Sexuality

Question 1

What are seniors going back in the closet?

Answer 1

As baby boomers age they worry that because of their sexuality they wont make it into nursing homes. Baby boomer redefined sexual norms and created a second sexual revolution.

Question 2

Link between bullying and sexuality?

Answer 2

It’s a problem and 7/10 of 15-17 yr olds report experiencing bullying and they have been a target.

Question 3

Biological sex vs. gender identity?

Answer 3

BS- based on chromosomes, genitalia, hormones, and reproductive organs
GI- the way a person identifies themselves internally and psychologically, can be women, man, or non binary

Question 4

Gender expression?

Answer 4

The way a person outwardly portrays themselves through clothing, makeup, hair, body language. These expressions are often seen as gendered but they can just be how the person expresses themselves.

Question 5

What is sexuality?

Answer 5

Sexuality is experienced/expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviour, role, and relationships. It encompasses sex/gender identities/sexual orientation/pleasure/reproduction.

Question 6

Sexual orientation?

Answer 6

Who people are attracted too. They may know early on and not realize their attraction until much later in life. Some people can experience fluidity in attraction and some are concrete.

Question 7

What is 2 spirited?

Answer 7

Indigenous term used to describe western notions of gay or lesbian… These people were previously considered visionaries, blessed, spiritual, advisors, mediators within community (they understand both sides of dispute between men and women).

Question 8

What is heterosexism and homophobia?

Answer 8

1. Assumptions that everyone is heterosexual, assumption that heterosexual is superior and preferable
2. Homophobia- irrational fear/hatred/aversion/discrimination against homosexuals/bisexuals/trans

Question 9

What is sexual health?

Answer 9

Experience of ongoing physical, psychological, and socio-cultural wellbeing r/t sexuality.

Question 10

Nurse’s role in sexual health?

Answer 10

They are advocates for informed decision making around sexual health matters. Therapeutic relationship provides ideal relationship to raise sexuality and sexual health issues.

Question 11

Student nurses and sexual health?

Answer 11

They have a positive attitude towards sexual healthcare but they often feel uncomfortable discussing it d/t lack of knowledge and role models.

Question 12

What are nurses’ provision of sexual health education influenced by?

Answer 12

Lack of knowledge about SH, attitudes/beliefs that SH is private and not a priority, nurses comfort discussing SH, and perceived barriers to time.

Question 13

4 barriers that stop older people from seeking SH advice/treatment?

Answer 13

1. cultural/societal views towards SH
2. Stigma, embarrassment, discrimination
3. Lack of education/training of healthcare pros
4. Quality of relationship between pt and healthcare workers

Question 14

True or false: sexuality is important but mostly ignored by practitioners who lack in comfort/skill about how to approach topic

Answer 14

True

Question 15

What is palliative care?

Answer 15

Seek to improve quality of life for pt/fam with life threatening illness by addressing their physical, psychological, and spiritual needs. Sexuality is important concern for pt at end of life but rarely addressed.

Question 16

SH and disabilities?

Answer 16

People with disabilities can have sexuality that’s neglected.

Question 17

Sexual abuse and disabilities?

Answer 17

People with disabilities have higher risk of sexual victimization than people without disabilities. Highest risk associated with sensory impairment. Women with disabilities twice as likely to experience sexual/physical abuse by intimate partner in their lifetime.

Question 18

Sexuality and mental health?

Answer 18

People with non binary gender identities experience stigma, discrimination, and violence which leads to poor MH. Depression can decrease sex drive (side effects of anti-depressants can impact sexual functioning).

Question 19

What is a sexual history?

Answer 19

Gather info about risk of contracting STIs, sexual practices, and sex. Provides opportunity for risk-reduction counselling.

Question 20

5 P’s of sexual hx?

Answer 20

1. Partners- are you currently sexually active, how many sex partners have you had (women or men or both)
2. Practices- what kind of sexual contact have you had (genitalia, anal, or oral)
3. Protection from STIs- do you use protection against STIs, what kind/how often
4. Past hx of STIs- have you had one before/when, how were you treated, have you had recurring symptoms
5. Prevention of pregnancy- are you trying to conceive, using birth control/contraception?

Question 21

Plisst and better?

Answer 21

B- bring up topic
E- explain
T- tell
T- timing (earlier is better)
E- educate
R- record (chart)

P- permission (ask0
LI- limited information (educate them about what’s going on)
SS- specific suggestions (provide suggestions for them)
It- intensive therapy (some couples may need this for SH education)

Question 22

Heteronormativity meaning?

Answer 22

Powerful heterosexual structure where heterosexual is the norms which results in homosexual being treated like heterosexuals. This results in invisible lifestyles, discrimination, and social exclusion. It reinforced through lack of education about diff. lifestyles, assuming heterosexuality, fear of opening a discussion, and becoming invisible.

Question 23

Bathroom discrimination ?

Answer 23

Policies must be in place to ensure equal access to appropriate bathrooms like having gender neutral bathrooms.

Question 24

How to be an ally?

Answer 24

Don’t make assumptions about pt gender/sex etc. Introduce yourself and ask pt what they would like to be called. Ask pronouns, use gender neutral language, and use pt self identified gender.