People who publicly masturbate. What is up with men who masturbate in public? Consider this, my wife and I are driving in my truck on a three lane interstate. We are in the far left lane and pass a vehicle in the middle one. My wife blurts out; hey that guy is jerking off and smiling! I exclaimed, what! Sure enough, I glance over to see his hand going up and down flogging himself.
I am thinking of myself why people do this sort of lude thing? In review of the explanations available online, there are a number of reasons why someone chooses to expose oneself or do a lude sex act publicly. Some reasons are they are angry at women and shocking and or humiliating gives a sense of power. The man gets aroused to maliciously create fear for the woman. The man hates himself and is addicted to his own shame. A man may expose himself to reassure his manhood is intact. I know it is common because we saw in the vehicle and a similar event happened to a girlfriend in college. Masturbating in public is exhibitionism, which is a mental disorder. It is illegal to publicly commit a sexual act and or expose one’s genitals. It is also an assault and sexual harassment, if a consent was not given.
Women being masturbated in public, isn’t as rare as you might think
People who publicly masturbate. According to the author of this article, he tweeted one woman’s experience of being masturbated at this morning, the response was overwhelming. A deluge of replies flooded in from women who had experienced the same thing. From grandmothers to girls who were six when it first happened, their reports came from London, Sydney, Frankfurt, Paris, Berlin, Barcelona, Brussels, Las Vegas, New York, San Francisco, Canada, Mexico, Ireland, Ukraine, Peru, and even Vatican City. Within two hours, over 400 women and girls had come forward with their own experiences of being masturbated at.
To read more about the article: https://www.theguardian.com/lifeandstyle/womens-blog/2014/jun/26/women-being-masturbated-at-in-public
People who publicly masturbate. For me, the whole public exhibitionism adversely affects my moral compass. Moreover with regards my wife’s experience, it just pisses me off that someone has no regard. But getting past the moral issue and the angry, I wonder if that kind of exhibitionism behavior could lead to an uncontrollable desire to commit sexual assault and or violence against women? The reason I ask this question, is because psychologist have said that pornography affects people differently. That there are some people who have a uncontrolled urge to seek even more provocative intense kinds of porn. Could that same rationale apply to some men who are public exhibitionist?
Read about Sexual Assault Victims: Role of the Nurse: https://htrsd.org/product/sexual-assault-victims-role-of-the-nurse/
Social disparities in healthcare. The concept of social disparities in healthcare can sometimes be difficult to apply to a specific healthcare service or sector. The healthypeople.gov site, created by the U.S. Office of Disease Prevention and Health Promotion, provides a succinct definition of social disparities, particularly as it applies to health care delivery, and also serves as a great introduction to this valuable information resource. Although it is an easy read, this particular article also delivers a great foundation for understanding how to integrate a focus on social disparities in healthcare into your interactions with healthcare delivery.
Although the term disparities is often interpreted to mean racial or ethnic disparities, many dimensions of disparity exist in the United States, particularly in health. If a health outcome is seen to a greater or lesser extent between populations, there is disparity. Race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location all contribute to an individual’s ability to achieve good health. It is important to recognize the impact that social determinants have on health outcomes of specific populations. Healthy People strives to improve the health of all groups.
To better understand the context of disparities, it is important to understand more about the U.S. population. In 2008, the U.S. population was estimated at 304 million people.1
- In 2008, approximately 33%, or more than 100 million people, identified themselves as belonging to a racial or ethnic minority population.1
- In 2008, 51%, or 154 million people, were women.1
- In 2008, approximately 12%, or 36 million people not living in nursing homes or other residential care facilities, had a disability.2
- In 2008, an estimated 70.5 million people lived in rural areas (23% of the population), while roughly 233.5 million people lived in urban areas (77%).3
- In 2002, an estimated 4% of the U.S. population ages 18 to 44 identified themselves as lesbian, gay, bisexual, or transgender.4
Read more at healthypeople.gov
Link to our course on Racism in Nursing: An Under-Addressed Problem
Nurses Assaulted More then The Police. Nurses on the job are facing down real physical danger as well as emotional, psychological and verbal abuse while delivering patient care. Who wants to come to work to deliver patient care only to fear for their safety? That kind of kind abuse is workplace violence and is a major contributor to burnout. I am not talking about the patient with dementia and psychiatric disorder who is abusive. I am talking about those who is awake, alert, orienting to person, place and time. Nurses are assaulted with greater frequency then Police Officers and Prison Guards. We need to get way past this old thinking that Nurses have to tolerate abuse. Nurse Abuse can come from patients, the families, coworkers and physicians.
