EEK! There's a woman in my room!

Nurses General Nursing

Published

Since the "man in my room" thread got closed, I thought I would try a different track. I want to focus on something a little different. :idea:

We know the emotional responses we got to the idea of men providing intimate care of women. What I want to discuss is the issues affecting the intimate care of men by women.

If any of you have read my prior posts on this subject, you are aware of my own difficulties with opposite sex care. To recap, my own experience involved a sexually abusive situation. I am male, and when I was in the hospital as a teenager, the female nurse decided that I needed a bed bath. So that is what she proceeded to do. And much to my embarrassment, I got an erection during said bath. I wasn't aroused, it just happened. As any guy can tell you, we just don't have direct control over that function. This nurse decided she had the "cure" and proceeded to strike me in the scrotum. A lot of damage was done, physically and emotionally. One testicle healed in way that would not allow me to father children (antibodies). I'm skipping over a lot of detail in the interest of brevity, but that's what happened. :imbar

I have heard over the years many comments as to a female nurse's reaction to the male erection. A number of times I have heard reference to causing a pain stimulus to stop the erection from occurring. The stimulus usually involved striking the genitalia with an object or by using the middle finger to "thump" or "flick" either the member or a testicle. I have heard several members of the military tell me this was done to them when they were hospitalized while in service, sometimes while recovering from combat wounds. In my situation, it could be that this nurse didn't get the desired result from just using the middle finger, so she resorted to something more forceful. :eek:

My questions to you all is this. How widespread is this? How many of you learned to do that in school? Maybe learned it after school? Have any of you ever done it to your male patients? Ever hear other nurses talk about it?

I'm not trolling and I'm not joking. It happened to me and others that I know of. It would be nice to get enough information together to come up with an article for a major nursing publication. That would bring the issue to the forefront and maybe launch an initiative to stop this brutal practice. Men treated this way could easily be your father, husband, son, brother, other family member, significant other, best friend, neighbor, or coworker.

One other thing. Given the overwhelming presence of women in nursing, male patients are often expected to just accept intimate care from women nurses without complaint. Often times there may be no other choice. But other times there are. It appears to me that female nurses (and other medical staff) have such unlimited access to male patients that they practically take it for granted. Many of the rules in place defining or limiting what male providers can do to female patients often don't apply to females in the care of men. I realize it varies among different facilities, and I have read on this forum that there are some men doing intimate procedures on female patients. However, I suspect the majority of facilities do put some kind of limit on what the men can do. Gender bias results when members of one sex are held to rules that the other sex is exempt from. The outcome of the bias is an imbalance where it is difficult for the female providers to effectively empathize with the male patients. That results the females taking an almost lackadaisical, casual, or blase' view of the modesty and privacy needs of male patients. For me it has been an uphill battle many times when receiving care just to get them to close doors or curtains, or provide draping. It's not the men I have this problem with, it's mostly women. To me treating a patient with respect and privacy specifically means covering my exposed body for comfort. To deprive me of that is to deny their obligations. I want female medical personnel to value my privacy as much as they value their own.

Having gone through infertility treatments with my wife and have stood next to her as she received care and I have noticed that privacy is never an issue. During breast exams only one side was exposed at a time. I have endured several exams where I was instructed to strip down to just underwear and wait for the doc. When the doc enters the room there is a moment where anybody outside can see past the doc. When the doc gets to the genital exam you have to lower the shorts to midthigh so you are essentially naked, and then have to bend over the table for the digital. I know men who have had this done by female docs. Absolutely cruel. At least I have only had male docs for this. I have had my share of ER visits over the years, GSW, plane crash, fire/smoke injuries, etc. Every time I have had to battle for my privacy/dignity/decency. When you are hurt that's the last thing you should have to worry about.

Any other men here experience this? Your thoughts on this ladies?

I have nothing against women. I find myself in agreement with many women here when it comes to personal care. Please don't think I'm on a tirade. If we can get some constructive dialog going maybe we can learn and do better for others.

Let's keep it nice so the mods don't close the thread. :wink2:

Specializes in FNP, Peds, Epilepsy, Mgt., Occ. Ed.

In nearly 25 years, I've never ever heard of such a thing as what happened to the OP. That was totally outrageous and horribly cruel. If something like that happened to one of my sons, I'd have to be restrained.

I don't remember erections being discussed in nursing school, one way or the other. It's never been an issue for me, as others have said it's a physiological response.

I think when it's possible, it's a good thing to allow a same-sex caregiver if the patient requests it. I've been in situations where it wasn't possible and did everything I could to make that person as comfortable as I could. I guess if it were an ideal world, everyone would be OK with being "seen" by caregivers of either gender, but lots of folks out there have lots of issues and I often don't know what those are.

And to the OP: I am so very sorry this happened to you!! It was unspeakable.

