Chapter 21 Flashcards
comfort of touching depends on…
- location of touch
- situation
- social status
- culture
- age
this sense is 10x stronger than verbal or emotional contact
touch
task oriented instrumental touch
procedural touch
comfort, reassurance
nonprocedural touch
zone involving genitalia
intimate zone
zone involving face, neck, front of body
vulnerable zone
zone involving mouth, wrists, feet
consent zone
zone involving hands, arms, shoulders, back
social zone
becomes more powerful in old age as other sensual experiences are diminished and direct sexual experience is not possible or available
tactile hunger
people can survive extreme sensory deprivation as long as…
sensory experiences of skin are maintained
- powerful healer and tool that nurses can use to satisfy “touch hunger” of older people
- can serve as means of providing sensory stimulation, reducing anxiety, relieving physical and psychological pain, comforting the dying, as well as sexual expression
therapeutic touch
parts of intimacy
- commitment
- affective intimacy
- cognitive intimacy
- physical intimacy
- love and affection
sexuality includes
- sexual desire
- activity
- attitudes
- body image
- gender role activity
with age, men become…
- comfortable with tenderness
- more dependent on marriage
- more willing to accommodate to preserve peace
with age, women become..
- more assertive
2. more self confident
factors that influence sexual behavior of older adults
- cultural
- biological
- psychosocial
- environmental factors
factors affected attitudes on intimacy and sexuality
- family dynamics and upbringing
- cultural beliefs
- religious beliefss
myths about sexuality and women
- masturbation is immature
- menopause is death of women sexuality
- hysterectomy creates physical disability sexually
- sex has no role in lives of elderly
- sexual expression in old age taboo
- elderly too old and frail to engage in sex
- elderly considered lecherous
- sex is unimportant or over
- do not want to discuss sexuality
sexuality in older person shiftss from procreation to emphasis on..
- companionship
- physical nearness
- intimate communication
- pleasure seeking physical relationship
less likely to seek out health services
lesbian, gay, bisexual, transgender
biological changes with aging for women
- menopause
2. dyspareunia from vaginal dryness and thinning of the vaginal tissue
biological changes with aging for men
- change in firmness of erection
- decreased need for ejaculation with each orgasm
- refractory period extended
inability to achieve and sustain erection of sufficient for satisfactory sexual intercourse in at least 50% or more attempts
erectile dysfunction
meds that have revolutionized treatment for ED
- sildenafil (viagra)
- vardenafil (levitra)
- tadalafil (cialis)
causes of erectile dysfunction
- vascular problems
- endocrine problems
- neurological problems
- structural abnormalities of penis
- depression
- zinc deficiency
- alcoholism
- diabetes
- meds
- psychological problems
strategies that may assist in continued sexual activity
- timing of interccourse
- oral or anal sex
- masturbation
- appropriate pain relief
- different sexual positions
environmental factors affecting intimacy and sexuality affecting intimacy and sexuality in long term care
-lack of privacy
absence of suitable partner
-family and staff attitudes
hiv high risk behaviors
- men who have had sex with men after 1975
- men and women reporting unprotected sex with multiple partners
- past or present injection drug users
- persons being treated for sti’s
- persons with history of blood transfusions between 1978-185
plissit model as guide for discussion of sexuality in older adults
- permission
- limited info
- specific suggestions
- intensive therapy
