CHAPTER 11 Flashcards
In a youth oriented country, elders are not seen as
sexual beings
healthcare professionals often consider elder sexuality
insignificant
sexual _____ are not taken and may assume sexual _____ is a side of old age
histories
dysfunction
sexual _____ is more than intercourse
expression
sexual expression includes
fantasy
masturbation
genital/oral/anal expression
hugs
flirting
enjoying erotic stories & pictures
gradual decline in ______ but _____ remains the same
frequency
quality
masturbation is beneficial both
physiologically and psychologically
factors affecting elder sexuality
availability of a partner (many are widowed or ill)
health problems & medications
relationship communication issues
psychological issues: boredom, fatigue, fear
for men, sexual desire is
slower
for women, vaginal lubrication
declines
four phases of sexual response
excitement
plateau (sexual tension, extreme level)
orgasm
resolution
for elder men- plateau was longer so they hold _______ ______.
erections longer
for elder women, resolution and orgasm are
shorter
“use it or lose it” theory
applies
many elders grew up believing homosexuality was a
mental illness
homosexuals may experience
discrimination in health care
RESPECT
practices & polices
educate admin & staff
unlearn homophobia & heterosexism
promote diversity
explore & evaluate areas for con. learning
change beliefs & attitudes
transition to diversity friendly facility
define “________” in a way to allow partners to make decisions for frail elders; partners must seek legal rights
family
many elders in institutions do not desire
sexual expression
(elders in institutions) there are many barriers such as _________ & ________.
lack of privacy
lack of available partners
protect ________ elders
vulnerable
______ ______ may affect both the ill person & the well person in regards to sexuality
chronic illness
changing ________ can increase opportunity for sexual expression
medication
________ is the key to sexuality in any relationship
communication
effects of chronic illness on sexuality
heart disease
hypertension
stroke
cancer
diabetes
arthritis
many believe sex will cause a
heart attack
hypertension can increase the ______ of _____
incidence of impotence
can also cause impotence:
medications (diuretics)
debilitating strokes can lead to reduced
sexual function & satisfaction
diabetes is the most common cause of
impotence
if impotence occurs even with diabetes under control, recovery is
unlikely
education should include _________ that may reduce pain
alternate sexual positions
a warm bath may increase
flexibility
many medications reduce
sexual desire
many medications increase the difficulty in
achieving an orgasm
alcohol has a _____ effect on sexual ______ in men and women
negative
potency
the use of alcohol over long term causes a reduced _______ to the organ
blood supply
cigarette smoking reduces blood flow to _______ including the ______
organs
penis
smoking reduces blood flow because of __________ in the vessels
atherosclerosis
_______ surgery may affect erectile function
prostate
a ________ may affect women’s perceptions of sexual attractiveness
mastectomy
society’s _______ that elders are sexless
attitudes
sexual dysfunction
physiological impairment in sexual response that prevents sexual arousal or orgasm
what is sexual dysfunction associated with?
poor physical and emotional health, unsatisfactory relationships & unhappiness
sexual dysfunction affects more _____ than _____
women
men
erectile dysfunction is more likely caused by
diabetes
high blood pressure
fear of dysfunction can _______ impact a sexual relationship
negatively
sexual dysfunction can be a symptom of
disease
medication side effect
treatment of sexual dysfunction
medications and hormones
injections
viagra
hormone therapy
mechanical aids for sexual dysfunction treatment
penile prostheses
(rigid plastic rods, inflatable implant, external vacuum device)
sex therapy
elders are ______ knowledgeable about sex than any other age group
less
professionals can set the tone by being ______ & _____________
open
comfortable
