Nursing intervention for schizophrenic patient having sex?

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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 it's a physiologic need..

Specializes in l.p.n.
:rolleyes: and how......

:trout:

:yeah: Great replies guys!

!!!!!!!!!!!!!!!!

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Specializes in l.p.n.
yes.

:D

Love your answer, you didn't even waste time explain your self. GOOD JOB:yeah::up: Ican't stop :D

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beast with two backs...i just got that after you posted your comment! Roflmao!

It's nothing different than when some doc decides to take that nurse that went into the profession "to find a doctor husband" and give her a trial run in the exam room. Just say *** are you doing? (not literally)!

If they're gonna get intimate, address it and set aside personal views or feelings. Work out a way they have private time with no intrusions. Things happen and trust me, it happens more than we think right there in the room.

Maslow's hierarchy included sex but they took it off because they thought it would create too much controversy. Sex is a human need, though.

I agree if a patient has lost inhibitions they may not be competent and the facility can be liable (std's pregnancy, hypoxic enhanced sex and accidents, etc).

i definitely agree with you, schizoprenic patients in an institution should not be allowed to have sex, though it's a physiologic need and it's their right you should intervene and stop it. Since both patients are considered incompetent. But there are some issues arising, some institutions are allowing it because according to them it is a need that shouldn't be restricted. Darn.

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Specializes in trauma, ortho, burns, plastic surgery.

What is the policy of facility? What are the psych condition of the two patinets, are stable or not? Is in an acute care setting or not? What you know from them H@P related them behaviors? Did you adressed them behaviors in care plans? NO s/s of new behaviors previously? Is any note about sexual behaviors perviously admission? What doctor said about all this story? Sex was happend with both consent? They are responsability party from them selve? Totally a good subject to be analyzed and make a policy related these type pf cases for next time!

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i definitely agree with you, schizoprenic patients in an institution should not be allowed to have sex, though it's a physiologic need and it's their right you should intervene and stop it. Since both patients are considered incompetent. But there are some issues arising, some institutions are allowing it because according to them it is a need that shouldn't be restricted. Darn.

Psychiatric clients are not automatically "incompetent" simply because they're mentally ill or because they're hospitalized. People in short- or long-term psychiatric hospitalizations retain their civil and legal rights and independence (even when hospitalized against their will) unless those have been restricted by a judge or have been temporarily restricted for legitimate clinical reasons. However, some restrictions may be placed on behaviors that would be acceptable outside in the community, but are not practical within the hospital setting -- for anyone, not just psychiatric clients (for instance, hospitals no longer allowing smoking, banning weapons (that would be legal in other settings) from the hospital campus, not permitting people to bring in and take their own medications, etc.)

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Specializes in General adult inpatient psychiatry.
i definitely agree with you, schizoprenic patients in an institution should not be allowed to have sex, though it's a physiologic need and it's their right you should intervene and stop it. Since both patients are considered incompetent. But there are some issues arising, some institutions are allowing it because according to them it is a need that shouldn't be restricted. Darn.

Wait wait wait! Who's calling the psych patients incompetent? Do you mean involuntarily committed?

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Maslow's hierarchy .Hospital policy. Some hospitals allow it , some don't.

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I WHOLEHEARTEDLY AGREE!!!!! YES, YES, 1000x YES! That is my response to the question would men die without sex? On a more serious note, read the book His Needs, Her Needs: How to Affair-proof Your Marriage for a more authoritative answer...Sorry, not trying to hijack this thread.

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However, I do have to ask...Why would a hospital allow sexual intercourse between a patient and family member or patient and patient? Help me better understand...thanks!

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Specializes in Psychiatric- Detox and ECT.

It is also not allowed where I work. outside of the hospital? Sure have all the sex you want. They are human . Hopefully it is protected, safe sex though.

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Specializes in Hospice, corrections, psychiatry, rehab, LTC.

This happened on a mental health unit I once worked on. I wasn't on duty, so I didn't have to deal with it directly. The nurse on duty split the two lovebirds up, and they were reminded of the rules of the unit, one of which is that we prohibited any kind of sexual contact while on the unit. We discouraged people from personal contact when they left the unit, although I'm sure many of them ignored this.

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Our facility allows sexual relations between clients. So if I saw two schizophrenic patients having sex I would remind them to keep their door shut and carry on with my day. And yes, I've walked in on it way more times that I want to even think about.

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