Medical Professionals for Genital Autonomy
1) Have the patient enter a warm water-only bath or shower in your facility.
2) Gently run warm water over the outside of his penis and scrotum. Using the hand cloths typically used for baths in your care facility, without soap, run your hand cloth along the groin, scrotum, and exterior of the penis to ensure it is fully washed with warm water only.
3) Gently retract the penis while it is either submerged in warm water, or while warm (not hot!) water is running over it. This keeps the tissues relaxed and does not cause a sudden change in temperature for an elderly gentleman who is sensitive to such things. While the foreskin is retracted, run warm water (no soap) over the interior parts of the penis for about 5-10 seconds, or gently 'swish' in warm water if this man is submerged in a bath, for the same 5-10 seconds.
4) Gently move the foreskin back down over the end of the penis, keeping it in warm, clean water (or under warm running water if in a shower and not a bath). Keeping the penis in warm water allows the tissues to remain relaxed and easily moved.
5) After this is complete, move on to using soap for the buttocks and scrotum, and other parts of the body where soap is justified. Soap does not need to come into direct contact with the intact penis, and the foreskin does best when it does not have soap applied to it. Soap interferes with pH and microflora of the penis and foreskin, and increases the likelihood of future issues, especially when it is placed inside the penis (i.e. when the foreskin is retracted). Ensure all soap used on other parts of the body is rinsed clean with warm running water at the end of the bath -- be diligent that a man is not left unrinsed, or sitting in soap suds.
That's it! Task complete.
If this warm, water-only rinse for 10 seconds is done once or twice each week, the foreskin will maintain its normal form and function, and all will be well. If you notice irritation or inflammation occur on the genitals, or other parts of the body, Calmoseptine is the best choice of ointment to quickly soothe and alleviate such things. Apply through gentle dabbing on any red, irritated, or inflamed areas of the genitals. If the sore area is on the penis itself, apply Calmoseptine to the outside only of the penis -- do not apply under the foreskin. It will work its own way inside.
In addition, it is very likely that my son will never even reside in a nursing home. According to the U.S. Department of Health and Human Services, just over 5% of the population in the United States age 65+ occupy nursing homes, congregate care, assisted living, and board-and-care homes; and about 4.2% of those age 65+ are in nursing homes at any given time. [Source: 65+ in the United States Census Report] This is not very many!
If, by some chance, my son is in the 4-5% of men who reside in a nursing home, it will likely be 65-95 years from now. Consider for a moment just how much the world has changed in the last ~75 years. Life is significantly different in 2010 than it was in 1935. Surely, we will continue to progress in our quality of care going forward, especially with the countless numbers of medical professionals for genital autonomy who are speaking up and taking steps to educate fellow colleagues, and medical and nursing school students who come after them. We will see new care facilities, new training, new technology, new standards, and protocols and ways of doing things.
Trust that your son's body knows how to function perfectly for a lifetime, and that elderly life in the U.S. will continue to improve (not decline) in the next 65-100 years. Trust that just as intact men enjoy their full genitals in 70+% of the world today, so will your son enjoy his for a lifetime.
Intact Care Resource Page
Adult Care of the Intact Penis
How to put a condom on an intact man
Registered Nurses on Circumcision (Resources)
Medical Professionals for Genital Autonomy page
Intact: Healthy, Happy, Whole Community group
Saving Our Sons Community group
Peaceful Intact Education group