TJ – i know they can ask (in most cases) but the assumption is still there in many care settings, examples from my personal experience:
long term care for elderly mental health clients the kind who celebrate 50 years of being an inpatient – ex big institutions) – male patients being told to shut up and stop moaning whilst being bathed by female care assistants.
learning disabilities home in the community – not able to ask… dont get the option… again assumed that they’d be fine with a women, despite a couple of them showing clear behaviour that would suggest being uncomfortable around females but not men when it cam to personal care.
🙁 sad, but still happens!