WORKPLACE VIOLENCE IS UNACCEPTABLE
I remember working at an urban hospital emergency department in the early 90’s and getting spit on, threatened cursed at by patients who were AAOx3. I wasn’t cool with it than either. But at the time, the Nurse Manager said it comes with the job and you need to suck it up. No nurse or other healthcare employee should have to put up with any sort of emotional, psychological, physical or verbal abuse at work.
U.S. STATES PROHIBITING NURSE ASSAULT WITH PENALTIES
Nurses Assaulted More then The Police. Only those state with laws designating penalties for assaults that include “nurses” are reflected below:
Establish or increase penalties for assault of “nurses”: AL, AK, AR, AZ, CA, CO, CT, DE, FL, GA, HI, ID, IL, IA, KS, KY, LA, MS, MO, NE, NV, NM, NY, NV, NC, OH, OK, OR, RI, SD, TN, TX, UT, VT, VA, and WV. https://www.nursingworld.org/practice-policy/advocacy/state/workplace-violence2/
WE ARE NOT GOING TO TAKE IT ANYMORE
The fact of the matter is that nurses and other health care professionals are no longer going to be turning the other cheek. The tide is turning, and if healthcare employers don’t take ownership in protecting their employees better. Its incumbent for employers to provide security officers, policies, procedures and training. For employers who do not comply, they are increasingly like to find themselves dragged right into a lawsuit for failure to protect their workers.
Violence Against Nurses: The New Epidemic
Violence Against Nurses CE Course: https://htrsd.org/product/violence-against-nurses-the-new-epidemic/
Violence in the Emergency Department
Violence in the Emergency Department CE Course: https://htrsd.org/product/violence-in-the-emergency-department/
The difference between health disparities and health inequities. The difference between health disparities and health inequities is an important one, especially for those involved in the delivery of health care to patient populations of different ethnic or social strata. The US National Library of Medicine of the National Institutes of Health offers a succinct exploration of the difference, and why it is vital to understand both the ways in which they are similar and differ:
“Health disparities” and “health equity” have become increasingly familiar terms in public health, but rarely are they defined explicitly. Ambiguity in the definitions of these terms could lead to misdirection of resources. This article discusses the need for greater clarity about the concepts of health disparities and health equity, proposes definitions, and explains the rationale based on principles from the fields of ethics and human rights.
If you look up the word “disparity” in a dictionary, you will most likely find it defined simply as difference, variation, or, perhaps, inequality, without further specification. But when the term “health disparity” was coined in the United States around 1990, it was not meant to refer to all possible health differences among all possible groups of people. Rather, it was intended to denote a specific kind of difference, namely, worse health among socially disadvantaged people and, in particular, members of disadvantaged racial/ethnic groups and economically disadvantaged people within any racial/ethnic group. However, this specificity has generally not been made explicit. Until the release of Healthy People 2020 in 2010, federal agencies had officially defined health disparities in very general terms, as differences in health among different population groups, without further specification.1,2 This article argues for the need to be explicit about the meaning of health disparities and the related term “health equity,” and proposes definitions based on concepts from the fields of ethics and human rights.
Not all health differences are health disparities. Examples of health differences that are not health disparities include worse health among the elderly compared with young adults, a higher rate of arm injuries among professional tennis players than in the general population, or, hypothetically, a higher rate of a particular disease among millionaires than non-millionaires. While these differences are unlikely to occupy prominent places in a public health agenda, there are many health differences that are important for a society to address but are not health disparities.
Read more at ncbi.nlm.nih.gov
Link to our course on Healthcare Disparities Among Prenatal Patients, one area where understanding the difference between health disparities and health inequities can be helpful in providing a high quality of health care.
Social justice in health disparities. The academic view of Social justice in health disparities is a topic of growing prominence. The President and CEO Darrell Kirch, MD for the Association of American Medical Colleges (AAMC), offers some interesting insights on the values that guide academic medicine.
Change is a constant in life, both personally and professionally. Sometimes, though, changes feel so disruptive that we may fundamentally question who we are and where we are heading. Today, as we face great uncertainty created by tumultuous change in health care and society at large, a set of core beliefs can help us remain true to our values and missions even as we are buffeted by conflicting forces. In academic medicine, we have a set of enduring truths that have been a guiding force since the establishment of the AAMC nearly 150 years ago. Arguably, some beliefs have existed from the time of Hippocrates.
For my last column as AAMC president and CEO, I want to highlight some of the universal professional touchstones I gleaned from having had the remarkable privilege of visiting students and faculty at every AAMC-member school. Regardless of the size of your institution, your area of specialization, or your location, these enduring truths can buoy us, providing guidance during troubling or disruptive times. They remind us of what drew us to academic medicine in the first place.
