consent, etc...another thread.
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No. 6
from pezamistik
Old Nov 05, 2009, 07:33 PM

Default Re: Nursing intervention for schizophrenic patient having sex?
Psychiatric units in hospitals often have "no physical contact" rules preventing patients from touching each other, even if both parties consent. This includes the privacy of the patients' rooms, so I would have to say it should be stopped.
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