UNDERWEAR (Yes, underwear)

Nurses Relations

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New nurse here. Earned my BSN in January and have been working full time at a medical group office since April. It may be a silly question, however I'm compelled to ask it.

I'm also a trained EKG tech, although the group is on the verge of hiring a dedicated EKG Tech/Phlebotomist. Since four of our six exam rooms are equipped for EKG's, the patient will often remain in the exam room, if the doctor has directed an EKG, until the "tech" (me) arrives. I've noticed that many male patients (not all, but many) eschew the disposable powder blue paper exam gowns, and choose to remain in their underwear for full exams. As such, I will often enter the room to perform the EKG and find the male patient in his underwear. I always explain that they may put their trousers on since its only an EKG, and offer to wait outside until they're done, in the interest of patient modesty. Surprisingly, they often cite a desire to "get it over with" and since they're already in prone position, they choose to remain in their underwear.

One 33 year old male patient, two weeks ago, carried on a 10 minute conversation with me about his sister's desire to pursue a nursing career and the benefits of a bachelors over a two-year degree, while wearing only Hanes briefs and socks. He talked casually as if we were neighbors who just met in the frozen food isle at the local Piggly Wiggly. I just find the casual behavior of men in underpants, surrounded by a primarily female staff, to be a bit surprising.

I've been around naked male patients and their "embarrassment" or "awkwardness" is palpable -- and that's an understandable human reaction. However, underpants seem to be another issue, all together. I find myself surprisingly slightly embarrassed by the "casualness" of their behavior, but i'll get used to it.

Again, at the end of the day, it's all a non-issue, but i must pose the question: Are my perceptions accurate or do male patients simply not care about modesty unless it involves nudity?

Sorry this post is so long.

Thanks,

Lisa

I think it may be a male thing ( sorry boys I love you) because my brothers spend 95% of the time in only their underwear.

Since men don't have bosom so to speak they grow up from little boys running around in their "shorts" so to speak and think nothing of it. There simply isn't the social, moral or often religious compunction to "cover themselves up" that modesty lands females with doing.

Think also men just are more used to being "undressed" and it starts with gym classes/locker rooms, group physical exams and other such situations where men/boys strip down as a collective group.

Showed your post to an old ex-military RN who gave a chuckle and said if one EKG patient bothered you try being the only nurse (female) in a hall full of men striped down to their BVD's giving immunizations. *LOL*

Good point. I think males are generally less likely to appear awkward or embarrassed because of societal influences and experiences.

nycnurse92-

I like the fact that you used the word "eschew" in your post. It's an underused word, in my opinion...

Specializes in Cardiology, Cardiothoracic Surgical.

Considering I just watched my neighbor this morning retrieve the paper in only his briefs and an open robe, and my husband and former roommates regularly wander around the house in their boxer briefs, this seems to be relatively normal male behavior from my limited sample size.

I have a brother too, and he also would come to breakfast in just boxers and a T-shirt. Meh.

Specializes in Anesthesia, ICU, PCU.
Good point. I think males are generally less likely to appear awkward or embarrassed because of societal influences and experiences.

While this is probably the case for most men (particularly the ones who grew up as athletes in school and bros at home, with all the accompanying male camaraderie and affinity for "guy stuff"), I have to be a voice for the underrepresented demographic of us who were tormented by our peers and "taught" that very same modesty and sexual embarrassment you claim females are ingrained with simply by societal standards. I hate to sound juvenile, but the particular "type" of guy is also very likely taught those behaviors by some women in his life also. Again, it sounds like you lucked out with this guy who was comfortable in his skin and that's awesome. And I agree that many men are probably like this. I just can't help but think the entire point of this thread was to make a generalization about men. My problem with generalizations is that they make prejudice too easy. That, to me, is wrong. Sorry, that's my disclaimer.

While this is probably the case for most men (particularly the ones who grew up as athletes in school and bros at home, with all the accompanying male camaraderie and affinity for "guy stuff"), I have to be a voice for the underrepresented demographic of us who were tormented by our peers and "taught" that very same modesty and sexual embarrassment you claim females are ingrained with simply by societal standards. I hate to sound juvenile, but the particular "type" of guy is also very likely taught those behaviors by some women in his life also. Again, it sounds like you lucked out with this guy who was comfortable in his skin and that's awesome. And I agree that many men are probably like this. I just can't help but think the entire point of this thread was to make a generalization about men. My problem with generalizations is that they make prejudice too easy. That, to me, is wrong. Sorry, that's my disclaimer.

Certainly a "generalization" should never made. That would be patently unfair on many levels. Having said that, life is rife with "traits" and "behaviors" that are seen every day by most of the planet's population - many of which are more common to a particular gender and/or cultural group. Reasons for it can and do vary, no doubt.

This thread has taken several off-ramps since the original post - some germane, others not. I guess the original question, from a somewhat sociological curiosity is this: Have other more experienced nurses noticed that male patients are nearly as comfortable and casual in undies as they are when fully attired?

In any event, with all the horrific things going on in the world, it's hardly worthy of extended debate, I suppose. I just find it interesting, perhaps even amusing -- again from a societal perspective.

Considering I just watched my neighbor this morning retrieve the paper in only his briefs and an open robe, and my husband and former roommates regularly wander around the house in their boxer briefs, this seems to be relatively normal male behavior from my limited sample size.

I have a brother too, and he also would come to breakfast in just boxers and a T-shirt. Meh.

You're correct about guys and boxers. They will lounge around the house with nary a thought of "modesty." However, if he's wearing tighty-whities, he'll bolt for the nearest empty room if the ladies arrive home. Some type of stigma about them Not quite sure what it is. LOL.

Since they are getting an EKG, I assume you meant "supine" position, not prone -- which means face down. Sorry, just something that was bothering me lol :D

Sent from my iPad using allnurses

Yes, "Supine." Mea Culpa! It would labor-intensive to perform an EKG with the pt on his stomach!

Specializes in Geriatrics, Dialysis.

For some unknown reason males just seem to be more comfortable about wearing underwear, only underwear, than women. No brothers but my dad always lounged around watching sports in his tighty-whities. I was mortified by this as a teenager! Beyond a male/female thing though, it may be a health care thing. Inexplicably people expect to be nearly naked for the doctor. I don't know why somebody would disrobe down to their undies for a sore throat visit but quite often they do.

nycnurse92-

I like the fact that you used the word "eschew" in your post. It's an underused word, in my opinion...

Thanks. LOL.

For some unknown reason males just seem to be more comfortable about wearing underwear, only underwear, than women. No brothers but my dad always lounged around watching sports in his tighty-whities. I was mortified by this as a teenager! Beyond a male/female thing though, it may be a health care thing. Inexplicably people expect to be nearly naked for the doctor. I don't know why somebody would disrobe down to their undies for a sore throat visit but quite often they do.

You're, of course, correct about the guys. And as stated earlier, they're very casual about it. LOL

Specializes in ICU.

My son and ex husband always in their underwear and nothing else. My son does judo and while all of the women go into a dressing room to change, none of the men do. They strip down to their underwear and put their gis on for everyone to see and no one bats an eyelash. From older men to the little boys. The boys at competitions get dressed in the stands while the girls run to the restroom. I also think it has to do with society and how women should behave.

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