Read more at news.aamc.org
Link to our course on Racism in Nursing: An Under-Addressed Problem
Reducing health disparities in black-white infant mortality is a difficult, but achievable goal. Macomb County, MI has made doing just that a priority in addressing social disparities in health care delivery in the county, as reported by macombdaily.com:
Macomb County possesses a wealth of assets but its black infant mortality rate has been relative to that of a poor community in Romania.
“The persistent racial disparity in which women of color experience two times the risk of an infant death compared to white mothers is unacceptable,” said Macomb County Health Department Director Bill Ridella.
Part of Ridella’s responsibility as community health director is to track data related to infant mortality rates (IMR), as it is a key indicator of population health.
Historically, Michigan has seen a drop in overall rates.
“In 1970, the infant death rate was 20.3 deaths per 1,000 live births; and this rate declined to 10.7 in 1990 and then again to 7.1 deaths per 1,000 live births in 2010,” according to a recent study by the Michigan Department of Health and Human Services (MDHHS). “Since 1970, these declines were primarily due to advances in neonatal medicine, artificial lung surfactants, folic acid supplementation, and numerous public health interventions.”
Ridella said health care improvements have done a lot and if the decline remains constant, the overall infant mortality rate could drop to 6.3 by 2020 and as low as 5.0 by 2030.
In contrast to this has been the persistent and widening gap of infant mortality rates between women of color and whites.
Read more at macombdaily.com
Link to our course on Healthcare Disparities Among Prenatal Patients
Optimum Care For Psychiatric Patients. I worked at a hospital as the Charge Nurse on a psychiatric Crisis Unit, which was attached to the Emergency Department. The purpose of the Crisis unit was the treat patients who were experiencing either acute or chronic psychiatric issues. However, a large number of addicts would arrive at the facility with suicidal ideation or asking for help to get off drugs. I have never witnessed a poorer level of care than that exhibited by the Psychiatrist and other Nurses towards the Addicts.
The psychiatrist would not admit drug addicts, typically stating the reason “I am not going to take up a Psychiatric Bed for an Addict.” Instead the drug addicted patient would be held on the crisis unit until the psychiatrist was certain that they were a safe discharge the next day. Many of the Nurses would state how they hate drug addicts. The Emergency Department Physicians would intentionally not do comprehensive workups on the Drug Addicts.
Optimum Care For Psychiatric Patients. I started my own Excel Spreadsheet cataloging all the variances in care. The Emergency Physicians were supposed to medically clear the Emergency Patients that were going to sent over to the crisis unit. I was working there to get some experience in psychiatric nursing. I had a very strong emergency/trauma background prior to working there. I would assess these crisis patients admitted to my unit only to find that Emergency Department had missed fractured wrists, arms, cardiac issues, upper & lower gastrointestinal bleeds, actually overdosing on my unit, and one guy who had ingested floor stripper and was coughing up blood, but the ER doctor did not believe him.
I finally went to Emergency Nurse Manager and she blew it off. So then I saw the Director of Nursing and she blew it off. Then I went to Chief Emergency Physician and he blew it off.
It was then that I realized that nobody cared! I didn’t sign up to be a Professional Nurse to stand idly while healthcare professionals treated the psychiatric patients like crap. What Did I Do? I reported the whole thing to Joint Commissions and sent them the data I collected. I told the Director of Nursing that I reported them to Joint Commissions. Than I resigned.
Optimum Care For Psychiatric Patients. In about one week the Chief Emergency Physician calls me up on home phone to ask me Why did I report the facility to Joint Commissions? I said because you, the Emergency Department Physicians , Psychiatrists and some of the Professional Nurses are failing to deliver an acceptable standard of care to patients. I said that I had made you aware about it and you did not act so it is what it is! Than I said, in medical school you must have missed the class on medical ethics. Your not a judge or jury deciding who gets a standard acceptable care and who doesn’t.
Optimum Care For Psychiatric Patients. Then, about a day or two later I get another telephone call from the Vice President stating because I left employment without the customary two weeks notice, they could not pay me my accrued vacation. I said SO WHAT! Than the VP says well we can pay you your vacation and the bonus you earned if you sign a document to agree to help them should legal matters arise. I SAID NO THANK YOU, I WON’T ACCEPT THAT MONEY. MY ETHICAL VALUES ARE NOT FOR SALE.
The bottom line is that Healthcare Professionals should control their biases and treat everyone including the Psychiatric patient population with the same good standard of care. A lot the Drug Addicted population were reporting Suicidal Ideation and the Psychiatrist, Crisis Staff and Nurses were vehemently opposed to take a psychiatric bed for an Addicted Patients. Instead the addicted patient was given a bus pass and the address of the Division of Substance Abuse to ask them for help.
CE: Suicide in the Hospitalized Patient: Improving Identification, Safety Care and Prevention: