Questioning this order???

[garnetgirl29]

So, there is a new order for a patient whom is my age to stimulate the rectum digitally for one minute every day after dinner. This patient has paralysis but still has sensation in this area. There were already orders for suppositories Q4H PRN, which the patient asks for regularly (and has asked nurses to wiggle their finger). I have never heard of an order like this it makes me pretty uncomfortable. Has anyone seen an order like this before???

[garnetgirl29, BSN, RN]

Ok. So I'm trying to wrap my head around this and I do feel empathy for this patient, but there are now reports that's he's becoming aroused and masturbating immediately after the stimulation. I have not yet been in the position to perform this treatment, but have administered suppositories and assisted the patient with self cathing (the orders are to educate the pt on SELF cathing, although he prefers someone else to do it). Management is well aware of the issues with this patient but there is a lot of red tape due the families connections with people in high places. I've discussed my concerns with supervisors and they agree and have also agreed to be present for his personal care. It's just a very sticky...uncomfortable...fine line as to whether this pt has a legitimate need for the stimulation vs. pleasure. I realize that he does need a sexual outlet.....but nursing staff is NOT there for that reason and I am certainly NOT willing to provide that type of service. Other nurses have stated that they will feel for stool in the vault, and if nothing is there they do not "stimulate".

But...if I'm on duty when it's time to carry out this order...I'll definitely be taking my supervisor in with me.