It is indeed awful the OP experienced such cruel care. All people, male or female, should be given the utmost privacy as is possible along with respect. Question for the OP. Since you had physical life changing damage that required quite a bit of healing, how did you explain this damage to your doctor and your mother (being a minor at age 16 she had to be informed about plans of care)? I would think the nurse doing this damage would have been caught, unless the doctor felt torsion or some other cause was the reason for the damage at the time.

Toq

Specializes in Psych, Med/Surg, Home Health, Oncology.
I had a nurse do that to me when I was younger, and I know 2 of my friends from school have too. I think it was taught to nurses in the "old days". Yeah, it hurts. Hurts your genitals, and your dignity. I don't think anyone would do it in this day and age. It would be a lawsuit now, as maybe it should be. . . if they were smacking women around like that you can bet there would be a lawsuit.

I guess I could be called "Old School" since I graduated 41 yrs ago.

I was CERTAINLY NEVER taught this; nor have I EVER even heard of doing something this cruel to anyone!

In my way of thinking, this was indeed Child Abuse!!

EVERYONE--male & female alike DESERVES Privacy. I was taught that in school. It's one if the First things we learned. There are not 2 sets of rules, male & female--there is only one.

I, personally. have been in a situation which embarssed me so much I wanted to run--& so I really try to not place pt's in that position.

I was 45 yrs old & had just had a total hip replacement. I had had my catheter removed earlier that day. I was instructed to use a bedpan--too soon to get out of bed. Well, I called for help & this VERY young man came in. He looked about 15!

I told him I needed a bedpan, but could he send in a woman CNA to help me. The were no woman working the floor--only guys!! I was not so embarassed about having only men caregiveers; I was embarassed because the men working were so VERY YOUNG!!

I fely like a grandma to these guys & that DID embarass me. The thing was---there were NO Female Nurses or CNA's on that nite!!

Oh well. I got excellent care!!

There'e no excuse for people not respecting the person's right to privacy

Specializes in Day Surgery, Agency, Cath Lab, LTC/Psych.

I have never heard of this disgusting practice. :madface::down::down::down:

I don't like to have male practitioners examine me and so I try to provide the same dignity to my male patients. I always allow them to do as much for themselves as they can. Unless a patient is completely unable they can usually clean their own peri-area. If they are very private I ask the spouse to help them.

I agree with whoever made the comment about nursing students leaving patients exposed for a long period of time while setting up for a Foley. We need to encourage students to respect patients modesty!

Specializes in Pediatric Intensive Care, Urgent Care.

It's so funny you bring this up...just the other day in Class we had an "Old School" nursing insructor joke around saying to do that exact same thing, flick the member or scrotum. Obviously everyone laughed but then i asked why would you do that and they all said because he shouldn't be getting an erection and my reply was "you couldn't be more ignorant than what you all are right now, when that occurs 99.9% of the times its not becuase you are sexually aroused, it's a nervous thing." Plus don't flatter yourself...laying in a bed, can't even get out of bed to pee on my own doesn't necessarily put me in a "sexy" mood. "So does that mean if i'm doing a breast exam and your nipples get hard that you are sexually aroused and i should flick your boobie???" It could be that you are cold...etc. It just urks me that people assume that an erection is a voluntary thing in those moments. As a patient I love my privacy...but i have never felt the need to discriminate between a male or female provider, BUT i will acknowledge that i don't particularly feel that hospital staff have ever made me feel that as a male i have that right. There are exceptions but i think those are only exceptions. I think that the overwhelming atmosphere in healthcare settings is that the male is made to feel that he has to "accept" who ever is giving him his care whereas women are made to feel that they do have a choice. In other words it usually isn't blatant but i do think that men feel/perceive in hospital settings that "if" they ask for someone else (male) it is perceived as an inconvenience, and that alone may cause guys to fore go that request, whereas women are made to feel that it is ok to ask for a female provider AND we will be more than happy to oblige. That's all that needs to happen in order for it not to be "equal"...Remember perception is often times more real than reality itself.

Mex

As for the OP, I've never heard of this, and have never been taught such a thing. It's despicable. How long ago was this? If a man has an erection during basic care, I don't make any sort of deal out of it. I, and every nurse I know, understands this is as mainly just a reflex and doesn't necessarily have anything to do with arousal.

I do agree, that when I'm taking care of a male patient that I encourage him to do as much cleaning of himself as possible. But I do the same for females as well. It's a matter of offering as much privacy as possible. It's the same with exposing the patient only as much as necessary to get done what needs to be done, that includes giving an IM injection.

cyberkat - I agree with you - there is no need to totally expose a patient during any cares.

I was also NOT taught to flick or strike a mans genitalia - it sounds cruel to the max.

Specializes in LTC/ rehab/ dialysis.

It's pretty sad that something like that would actually happen. I've experienced several situations where a male involuntarily become erect. I've always ignored it and finished up as quickly as I could. I did have one situation where the erection was accompanied by a vulgar comment and a suggestion of what the pt would like for me to do. The patient was quickly informed that his inappropriate comments would not be tolerated in no uncertain terms....... But wow, touching a patient in a harmful fashion. That's battery, plain and simple.

