Re: digital stimulation!!! Originally Posted by canoehead 
For every patient, not just SCI patients, there are control issues, I don't think anyone would be offbase in assuming that someone dependant on other for care has control issues. I would go so far as to say I'd be concerned about the patient if we didn't have to chat frankly about their needs vrs nursing care needs at some point, and find a balance.
Patients getting sexual enjoyment from nursing care isn't an issue we deal with every day, but when I worked MS certainly it came up every few months, and in the ER it's every few days, especially when alcohol is involved.
When the term "quad personality" was used I knew what was being talked about, but sure don't think it has a thing to do with SCI. Some people have been exposed to the deaf ear of healthcare so long that they feel they need to shout. I think the same syndrome afflicts docs and nurses who suddenly have to take on a patient role. We've seen the mistakes, and get much more controlling and mouthy because we know what can go wrong.
Bringing up those points and discussing them makes the thread helpful for me, and I hope we continue to discuss them.
Anytime there is a major loss whether it is a loved one or loss of function there can be a wide range of emotions--anger, depression, denial, etc. I really never felt that all of my patients had control issues. I do understand how loss of control may be a problem but again I never thought this was a problem in all of my patients.
I also dont feel someone dependent on care necessarily has control issues. Some may consider it "control issues" but generally (especially if they have dealt with their injury for a long time) the patient knows their body best and knows what works for them. It isnt about being in control as much as it is doing the right thing.
Bowel programs are often difficult, time consuming, painful and humiliating for SCI patients to have to go through. A good number get colostomies to avoid this. So to automatically assume they get pleasure or sexual stimulation from this is mind boggling and very frustrating for the SCI patients who read this.
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