midterms 2 Flashcards

1
Q

the desire for intimacy does not decrease with age however it can alter when?

A

the disorders and emotional changes that often occur with aging can interfere with developing and maintaining an intimate relationship.

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2
Q

physical intimacy may be lost because of the following:

A
  1. loss of a partner
  2. Disorder
  3. Use of drugs
  4. Age-related changes
  5. Reluctance to discuss effects of aging
  6. Discrepancy in expectations of partners
  7. Lack of privacy
  8. Shift to the other
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3
Q

most common age related barrier to intimacy

A

Loss of partner

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4
Q

disorder that can cause erectile dysfuntion

A

Diabetes and vascular disorder

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5
Q

defend why disorder lost physical intimacy

A

disorder such as diabetes and vascular disorder can cause erectile dysfunction, Arthritis arthritis can limit movements and make them painful.
The pain, discomfort, drugs, and worry associated with a disorder can dampen the desire for intimacy. Moderate to severe cognitive impairment complicates issues of consent to and comfort during intercourse. For the partner, the stress and demands of caregiving may interfere with intimacy.

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6
Q

Disorder moderate to severe cognitive impairment complicates?

A

issues of consent to and comfort during intercourse

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7
Q

level of sex hormones decrease causing changes such as

A

vaginal atrophy, reduced vaginal lubrication

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8
Q

what drugs can lost physical intimacy?

A

antihypertensives, psychoactive drugs) that can cause affeting with intimacy (erectile drsfuntion, reduced libido)

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9
Q

how does age related changes affect physical intimacy

A

Older adults are more likely to take drugs (eg, antihypertensives, psychoactive drugs) that can cause problems affecting intimacy (eg, erectile dysfunction, reduced libido).

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10
Q

how does reluctance to discuss effects of aging

A

If older people develop problems that interfere with physical intimacy or if they feel embarrassed about changes in their body (eg, wrinkles, sagging flesh), they may not want to discuss these changes with their partner or with a health care practitioner, who may be able to suggest solutions.

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11
Q

how does discrepancy in expectations of partnets

A

: One partner may want certain physical expressions of intimacy, but the other does not

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12
Q

how does lack of privacy of partners loss physical intimacy?

A

Lack of privacy: Older people who live with family members or in a long-term care facility have fewer opportunities for privacy, which are necessary for physical intimacy.

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13
Q

how does Shift to other forms of intimacy:

A

Some couples grow to prefer other forms of intimacy (eg, touching, massaging, kissing, verbal expressions of affection) that express familiarity, caring, or engagement with their partner

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14
Q

physical intimacy can help in what way?

A

prevent depression and improve self esteem and physical health

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15
Q

what changes in sexuality in women as she grow old

A

. As a woman ages, her vagina can shorten and narrow. Her vaginal walls can become thinner and a little stiffer. Most women will have less vaginal lubrication, and it may take more time for the vagina to naturally lubricate itself. These changes could make certain types of sexual activity, such as vaginal penetration, painful or less desirable.

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16
Q

if vaginal dryness is an issue what should do?

A

using water-based lubricating jelly or lubricated condoms may be more comfortable

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17
Q

If a woman is using hormone therapy to treat hot flashes or other menopausal symptoms

A

she may want to have sex more often than she did before hormone therapy..

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18
Q

what is impotence?

A

erectile dysfunction

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19
Q

what changes in sexuality in men as he grow old

A

 As men get older, impotence (also called erectile dysfunction, or ED) becomes more common. ED is the loss of ability to have and keep an erection. ED may cause a man to take longer to have an erection. His erection may not be as firm or as large as it used to be. The loss of erection after orgasm may happen more quickly, or it may take longer before another erection is possible. ED is not a problem if it happens every now and then, but if it occurs often, talk with your doctor.

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20
Q

what are the illnessses, disabilities, medicines and surgery affect ability to have and enjoy sex?

A
  1. Arthiritis
  2. chronic pain
  3. Dementia
  4. Diabetes
  5. Heart Disease
  6. Incontinence
  7. STroke
  8. Depression
  9. Surgery
  10. Medication
  11. Alcohol
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21
Q

what to do when having arthritis to enjoy sex?

A

Exercise, drugs, and possibly joint replacement surgery may help relieve this pain. Rest, warm baths, and changing the position or timing of sexual activity can be helpful.

