sexuality & family relationships Flashcards
sexual health
the integration of the somatic, emotional, intellectual, and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication and love
sexuality
how a person exhibits and experiences maleness or femaleness
gender identity
the inner sense a person has of being male or female
dysphoria
a diagnosis characterized by “a marked incongruence between” a persons gender assigned at birth and their gender
heterosexual
sexual fulfillment with a person of the opposite gender
homosexual
sexual fulfillment with a person of the same gender
bisexual
sexual fulfillment with both opposite sex and same sex partners
transgender
sex they are assigned at birth incompletely describes or fails to describe them
developmental aspects of sexuality: infancy birth-18 months
given gender assignment, needs affection and tactile stimulation, gradually differentiates self from others, self-manipulation of genitals is a normal behavior
developmental aspects of sexuality: toddler 1-3
develops gender identity; identifies own gender, establishes control over bowel and bladder
developmental aspects of sexuality: preschooler 4-6
becomes increasingly aware of self, explores the body of self and others
developmental aspects of sexuality: school aged 6-10
attachment to the parent of the opposite sex, tendency toward same sex friends, learning and reinforcement of gender appropriate behaviors most commonly derived from peers
developmental aspects of sexuality: preadolescence 10-13
puberty begins for most boys and girls, menarche begins, may test behavioral limits
developmental aspects of sexuality: adolescence 13-19
primary and secondary sex characteristics develop, may begin to take part in sexual activity, act risk for pregnancy and STIs
developmental aspects of sexuality: sound adult 25-35
cohabitation and/or marriage, couples share financial responsibilities/ household tasks, develop own value system and respect values of others
developmental aspects of sexuality: adult 35-55
bodily changes/ menopause, focus on quality; sexual satisfaction may increase, may have grown children/ empty nest
developmental aspects of sexuality: late adult 55+
orgasms may become shorter/ vaginal secretions decrease, may feel need to conform to stereotypes regarding aging, fear of loss of sexual abilities, may require counseling about adapting to limitations
heath related factors
STIs, sexual dysfunction, DM, CV disease, diseases of the joints and mobility, surgery and body image, spinal cord injury, chronic pain, medications
obtaining sexual information
provide privacy, sit close, speak in a quiet, relaxed objective tone of voice, use eye contact & open body posture, opened ended questions then specific, use language used by the pt
BETTER model acronym: B
bring up the topic of sexuality
BETTER model acronym: E
explain that you are concerned with all aspects of pts lives
BETTER model acronym: T
tell pt that sexual dysfunction can happen; that you will address their concerns
BETTER model acronym: T
timing is important to address sexuality with each visit
BETTER model acronym: E
educate pts about the side effects of their treatments