Sexuality Flashcards
sexuality should be included in what type of assessment?
quality of life
what should be included in sexuality education?
possible changes in sexual function because of treatment, anticipatory guidance and suggestions for adapting to the changes expected
integrating the somatic, emotional, intellectual and social aspects of a sexual being is the definition of what?
sexual health
what are the components of the PLISSIT model for sexuality counseling?
P: permission
LI: limited information
SS: specific suggestions
IT: intensive therapy
one way for a nurse to give permission to the patient to discuss sexuality is by doing what?
initiate the discussion of sexuality and how the treatment may affect sexuality
what patient believes must be taken into account when giving specific suggestions about sexuality?
cultural and religious beliefs, value systems
what trimester of pregnancy is generally the safest to give chemotherapy?
2nd or 3rd
what country septums have a potential for infection in the neutropenic patient?
intrauterine devices IUDs, diaphragm
which contraceptive is not recommended in patients that have hormone dependent cancers?
hormonal birth control pills
which types of chemotherapy must be avoided during the first trimester of pregnancy?
antimetabolites, alkylating agents, folic acid antagonists, radio labeled monoclonal antibodies
can radiation therapy be given to pregnant women?
radiation therapy is usually delayed until after delivery, but can be given if fetus can be shielded
besides treatment for cancer, what other considerations must be made in the pregnant patient?
the type of diagnostic workup and follow-up tests that need to be done
is a CT scan or MRI more desirable in the pregnant patient?
MRI, because there is not radiation exposure
what types of blood tests may not be accurate in the pregnant patient?
serum tumor markers
what risks are increased in the fetus when chemotherapy is given?
low birth rate, mutagenesis, teratogenic effects
what risks should be assessed for the patient receiving active treatment?
thrombocytopenia, disseminated intravascular coagulation, premature delivery
what risks need to be addressed if a mother wants to breastfeed while receiving chemotherapy?
potential for immunosuppression, neutropenia to the baby, unknown effect on growth, possible risk of carcinogenesis
breast radiation may cause what problem to the breastfeeding mother?
decreased or no breast milk
what chemotherapy drugs suppress good gonadal function?
lomustine, doxorubicin, melphalan
men receiving treatment for Hodgkin’s disease with Adriamycin, Bleomycin, vinblastine, and dacarbazine usually recover fertility true or false
true
how long may it take for reversal of fertility after receiving chemotherapy?
as long as four years
high-dose chemotherapy has a low rate of permanent sterility true or false
false there is a high rate of permanent sterility
does tamoxifen use decrease pregnancy risk?
no, and effective birth control needs to be taken during and two months after tamoxifen therapy
what dose of radiation therapy to the pelvis leads to permanent sterility in males?
> 500 cGy
