I work in a SNF and there is a sexaul history section on our assessment forms. It consists of two questions: Is the resident circumcised and is the resident postmenopausal. That's it. Under the social history section they also toss in the question is the resident a registered sex offender. No mention of sexual history including past or active STD's and nowhere does it ask about sexaul orientation, gender preference or gender identity.
Not that it matters one bit but as an interesting aside to this topic, in all the years I've worked there we have never had an openly lesbian, gay or transgender resident. Given the number of resident that have come and gone in my years of employment statistically it's unlikely that none of our residents have identified as such, but this is a generation where any sexual preference other than the traditional male/female union was typically kept well hidden. We have had an elderly lady that openly professed her appreciation for various staff members boobs that led us to believe she was at least bisexual despite her past history of marriage to a man but given her advanced dementia who knows what the actual history was there.
Every time I go to the doctor I wait for them to ask "Are you sexually active?" so I can say, "No, I usually just lie there!!"
I ran a SNF in a community that was LGBTQ friendly before there were so many initials to choose from. Our one question: What do you want us to call you? Mr/Mrs Macguilicutty ,Bob, or Mary?
In one hospital around here, the nurses are not allowed to chart he or she. The only pronoun used is they. Sorry...I'm a she. Please use that pronoun. I guess it helps since there are so many foreign doctors and their misuse of pronouns has nothing to do with gender identity.
And, no, we don't do routine testing for STDs. If the resident has symptoms we will but not routinely.
Not allowed to chart he or she?? I am with you, I prefer to be called a "she", I am not a they. It would be offensive to me to be called a they. If the reason is because of Foreign Doctors, then the Doctors should learn proper English, is it really that hard for a MD to know he vs she. If the reason is to be PC then I think it is more offensive to the majority of people who would prefer to be referred to as he/she than those few in the transgender population (by comparison).
Its funny how different nursing in America can be depending on what area of the country you're in. I'm a nurse in California at a SNF. Well we don't ask their preferred pronouns upon admission or level of sexual activity, we do ask for a preferred name. Also, I've had quite a few LGBT geriatric patients, many of whom have spouses they have been happily married to for years and have children, grandchildren etc. Being gay in this part of the country is pretty much a non-issue. As for pronouns, its weird that a hospital wouldn't let you chart the words "he" or "she", however, having said that, there are many people who actually prefer the pronoun "they" and I guess for them, it would be equally offensive to refer to them as otherwise.
Hi; My name is Sybil, I'm heterosexual. The pronouns I use to identify myself are her, she and throw in Ms. I am a Native American and don't blame white people for the genocide of my ancestors, I use the women's bathroom, I masturbate 4 times a week...liberal introduction.
Hi; my name is Sybil...people who aren't interested in turning America into a socialist, political correctness, identity politics country.
Liberals think their freedom is free. They did a survey and asked people where chocolate milk comes from. It's just scary....
Specializes in OR, Nursing Professional Development.
I would say whatever facility asked those questions is on the more inclusive side than the hospital then. Senior citizens have sex- even in nursing homes. Senior citizens, while if the generations where homosexuality and transgendered individuals weren't spoken of freely, may identify as such. I see it as a good thing.
Specializes in Hospital medicine; NP precepting; staff education.
1.Have you been sexually active in the last 6 months? She answered yes ---( you go girl!)
2.What gender do you consider yourself to be? Human
3. What pronoun do you want us to use? Your Majesty
I actually had a great rapport with a patient and she wanted to know what to call me. Now, usually I am uber professional and say my name, but I just had a spark of inspiration and said, "Your majesty."
Well, she became a frequent flyer and confused a few people at first when she requested that she be tended to by "Your Majesty."
adventure_rn, MSN, NP
1,598 Posts
Honestly, if a patient said that to me, I don't know what I'd do.