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 ER.

Sounds like a painful and insensitive idea to me.

Specializes in Acute care, Community Med, SANE, ASC.

I am absolutely amazed that anyone would teach to give a painful stimulus to stop an erection. I can't imagine why any reasonable human beling would follow that advice even if someone did teach it to them. Truly sounds absurd to me.

I am a female nurse. I respect male and female privacy exactly the same with regard to draping, pulling curtains, etc.

If I happen to have a male or female available to perform a cath (our techs perform them), I will give patients the option. However, I will not unduly go out of my way for this because we are all very busy and I think you should accept good care from either sex--at least that's how I feel as a patient. If I'm in the hospital or at the doctor's office, I'm there for professional medical help and I don't care if it's a man, woman or ogre as long as they know what they're doing and take good care of me. This is true for gyn care as well.

58Flyer--a question for you--I'm not trying to be argumentative but I don't understand why a digital rectal exam on a male by a female physician is cruel, as you stated. Many of us have had pelvic exams and rectal exams by male physicians and it just doesn't matter to me. At least for me, a doc is a doc as long as they are providing good care.

Just my 2 cents.

Specializes in LTC, assisted living, med-surg, psych.

I never heard of such a thing before. How terrible that this happened to the OP when he was so young and impressionable........it's the sort of thing that can scar one for life.:devil:

The fact is, there are evil, horrible, sadistic people in every occupation, and nursing obviously has its share. That said, I would hope the OP will seek some sort of counseling to help him deal with this issue; it's affected his life for far too long already and deserves to be put to rest.

FWIW, 58flyer, the vast majority of female nurses don't give a second thought to the erections that sometimes occur during personal care. It's a natural reflex, and any nurse worthy of the name knows better than to take it personally and does her best to put her patient at ease.

And that's all I have to say about THAT.

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.

i have to disagree with this.

regardless of what gender i care for, i am always (always, always) hypervigilant on protecting the dignity of my pts.

if a nurse leaves a male pt exposed for a moment too long, i assure you, she will be just as insensitive towards her female pts.

we got an admit yesterday, whose admitting/primary nurse is a male.

last noc, i was his nurse.

he has end stage als, and needed assist w/toileting.

this poor man, almost died of embarrassment, when he needed me to place his member in the urinal.

even though i've done this for years, and a million times, i was equally as horrified, for him.

i ended up scooting the urinal under his johnny, so he wouldn't be exposed...

and that was one time that i chose to act non-chalant, no big deal, type situation.

it's not that i felt that way, but felt i needed to take the focus off of his immediate needs.

no flyer, thank God there are nurses who will advocate and protect their pt's dignity, til their last dying breath...

no matter how many same gender pts they have.

and for the nurses who are a bit sloppier?

then pts should command this right for sensitive and considerate tx.

yikes!

gotta go to work.

leslie

Specializes in Med Surg, Hospice.

I was not taught that particular procedure in nursing school. I did have a teenage male patient once that did not want me to change his brief. I said ok, and went to get the male LPN. I knew he was probably embarrassed and I did not want to embarrass him further. It was no skin off of my nose. As for my older male patients, I have ones that will let me do all of their bath except their peri care. If they are able, I encourage them to do that themselves, or in the case of several, they tell the their wives will take care of that when they come in to visit. I just smile and tell them that when their wives are ready to do so, let me know and I'll bring more warm washcloths. As for the erection thing, when it happens, I don't give it a second thought. I have not had a male patient ask for a male caregiver.

Specializes in Med Surg, Ortho, Tele, ICU, Hospice.
This nurse decided she had the "cure" and proceeded to strike me in the scrotum.

..

cue frenzied taking of the lord's name in vain, and questioning of the moral consistency, sanity and lineage of the nurse in question.

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.

The truth is, for quite a while there *was* effectively no choice. It's hard to say if men are growing or shrinking as a population in nursing, even today.

So the dilemma seemed to be that OP of the old thread hated reassigning people. Then some other users bravely came forth to relate things from their own pasts, things that only the truly soulless would argue against.

So, in fairness, we must acknowledge that physical and sexual abuse can go both ways, and if at all possible we should work to grant requests of that nature unconditionally. The alernatives, as best I can hash them out, are a) screening people's stories to see if they're "good enough" (e.g. sexual abuse versus "I just don't like women") or b) letting things sit status quo, not getting worse but definitely not improving.

