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Discussion Starter · #1 ·
maybe i should cross post this somewhere?<br><br>
anyway i have a question. i'm taking a CNA course (Certified Nurse Assistant). we will be covering personal care tomorrow. in our coursebook, it shows, in caring for the intact male (i love how they say "non circumcised" <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">), that the CNA is supposed to retract the foreskin and clean under.<br><br>
i know that is not a thing to do for infants and little boys, but what about men? i have no idea. is the book wrong? should i do this? i will be working on a mannikin tomorrow, but eventually with real live men. possibly very old ones.<br><br>
what is the answer? are there any intact men on this board that can answer for their own penis? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy"> are there any medical people on this board (especially from NC) that can answer this?<br><br>
thanks for any insight. and also any links or leads or....whatever.<br><br>
thanks!<br>
pamela
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>mercyn</strong> <a href="/community/forum/post/10760481"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">maybe i should cross post this somewhere?<br><br>
anyway i have a question. i'm taking a CNA course (Certified Nurse Assistant). we will be covering personal care tomorrow. in our coursebook, it shows, in caring for the intact male (i love how they say "non circumcised" <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">), that the CNA is supposed to retract the foreskin and clean under.<br><br>
i know that is not a thing to do for infants and little boys, but what about men? i have no idea. is the book wrong? should i do this? i will be working on a mannikin tomorrow, but eventually with real live men. possibly very old ones.<br><br>
what is the answer? are there any intact men on this board that can answer for their own penis? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy"> are there any medical people on this board (especially from NC) that can answer this?<br><br>
thanks for any insight. and also any links or leads or....whatever.<br><br>
thanks!<br>
pamela</div>
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Try this pamphlet: <a href="http://www.nocirc.org/publish/8pam.pdf" target="_blank">http://www.nocirc.org/publish/8pam.pdf</a>
 

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Well, I'm not an intact male, but I am the wife of one <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I know my husband retracts his foreskin and wipes when he urinates and also retracts and cleans with mild soap in the shower, so I imagine while caring for an elderly man who was unable to take care of his own hygene needs it'd be apreciated if you did it for him.<br><br>
Hope that helps..
 

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remember that soap is very irritating to many people.
 

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Just pull the foreskin back and gently wipe around with a warm washcloth. Historically we didn't use soap, just warm water, but sometimes in hospitals or nursing homes the washcloths come "pre-soaped", like a baby wipe. Don't put any soap up or at the opening of the urethra. Also, if the patient is able to do so, ask him if he would like to wash his own genitals. Many elderly men feel more comfortable doing that part and having you get unreachables like the back and feet. The best thing I can recommend about adult intact care is to always, ALWAYS, replace the foreskin! My sister is a CNA and was not taught that in school! Leaving the foreskin rolled up can lead to all sorts of problems associated with swelling. Please make sure to mention it to your instructor and classmates if it is left out of the lecture - don't retract babies and always replace the foreskin in adults.<br>
Good luck!
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>mercyn</strong> <a href="/community/forum/post/10760481"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">maybe i should cross post this somewhere?<br><br>
anyway i have a question. i'm taking a CNA course (Certified Nurse Assistant). we will be covering personal care tomorrow. in our coursebook, it shows, in caring for the intact male (i love how they say "non circumcised" <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/eyesroll.gif" style="border:0px solid;" title="roll">), that the CNA is supposed to retract the foreskin and clean under.<br><br>
i know that is not a thing to do for infants and little boys, but what about men? i have no idea. is the book wrong? should i do this? i will be working on a mannikin tomorrow, but eventually with real live men. possibly very old ones.<br><br>
what is the answer? are there any intact men on this board that can answer for their own penis? <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/innocent.gif" style="border:0px solid;" title="shy"> are there any medical people on this board (especially from NC) that can answer this?<br><br>
thanks for any insight. and also any links or leads or....whatever.<br><br>
thanks!<br>
pamela</div>
</td>
</tr></table></div>
There are a lot of "ifs" to your question. I'll try to hit most of them.<br><br>
Some men are sensitive to soap and it can burn the preputial space. In the situation of a care giver, as a general rule, it should not be used. Also, many prepared wipes contain alcohol which can cause severe burning sensations to mucosal skin. Imagine someone wiping your vulva with alcohol and you'll have an idea.<br><br>
In short term care, (a week or less) there is no absolute need for cleaning the preputial space. That area is colonized by beneficial bacteria that keeps pathogens at bay. If fact, intact men can go years with no cleaning in the preputial space with no ill effects. The main reason for cleaning is removal of smegma which is a cosmetic issue. Since hospitalized men are not likely to be having sexual encounters during their stay, cosmetics are not an issue.<br><br>
If you feel a need to clean inside the preputial space of a patient, use only water or a cleaning agent that you know to be safe. If you do use a cleaning agent, be sure to completely rinse it away to prevent burning and always replace the foreskin back over the glans. It's that simple!<br><br><br><br>
Frank
 

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Discussion Starter · #7 ·
thanks, everybody. i appreciate the answers. i think i have got the answer i need!<br>
we didn't even cover foreskin issues today. just general peri-care. well, *i* didn't do peri-care-- didn't end up having time.<br><br>
i was more interested in what the medical community says (and you wise "alternative" types <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">) so i know what to expect where.<br><br>
plus i have an intact boy and i don't mess with his penis (especially since he's now 7 and can mess with his own, lol) but just wondered what to expect when he's older!<br><br>
thanks, wise people!<br>
pamela
 
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