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maturing family > ch 33 - intimacy and sexuality > Flashcards

ch 33 - intimacy and sexuality Flashcards

1
Q

zone of touch: least sensitive or embarrassing

-includes hands, arms, shoulders, back

A

social zone

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2
Q

zone of touch: must ask permission to initiate procedures

-includes mouth, wrists, feet

A

consent zone

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3
Q

zone of touch: highly sexually charged

-includes face, neck, front of body

A

vulnerable zone

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4
Q

zone of touch: most highly protected

-includes genitalia

A

intimate zone

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5
Q

5 major relational areas of intimacy

A
  • commitment
  • affective intimacy
  • cognitive intimacy
  • physical intimacy
  • interdependence
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6
Q

The sum of cultural factors that influence thoughts and actions related to interpersonal relationships, as well
as sexuality related to ideas and learned behavior

A

sexuality social sphere

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7
Q

Reflects attitudes, feelings toward self and others, and learning from experiences

A

psychological domain of sexuality

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8
Q

Reflected in physiological responses to
sexual stimulation, reproduction,
puberty, and growth and development

A

biological sexuality

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9
Q

most prevalent sexual problem in older men

A

erectile dysfunction

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10
Q

Inability to achieve or sustain an erection sufficient
for satisfactory sexual intercourse in at least 50%
of attempts

A

erectile dysfunction

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11
Q

meds for ED (3)

A
  • sildenafil (viagra)
  • vardenafil (levitra)
  • tadalafil (cialis)
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12
Q

contraindications for ED meds (4)

A
  • nitrate therapy
  • HF with low bp
  • certain HTN regimens
  • CV conditions
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13
Q

2 changes with older women that can affect sexual activity

A
  • postmenopausal changes (lower estrogen)

- UI

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14
Q

problems/effects caused by arthritis on sexual function

A
  • pain, fatigue, limited ROM

- steroid therapy may decrease desire

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15
Q

interventions for improving sexual activity in pts with chronic arthritis

A
  • schedule for time of day when less fatigued
  • suggest pain meds
  • relaxation techniques before activity
  • maintain optimal health (exercise and diet)
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16
Q

problems/effects caused by CV disease

A
  • most men = no changes
  • women don’t have changes after MI
  • fear of another MI/death
  • sob
17
Q

interventions for improving sexual activity in pts with CV disease

A

-counseling for realistic restrictions
POST MI:
-avoid large meals several hours before activity
-allow for unrestricted breathing
-stop and rest if having chest pain
POST CABG/PACEMAKER:
-avoid strain/direct pressure on device
-don’t engage in sexual activity if having poorly controlled arrhythmias
-instruct pacemaker could fire during activity

18
Q

problems/effects caused by CVA

A
  • depression
  • erectile disorders
  • fatigue
  • mobility and sensory deficits
  • perceptual and visual deficits
  • communication deficits
  • fear of relapse or sudden death
19
Q

interventions for improving sexual activity in pts with CVA

A
  • counseling

- alternate forms sexual expression

20
Q

problems/effects caused by COPD

A
  • coughing
  • exertional dyspnea
  • activity tolerance
  • meds can cause ED
21
Q

interventions for improving sexual activity in pts with COPD

A
  • plan activity when energy is highest
  • avoid pressure on chest
  • plan activity for time when meds are most effective
  • use of oxygen before/during/after
  • teach partner to observe for difficulty breathing
22
Q

problems/effects caused by diabetes

A
  • neuropathy can cause ED
  • women have decreased desire
  • decrease/absence orgasms
  • less sexual activity
  • local genital infections
23
Q

interventions for improving sexual activity in pts with diabetes

A
  • possible recommendations for penile prosthesis
  • alternative forms sexual expression
  • recommend immediate attention genital infections
24
Q

common S+S HIV/AIDS in older adults (4)

A
  • fatigue
  • weakness
  • weight loss
  • anorexia
25
Q

PLISSITT (guide for discussion of sexuality)

A

P: permission from client to initiate discussion
LI: provide limiting info needed to function sexually
SS: specific suggestions for pt to proceed with activity
IT: provide intensive therapy surrounding issues of sexuality

26
Q

problems/effects caused by breast cancer

A
  • loss of sexual desire

- body image change

27
Q

problems/effects caused by prostate cancer

A
  • incontinence after surgery

- ED

28
Q

problems/effects caused by most cancers

A
  • loss of sexual desire
  • ED, retrograde ejaculation
  • vaginal dryness
  • anxiety/depression
  • pain
  • nausea from Tx
29
Q

interventions for improving sexual activity of pt with prostate cancer

A
  • use of phosphodiasterase inhibitors
  • kegels
  • routine toileting
30
Q

RF AIDS/HIV (3)

A
  • sexually active and not using condoms
  • don’t know partner’s drug and sexual history
  • blood transfusion between 1978-1985
31
Q

who should get STD testing (older adult)

A
  • women with new/multiple sex partners
  • men who have sex with men screened yearly
  • sexually active men who have sex with men should have HIV testing q3-6 months
  • anyone who has unsafe sex tested yearly for HIV
  • anyone who shares injection drug equipment tested yearly for HIV
32
Q

meds that may affect sexual health

A
  • antiHTN
  • meds for prostate diseases
  • cholesterol meds
  • antidepressants
  • meds that can affect mood
  • anticholinergics
  • pain meds (narcotics)
  • osteoporosis meds
  • oral hypoglycemics
  • insulin
  • chemo

maturing family (36 decks)

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