And as men, we do have to accept the fact that there aren't very many of us to spread around - and only slightly more if you count CNA's, PCT's, and other fun acronym types - but this thread's OP is a fine example of how you might just have to knuckle down and work harder to meet the pt's request because it's the right thing to do for the pt.

one more thing, if I may.

generally speaking, i don't think men are very modest.

otherwise, how could so many, pee outside?

or pee in a urinal, in a line, w/a bunch of other guys?

One word: beer

And I'm only half kidding. Whether or not they give you the impression of modesty, men *do* have the right to it. It's one thing to pee in a line - everybody's gotta pee, the choices are to stare straight ahead and let fly or hold it in until everyone else leaves, and I'd think it a fair statement regarding either sex to say we're pragmatists where the bladder is concerned. It's another to strip down and wait on the doc to come check your prostate.

Specializes in LTC.
Whether or not they give you the impression of modesty, men *do* have the right to it. It's one thing to pee in a line - everybody's gotta pee, the choices are to stare straight ahead and let fly or hold it in until everyone else leaves, and I'd think it a fair statement regarding either sex to say we're pragmatists where the bladder is concerned. It's another to strip down and wait on the doc to come check your prostate.

Might I suggest the film about male restroom etiquette to those of us who do not frequent men's rooms? It is comedy, and perhaps inappropriate, but there is some truth in all humor and the first part of it helped me think differently about male modesty. If you're under the age of 21, or do not wish to view scatalogical humor, please do not under any circumstances go to youtube and type "male restroom etiquette" into the search bar.

I had never heard of "flicking" before, but I have seen male residents inappropriately exposed. I apologized to one and he said the Navy had gotten him over his modesty a long time ago. So, not only was I bothered that the CNA had left him exposed while fetching a new top sheet, but it bothered me that he didn't care. I thought, "What's wrong with the Navy?"

When enlisting in the Army, I was treated with appropriate sensitivity. I had a very hard time providing a urine sample for the drug screen, though, with a female watching me. I don't think I could have done it at all with a male watching, and especially if I had been abused by a male. But I guess the bladder decides, eventually.

Some guys might not mind being exposed, but it is courteous for everyone to keep them covered, anyway. I'll try to do a better job of communicating that to the folks I supervise who perform personal care. I have never personally seen a female exposed the way I've seen males on my hall exposed, but maybe I need to be more vigilant for everyone involved.

Does anyone know what the flicking or thumping procedure was called? If it was taught somewhere, then it was written down somewhere. That "nursing intervention" has a name, and I'd like to help document its history.

I am sorry to hear what you went through. That was totally inappropriate and I would like to know if you have taken any kind of actions against that nurse who caused you to have both physical and emotional trauma??

Afraid not, I was 16 years old at the time, my father had passed away the year before, so I had no male figure in my life, and how is a teenaged male supposed to tell his mom something like that? Heck, I blamed myself, I thought something was wrong with me. So that nurse got away with it, at least with me. I just hope she tried it with the wrong person who put a stop to it in a big way.

generally speaking, i don't think men are very modest.

otherwise, how could so many, pee outside?

or pee in a urinal, in a line, w/a bunch of other guys?

i'm just looking at the big picture.

maybe most men just don't care?

we (men/women) are very different creatures...

leslie

I think men are more modest than generally given credit for. As for peeing outside, I am REALLY careful where I take a wiz. My open air selection is usually more private than a restroom. It's just me and no one else, unless some squirrel is peeking. :lol2: But most men's rooms have dividers between the urinals, and some strict social rules about wandering eyes.

Specializes in Med/Surg, Psych..
Afraid not, I was 16 years old at the time, my father had passed away the year before, so I had no male figure in my life, and how is a teenaged male supposed to tell his mom something like that? Heck, I blamed myself, I thought something was wrong with me. So that nurse got away with it, at least with me. I just hope she tried it with the wrong person who put a stop to it in a big way.

If you do that to some one 16 wont it be considered as child abuse??

Its an awefull thing to do.

Specializes in None yet - looking for a job.

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.

Specializes in LTC.

Could this attitude about thumping or flicking be related to attitudes about circumcision?

Here's what was being recommended by Dr. John Harvey Kellogg, of corn flakes fame:

The operation should be performed by a surgeon without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind, especially if it be connected with the idea of punishment, as it may well be in some cases. The soreness which continues for several weeks interrupts the practice, and if it had not previously become too firmly fixed, it may be forgotten and not resumed.

Reference: http://en.wikipedia.org/wiki/History_of_male_circumcision

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