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22
Q

Does not have to be part of growing older and can often be treated

A

chronic pain

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23
Q

why dementia causes sexual problem?

A

 Dementia. Some people with dementia show increased interest in sex and physical closeness, but they may not be able to judge what is appropriate sexual behavior. Those with severe dementia may not recognize their spouse or partner, but they still desire sexual contact and may seek it with someone else. It can be confusing and difficult to know how to handle this situation. Here, too, talking with a doctor, nurse, or social worker with training in dementia care may be helpful.

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24
Q

illness that can cause ED in some men

A

Diabetes

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25
Q

what can be the cause of women having vaginal yeast infection

A

diabetes

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26
Q

chest pain and shortness of breath even resting what should do?

A

call doctor

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27
Q

explain why heart disease is a problem in sexual

A

 Heart disease. Narrowing and hardening of the arteries can change blood vessels so that blood does not flow freely. As a result, men and women may have problems with orgasms. For both men and women, it may take longer to become aroused, and for some men, it may be difficult to have or maintain an erection. People who have had a heart attack, or their partners, may be afraid that having sex will cause another attack. Even though sexual activity is generally safe, always follow your doctor’s advice. If your heart problems get worse and you have chest pain or shortness of breath even while resting, your doctor may want to change your treatment plan.

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28
Q

loss of bladder control or leaking of urine is more common in

A

women as grow older

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29
Q

explain incontinence is a sexual problem

A

Extra pressure on the belly during sex can cause loss of urine. This can be helped by changing positions or by emptying the bladder before and after sex. The good news is that incontinence can usually be treated.

30
Q

what can you do when having incontinence in sex?

A

changing in position or emtying bladder bfore sex

31
Q

Ability to have sex is sometimes affected by a stroe?

A

true

32
Q

what to do when having stroke in sex?

A

change in position or memdical devices may help people with ongoing weakness or paralysis to have sex.

33
Q

why depresion is a problem is sexual?

A

 Depression. Lack of interest in activities you used to enjoy, such as intimacy and sexual activity, can be a symptom of depression. It’s sometimes hard to know if you’re depressed. Talk with your doctor. Depression can be treated.

34
Q

what are surgery affect sexual

A
  1. Hysterectomy
  2. Mastectomy
  3. Prostatectomy
35
Q

protatectomy it may cause?

A

Urinary incontinence or ED

36
Q

what are the medication cause to lost sexual deisre

A

Some drugs can cause sexual problems. These include some blood pressure medicines, antihistamines, antidepressants, tranquilizers, Parkinson’s disease or cancer medications, appetite suppressants, drugs for mental problems, and ulcer drugs.

37
Q

antihyperensive, anti histamine, anti depressant, tranquilizer, parkinsons deisase or cancer medication, appetite suppressant, medication for mental health ulcer drugs leads to what sexual problem?

A

men: ED and hard to ejaculate
women: reduce sexual desire or cause vaginal dryness or decrease orgasm

38
Q

alcohol can cause in sexual problem?

A

men: ED
women: delay orgasm

39
Q

the mental health of oldr adults can be improved through?

A

Promoting active and healthy aging

40
Q

Heath and social programs targeted at?

A

vulnerable groups such as those who live alone and rural populations or who suffer from a chronic or relapsing mental or physical illness

41
Q

the following actions related to those principles that can be used in care

A
  1. Strengthen the individual’s capacity to manage the condition
  2. Eliminate or minimize the limitations imposed by the condition
  3. Act for or do for the individual only when absolutely necessary
42
Q

how to assess / ask level of consciouness

A

Does the patient drift into sleep and need to be aroused (i.e., lethargic)?
Does the patient offer only incomplete or slow responses and need repeated arousal (i.e., stuporous)?
Are painful stimuli the only thing the patient responds to (i.e., semiconscious)? Is there no response, even to painful stimuli (i.e., unconscious)?

43
Q

what need to note when assessing level of consciousness

A

tone of voice , rate of speech, ability to articulate, use of unusual words or combinations or words and appropriateness of speech and evaluate mood during this time

44
Q

anxiety can be manifested in various way such as

A

somatic complaints, rigidity in thinking and behavior, insomia, fatigue, histility, restlessness, chain smoking, pacing, fantasizing, confusion, and increased dependency

45
Q

anxiety also occur in increase of

A

blood pressure, pulse, respiration, psychomotor activity and frequency of voiding

appetite may increase or decrease

46
Q

what are the promotion of mental health?