It is indeed awful the OP experienced such cruel care. All people, male or female, should be given the utmost privacy as is possible along with respect. Question for the OP. Since you had physical life changing damage that required quite a bit of healing, how did you explain this damage to your doctor and your mother (being a minor at age 16 she had to be informed about plans of care)? I would think the nurse doing this damage would have been caught, unless the doctor felt torsion or some other cause was the reason for the damage at the time.

Toq

Good question Toq. Here is the sequence of events. Had a sports injury, broken left ring ringer requiring surgical repair. Went in hosp Sun nite for Mon AM surgery. Gen anesthesia, out like a light, sick the rest of the day and into the evening, throwing up constantly. After visiting hours were over Mon nite, mom left and that's when the nurse decided to bathe me. Semi private room but the guy next to me was doped up with pain meds and was deep asleep for the night. Plus his wife had left. No one but me and the nurse. ( heart pounding now ) After she did the deed I let out a yell but the damage was done in an instant and I just curled up and pulled the sheets around me. End of bath. Got some meds for sleep and nausea. Different crew on in the morning. After more meds for nausea I was discharged about noon on Tues. Doc saw me briefly but was only looking at the finger. Went home, stayed in bed sick for several more days and was moving around by the weekend and back in school next Monday. The scrotum swelled to the size of a baseball, all black and blue. That went down in a few days but the right testicle was really hurting and was downright excruciating at times. It eventually settled down to just throbbing and being tender, on the pain scale it varies anywhere from 1 to 4. It remains that way today, a constant dull ache and throbbing sensation. So mom and doc never knew about it as I couldn't tell anyone. Just too difficult. Even when I decided to visit a urologist (at age 25) about a palpable lump on the right side I couldn't muster the nerve to tell him how it happened. He decided that it was a torsed appendix of the testicle but I am sure he would have had a different opinion had I been able to give him all the info. At least I knew it wasn't cancer so I have decided to live with it and the constant pain.

So my ortho surgeon never knew about it, consequently it was not a factor in the plan of care. I doubt the nurse charted it. She got away with it at least as far as I'm concerned. I know now if I had been able to speak up I may have prevented harm from coming to other patients treated by this nurse.

Some men could be afraid of asking for another male to do his care because, he could be afraid of seeming like a homosexual. And some wouldn't want another man anywhere near him for the same reason. So it can become more complex than just sending in a male to do care for a male. But if we all practice being good sensitive nurses, we will know what to do when the time comes. All of our patients are different and we have many different cultures to deal with and we should all do the best we can all the time. And there should not be any assaults anywhere anytime. Jeff

Thx for the answer Flyer and my heart goes out to you and anyone injured in such a barbaric way. It is wonderful you have to courage to speak up and this may prevent another from being hurt in the same manner. No matter what school you went to or how thorough your education, there is nothing better than learning from each other.

Toq

Golden Rule should always apply....Do unto others as you would have them do unto you.

Some men could be afraid of asking for another male to do his care because, he could be afraid of seeming like a homosexual. And some wouldn't want another man anywhere near him for the same reason. So it can become more complex than just sending in a male to do care for a male. But if we all practice being good sensitive nurses, we will know what to do when the time comes. All of our patients are different and we have many different cultures to deal with and we should all do the best we can all the time. And there should not be any assaults anywhere anytime. Jeff

Yeah...I don't know if I'm in the majority of males when I say this, but as a PT, certain violations of privacy, (IE getting a cath pulled) there just isn't a right gender. Give me a male or a female, I don't really care..it's all the same to me. If I had it my way, they'd tell me how to pull it and I'd do it myself. Anyway, as a "straight" guy...I'd much rather a straight woman than a gay guy. May sound stupid, but for that reason I probably wouldn't ask for a male nurse.

That said, if I'd been abused by a woman like in the original post, you bet I'd insist on a male every time.

Some men could be afraid of asking for another male to do his care because, he could be afraid of seeming like a homosexual. And some wouldn't want another man anywhere near him for the same reason. So it can become more complex than just sending in a male to do care for a male. But if we all practice being good sensitive nurses, we will know what to do when the time comes. All of our patients are different and we have many different cultures to deal with and we should all do the best we can all the time. And there should not be any assaults anywhere anytime. Jeff

That has occurred to me as well, but I am past the point of caring about it. I really don't care to know the sexual orientation of my male caregiver, if he's straight fine but if he's gay he's not likely to put moves on a patient anyway. Not to slam the ladies but one thing I have observed through the years is that men are consistently professional when caring for patients. I have seen very little unprofessionalism from male nurses, techs, orderlies, cna's, you name it. Can't say the same about male docs though. It used to bother me to ask for same gender care, but that because I was worried about offending anybody or putting them through trouble for me.

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