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My female patient wants me to shave her pubic hair, she cant do it herself she only has limited movement of one arm . Should I do it? (I would rather not) any advice? Update-this is a LTC Vent patient who is not going home. Believe it or not this isn't the first patient that asked me to do this I had another patient with ALS ask me to trim hers with an electric razor because she said the hair gets caught in her underwear and pulls. I had got "pulled" to her unit and she asked me to do it -had her own electric razor-so me like a fool assuming the nurses were doing it for her went ahead and did it then i found out that only a few people would do it for her. What do I look like? the personal pube trimmer? also she was a real pain in the butt about how it was trimmed, I dont want to relive that nightmare!
This may be partially decided by the setting. In home care it is not at all unusual for a patient to make such a request. As long as the patient is not on blood thinners or has any other contraindicator to shaving, I will comply with the request.
Exactly what I would say. And then if I had the time , and it didn't seem fishy (REALLY no pun intended there) I would do it. I try to make my patients happy, within reason.
I'd look at the patient and the reason for the request. If it's a young thing with no use of her arms and she's complaining that the hair pulls and hurts against bandages, casts, catheter, or what have you, then I'd consider it to improve her comfort. She'd have to wait until I got the time, though.
If it's a vain person who's a little kinky, then forget it. Not my job!
(on edit: I'd warn the first one about the nubs, though)
Reminds me of the first bath i gave in clinicals. The woman was enjoying the gentle massage i gave on her shoulders - after i move to her abdomen she did this moan thing and asked me to rub a little lower.
As for shaving - just fyi - magic does wonders, but that is a private hygiene matter. i would be mortified to request anyone else to do it for me. That is not just weird to me - that is kinky.
I can understand the discomfort one has when that hair grows back, but sheesh!
We have these horrid cheep razors at work, and they nick and scratch (and they have to be ordered too...not on the floor anymore). I would basically explain that, and that I don't do pubic hair removal...and that even if it is done it is done for medical reason like C-sections and Surgeries.
It is like I keep telling pts, this isn't a hotel or spa folks!
dorimar, BSN, RN
635 Posts
All right.... I think it should be more than a little weird for a family member as well as the health care professional. Who would it NOT be weird for?? A cosmatician. Call in the Spa team!! She can ask for the "Tele Sivalis" (from "the break up"...hilarious). Seriously though, that would be my reccomendation to the patient, "i don't do that, but there are several spas that do for a nominal charge".