Pain Flashcards
sexuality
- how a person thinks about themselves sexually
- Includes all aspects of human being that relate to being male, female, nonbinary, or genderfluid
sexual orientation
- person’s gender identity in relation to the gender to which they are attracted, and gender identity requires you to acknowledge and accept the LGBTQ+ (lesbian, gay, bisexual, transgender, queer, questioning, asexual, and others) continuum
- Anything that affects sexuality affects self concept
social aspects of sexuality
- culture
- interpersonal
- TV
- radio
- literature
- family
- school teaching
psychological aspects of sexuality
- attitudes
- feelings
- past experiences
moral aspects of sexuality
- religious
- humanistic
- pragmatic
biological aspects of sexuality
- sexual stimulation
- puberty
- reproduction growth and development
self-concept
- an idea of the self constructed from the beliefs one holds about oneself and the responses of others.
- Components of Self-Concept
- Personal Identity
- Body Image
- Role Performance
- Self-esteem
personal identity
- Conscious sense of individuality and uniqueness that evolves
through life - May also include beliefs & values
- Also includes gender identity
- how you view yourself
- ex: shy, outgoing, a mother, christian, muslim, male, female, etc.
body image
- Total conscious and unconscious disposition toward one’s body
- Develops partly from others attitudes and partly from individual’s own body exploration
- Ex: if someone says your too heavy or too thin, it affects how we view ourselves
- Idealized image (how they want to look) & mirrored image
- how you wanna look and feel and how you actually look should be close tgthr
role performance
- Person’s expected characteristic behavior in a social position
- Roles are ascribed (no choice) or assumed (chose the role)
- Gender role or sex role
- all behaviors reflecting
individual’s learned sense of masculinity & femininity, sex behavior, sexual relationships
- all behaviors reflecting
self-esteem
- One’s judgment of one’s worth
- how person’s standards and performance compare to others and to one’s ideal self
- Global self-esteem
- how much one likes oneself as a whole
- are you a good person and do you feel good as a whole?
- Specific self-esteem: how much you approve or value a certain part of yourself
- affects your global self esteem
factors that affect self-concept and sexuality: age
- As individual develops, conditions that affect self-concept change
- Development of sexuality begins with conception & continues throughout the lifespan
factors that affect self-concept and sexuality: family
- Values are influenced by family
- Gender identity
- Attitudes toward sexuality
- Body image
- Self-esteem
factors that affect self-concept and sexuality: culture
- US culture values youth, beauty, health
- Some cultures value age, weight
- Sexual nature of dress
- Rules about marriage, specific sex practices
- Expectations of role behavior
factors that affect self-concept and sexuality: stressors
- Ability to cope can strengthen or threaten self-concept
- Greater the number of resources a person has and uses the more positive the effect on self- concept
factors that affect self-concept and sexuality: religion/moral beliefs
- Influences sexual expression and expectations regarding sexual behavior
factors that affect self-concept and sexuality: previous experiences
- History of success –> positive self-concept, self-esteem
- Previous experience with sexuality affects current functioning
o Abuse
o Growing up with neg attitudes toward sexuality
factors that affect self-concept and sexuality: illness
- Trauma, surgery (e. g. mastectomy) can affect body image
- Illness can affect ability to perform role expectations
- Pain, joint disease can affect ability to perform sexually
- Cardiac/ respiratory disease –> fear of engaging in sexual activity
- Disease/ conditions can affect ability to attain sexual arousal
o Diabetes
o Circulatory disorders
o Neurological diseases (stroke, spinal cord injury)
o Menopause
o Depression/ anxiety
factors that affect self-concept and sexuality: drugs/medications
- Can alter one’s appraisal of a situation
- Alcohol decreases sexual response
nature of the problem
- How would you describe
yourself? - Which aspects of your
appearance do you like? - Tell me about things u do
that make you feel good
about yourself. - Tell me about your primary roles. How effective are you at carrying out each of these roles? Do you feel good about these roles?
onset and duration
- When did you start to think or feel differently about yourself?
- How long have you struggles with (body image, role performance, or self-esteem)
- Can you remember a time when you felt good about yourself?
- When did your primary roles change? What are the
changes?
effect on patient
- Tell me how your (loss of breast, hand function, fatigue) affects your
roles and independence. - What impact does your self-esteem have on your relationships?
- How does your self-esteem affect other areas of your life, such as decision making, socializing with friends?
- Have you considered hurting yourself (specify self-mutilation, suicidal gestures)
nursing assessment of self-concept
- Physical Exam
- Behavioral manifestations
- Posture: slumped over, looking down, not making eye contact
- Concealment of body parts
PLISSIT Model – P
- permission: discuss sexuality issues
- bring up topic that relates to sex and their medical issues
- “Would it be okay to discuss your sexual activity?”