Health L8 Flashcards
Sexual health
state of physical, emotional, mental and social well-being related to sexuality
sexual dysfunction
various ways in which an individual is unable to participate in a sexual relationship he/she would wish
sexuality after cancer
individual (thankful to be alive), relationship (are we going to make it = partner’s response), fear of resuming sexual intercourse, changes in body image, coping with unknown
lack of communication
clinicians and patients wait for the other to bring up the topic
physical domain of assessment
hormonal/body changes, pain, fatigue, lack of sensation
psychological domain
emotions, body image, self-efficacy
relationship domain
discord, lack of communication, feat of intimacy
cultural domain
religion and social beliefs
challenges of assessments
most measures rely on physical domain, low scores attributable to other factors, subjective quality of sex life better than overall sexual satisfaction
BETTER Model
bring up issue, explain sexuality is a part of quality of life, tell the patient about resources, timing of questions, educate patients of side effects, record in patient chart that topic was discussed
PLISSIT
Permission, limited info, specific suggestions, intensive