Geriatrics: sexuality

Question 1

what is the PLISSIT model?

Answer 1

model for sexual education: 
Permission
Limited Information
Specific Suggestions
Intensive 
Therapy

Question 2

change in male orgasm with age?

Answer 2

greater physical stimulation is required to attain and maintain erections, and orgasms are less intense.

Question 3

change in sexuality for females?

Answer 3

menopause terminates fertility and produces changes stemming from estrogen deficiency.

Question 4

major physical changes in regards to sex in females (with aging)?

Answer 4

Estrogen deficiency

Difficulty with lubrication and reduced size of vagina and vulva

Question 5

two major causes of erectile dysfunction

Answer 5

commonly caused by vascular disease and/or neurologic disease

Question 6

Vascular disease accounts for ___-____ of ED

It is a predictor of future…?

Answer 6

30-50%

major atherosclerotic problems

Question 7

USTFPS recommends HIV screening to all patients age ___ -____

Answer 7

13-64

Question 8

are there guidelines for sexual counseling among the elderly?

Answer 8

no

Question 9

what are two major contributing factors to elderly people for STDs?

Answer 9

1. Many older people do not use condoms because they do not consider themselves at high risk for sexually transmitted diseases.
2. Naturally weaker immune systems later in life result in increased risk of sexually transmitted infections.

Question 10

two common causes for abnormal sexual behavior in cognitively impaired elderly individuals?

Answer 10

1. Disinhibition in frontal lobe dysfunction

2. Anti-Parkinson’s medication

Question 11

4 ethical issues of sex + aging

Answer 11

1. Demented patients can misperceive care at Nursing Home as sexual behavior
2. They are vulnerable for abuse for cognitively impaired or intact people
3. Married couple need their privacy even at long term care setting
4. Homosexuality and aging (often not allowed to share a room at care facilities; fears of homophobia)