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Student nurse quotes nursing textbook, advocating retraction at 3 months...

1237 Views 12 Replies 10 Participants Last post by  NowOrNever
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Recently, there was a discussion elsewhere where a nursing student quoted her textbook and was determined to stand by it as truth:

"In infants and children...if uncircumcised the foreskin is normally tight during the first 3 months and should not be retracted because of the risk of tearing the membrane attaching the foreskin to the shaft...in infants older than 3 months of age, retract the foreskin gently to check the glans and meatus. It should return to its original position easily."

-Physical Examination & Health Assessment, 4th Edition
by Carolyn Jarvis (Hardcover - June 2003), p.736

http://www.amazon.com/exec/obidos/se.../ref=br_ss_hs/
104-6208963-0891125?platform=gurupa&url=index%3Dstripbooks%3Ar elevance-
above&field-keywords=Physical+Examination+and+Health+Assessmen t+by+Carolyn
+Jarvis%2C+4th+edition.&Go.x=10&Go.y=8&Go=Go

Many people shared great links and resources with her, but she never admitted she might be wrong. It is so disturbing/upsetting/scary that nurses are being taught this still! No wonder we have so many horror stories about premature/forced retractions. Ug.



Jen
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I saw that too so scary. I know some docs/nurses go by Merck Manuals so inaccurate
I saw that thread, too, and it really pissed me off. I didn't post to it out of fear of being permanently banned from the site when I went off on the moron.
At least it gives accurate advice for the first 3 months!!


Now, if they'd just change the word "months" to "decades" it would be fine!
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Wanna know something? I work for the company that publishes that book
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Quote:

Originally Posted by mzfern
Wanna know something? I work for the company that publishes that book

Fabulous. I'd like to confirm that that's what the book actually says, and then approach the publishers with a letter + concerns + research. Can you help me out with some contact info? PM me. :)

THanks,

Jen
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I hate to hear of such misinformation being spread.. but if it makes anyone feel any better, here is at least ONE student nurse who is completely anti-circ. And I plan to spread the word among my fellow students as much as possible!
I was one of the people to reply to her misinformation. Maybe, just maybe, some of our info got through to her. She said she was going to look into it more this weekend. Here's hoping she finds the correct info.
Ummmm....doesn't the AAP statement carry any weight with her?
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Quote:

Originally Posted by Quirky
Ummmm....doesn't the AAP statement carry any weight with her?

It wasn't specific enough for her as it doesn't mention ages.
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One of my midwife friends wrote to a text book co. some years ago to complain that they referred to a baby with a certain birth defect as a "monster" and that it was completely inappropriate to use such a term.
They wrote back and thanked her and promised they would change that in the next edition. And, they did. These cos often reprint the same old stuff until someone objects. We need to write and let them know.
Baybee
Quote:

Originally Posted by baybee
These cos often reprint the same old stuff until someone objects. We need to write and let them know.
Baybee
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