Chapter 45 Sexuality Flashcards
identify factors that affect an individual’s sexuality
developmental considerations.
relationships, lifestyle
cognition and perception
culture, values, beliefs, religion, ethics.
previous experience
self-concept, childbearing considerations
STDs, other health conditions (eg.hypertension, hysterectomy)
Assess how your personal beliefs and values about human sexuality affect your ability to deliver competent, compassionate and respectful care to patients with sexual problems.
Nurse needs to be comfortable with his or her own sexuality to provide nonjudgmental care. The nurse needs a solid knowledge foundation about sexual orientation and sexual preference to develop an appropriate, unbiased plan of care.
perform a sexual assessment, using suggested interview questions and appropriate physical assessment skills.
sexual history, disease affecting sexuality, be aware of any clues by asking vague questions, specific questions.
use “allowing” statements and open ended questions, desensitize, use matter-fact-manner. explain terms or employ terms used by patient and keep a sense of humor about terms.
A problem that prevents an individual or couple from engaging in or enjoying sexual intercourse and orgasm
sexual dysfunction
name some types of sexual dysfunctions
erectile dysfunction premature ejaculation retarded ejaculation inhibited sexual desire dyspareunia vaginismus vulvodynia
The inability of a man to attain or maintain erection to such an extent that he cannot have satisfactory intercourse.
erectile dysfunction
A condition in which a man consistently reaches ejaculation or orgasm before or soon after entering the vagina.
premature ejaculation
A inability to ejaculate into the vagina or delayed intravaginal ejaculation.
retarded ejaculation
Consists of an inhibition in sexual arousal so that congestion and vaginal lubrication are absent or minimal.
inhibited sexual desire
dyspareunia
painful intercourse
A rare condition in which the vaginal opening closes tightly and prevents penile penetration.
vaginismus
This condition is due to involuntary spastic contractions of the muscles at and around the vaginal opening and the levator ani muscles.
vaginismus
chronic vulvar discomfort or pain characterized by burning, stinging, irritation, or rawness of the female genitalia that interferes with sexual activity. little is known about it causes
vulvodynia
describe assessment priorities for erectile dysfunction (impotence)
history of diabetes, spinal cord trauma, alcoholism, surgical procedure, cardiovascular disease.
use of certain medications (antihypertensive, antidepressants).
mental depression.
information regarding the degree of impotence, length of time of disorder
what are some assessment priorities for premature ejaculation
assess what patient defines as dysfunction and ability to control ejaculation.
assess any causative relationship factors such as anxiety, guilt, lack of time and new partner.
what are assessment priorities for patient with retarded ejaculation.
history of neurologic disorders, Parkinson’s disease, or use of certain medications.
factors such as anxiety, guilty, lack of time and new partner.
describe assessment priorities for patients with inhibited sexual desire.
use of oral contraceptives or other hormonal therapy, use of alcohol or certain medications.
history of sexual abuse, rape or incest, depression, or other sexual dysfunctions.
assess any other contributing or relationship factors.
assessment priorities for patient with orgasmic dysfunction
assess knowledge level regarding sexual response cycle and anatomy.
communication between patient and partner.
usual sexual pattern and behavior.
other contributing factors
assessment priorities for patient with dyspareunia
history of diabetes, hormonal imbalance, vagina infection, endometriosis, urethritis, cervicitis or rectal lesions.
use of antihistamines, alcohol, tranquilizers or illicit drugs.
patient’s ability for vaginal lubrication during sexual act.
use of coital positions, cosmetic or chemical irritants.
Assessment priorities for patient with vaginismus
assess pattern of sexual activity, how often, level of arousal, orgasm.
history of sexual abuse, feelings regarding partner.
assess any other causative factors, such as fear of pregnancy, guilt, anxiety.
Physical assessment of internal and external genitalia.
contrast different types of sexual expression
Masturbation (self-stimulation)
vaginal intercourse
anal intercourse
oral-genital stimulation
The achievement of sexual arousal by looking at the body of another.
voyeurism
The practice of gaining sexual pleasure while inflicting abuse on another person.
Sadism
Gaining sexual pleasure from the humiliation of being abused.
Masochism