A

 Continued Physical and mental activity including exercise and mental stimulation
 Optimum nutrition, including supplements
 Strong support system
 Regular scheduled activities based on personal preferences and interest

47
Q

what are the prevention of mental illness or disorders

A

 Avoidance of social isolation
 Seeking help when symptoms occur
 Used of essential prescribed medications
 Choosing Physicians and other health care providers who know how to treat mental illness or disorders in older adults.

48
Q

is the most frequent problem that psychiatrists treat in older adults, and although major depression declines with advanced age, minor depression increases in incidence with age.

A

Depression

49
Q

common symptoms of depression

A

 Apathy
 Lack of interest in pleasurable activities
 Anorexia resulting in weight loss
 No pleasure in life
 Not sleeping well
 Feeling of useless, hopelessness or helplessness
 Increase dependency
 Multiple vague (somatic complaints)
 Other behavioral changes

50
Q

example of selective serotonin reuptake inhibitors

A
  • Selective Serotonin Reuptake Inhibitors
    o Escitalopram (Lexapro) Fluvoxamine (Luvox) Fluoxetine (Prozac) Paroxetine (Paxil) Sertraline (Zoloft)
51
Q

what is ssri and maoi stands for

A

selective serotonin reuptake inhibitors
monoamide oxidase inhibitors

52
Q

maoi examples

A

Phenelzine (nardil)
Tranylcypromine (parnate)

53
Q

how many months of theraphy is needed before therapeutic effects will be noted? in antidepressant

A

1 month

54
Q

what time is prefereable adminitration with antidepressant?

A

bedtime as it produce sedative effect

55
Q

Side effects of antidepressant

A

Dry mouth
Diaphoresis
Urinary retention
Indigestion
Constipation
Blurred Vision
Drowsiness
Increase appetite
weight gain
Photosensitivity
fluctuating blood glucose levels
and hypotension

56
Q

what to be alerted when using cyclin compound medications?

A

anticholinergic symptoms

57
Q

antidepressant can increase the effects of what drugs?

A

anticoagulant
atropine
antihistamines
sedatives
tranquilizers
narcotics
and levadopa

58
Q

who are prone to suicide male or female?

A

male

59
Q

has been found to predict suicide better than do depressive symptoms

A

poor sleep

60
Q

which they express a desire to end their lives while they are still physically and mentally well

A

rationalized suicide

61
Q

WHAT ARE THE HALLOCINOGEN?

A
  1. Phencyclidine
  2. arylcyclohexylamines
  3. LSD
  4. Inhilants
  5. opioids
  6. sedatives
  7. Hypnotics
  8. Anxiolytics
62
Q

substance abuse can cause medical problems such as

A

as gastrointestinal bleeding, hypertension, muscle weakness, peripheral neuropathy, and susceptibility to infections.

63
Q

criteria for diagnosing alcoholism

A
  • Drinks a fifth of whiskey a day or its equivalent in wine or beer (for a 180-lb person)
  • Alcoholic blackouts
  • Blood alcohol level greater than 150 mg/100 mL
  • Withdrawal syndrome: hallucinations, convulsions, gross tremors, delirium tremens
  • Continued drinking despite medical advice or problems caused by drinking
64
Q

what are the withdrawal syndome of alcohol abuse

A

hallucination, convulsion, gross tremors, delirium tremens

65
Q

chronic alcoholism can cause ?

A

magnesium deficiencies, gastritis, pancreatitis and polyneuropathy

66
Q

cardiac disorders can result from alcoholism and can be displayed by?

A

Hypertension, irregular heartbeat and heart failure due to cardiomyopathy

67
Q

is a free program for recovery, available in most communities, which provides counseling and opportunities for alcohol free socialization for the older alcoholocs

A

alcoholics anonymous

68
Q

what are the disorder in why losing intimacy and sexuality

A

Vascular disorder and diabetes ca cause erectile dysfuntion , Arthritis, moderate to sever cognitive imapirment

69
Q

aside from excercise, drugs, or replacement of join in arthiritis intervention what else?

A

rest, warm baths, chaning the position or timing sexual activity ca be helpful

70
Q

what happen to men and women having diabete relevant in sexual problem

A

men- ED
Women yeast infection

71
Q

incontinence is prone to?

A

women

72
Q
A