Week 10: Sexual Health Promotion

Question 1

RESPECT

Answer 1

Inclusivity v. gender neutral

We are all individuals

Mindfulness regarding our own inadequacies

Pronouns they, them v. he, she and hir (sie, shi, and ze)
- If you make a mistake on pronouns, be accountable (don’t act like you didn’t make a mistake)

Question 2

Sexuality

Answer 2

sexual feelings, thought and attractions towards other people

Who we are
- Encompasses sex, gender, identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction

Culturally constructed too

Question 3

Sexual health

Answer 3

physical, emotional, mental and social well-being related to sexuality

Characterized by a positive and respectful approach to sexuality and sexual relationships

Question 4

Sexual development

Answer 4

Each stage have different milestones

Question 5

Sexual development

Answer 5

Each stage have different milestones

Question 6

Sexual development

Infancy/childhood

Answer 6

Socialized into norms through interactions with others

Important that kids have education about body and expected body changes

Question 7

Sexual development

Adolescence and sexuality

Answer 7

Explore

Compare to others

Self esteem

Body image and body esteem

• Body image – what we think we look like
• Body esteem – what we feel about what we look like

Question 8

Sexual development

Adulthood

Answer 8

Issues and changes: Fertility, sexual dysfunction, contraception, postpartum changes, menopause, impotence

Question 9

Sexual development

Older adulthood

Answer 9

Issues: affect functioning of sexual organs but not desire

Question 10

Sexualitree

Answer 10

Intimate sexuality: wants, lived experience, fears, behaviors, conceptions,

Relational sexuality: how sexuality is related to people in lives (how we shape we see ourselves and place judgements on how we see sexuality)

Cultural sexuality: how environment influences views on sexuality (media, religion, policies, laws, etc)

Question 11

Gender vs. Sexuality

Answer 11

Gender – Who you go to bed as

Sexuality – who you go to bed with

Question 12

Gender identity

Answer 12

feeling of personal sense of self and identification (male, female, trans, etc)

Question 13

Gender expression

Answer 13

ways we communicate gender (androgynous = male oand female or neither)

Question 14

Biological sex

Answer 14

physiological sex

Question 15

Intersex

Answer 15

biological sex

Xxy or variations (not XX and not XY)

Question 16

LGBT2SQIA+

Answer 16

(lesbian, gay, bisexual, trans, two-spirit, queer, questioning, intersex, asexual)

2-10% Canadians identify^ or higher due to under reporting

Question 17

Heterosexism

Answer 17

normality

Risk for nurses: assumption

Question 18

What might LGBTQ Canadians experience?

Answer 18

Fear

Accessibility to services

Higher burden of illness and poverty

High stess, stigma, social isolation

Family, friends, community

• Rejected
• Bully
• Few community programs

Institutions/organizations

• Healthcare lacks training to be welcoming
• Health and social services lack knowledge
• Professional schools may not include info in program
• Unsafe workplaces
• Health promotion programs exclude LGBTQ
• Policies not counted; variable not included

Question 19

sexual Health Promotion

Needs to include all aspects:

Answer 19

Emotional
Physical
Mental
Social

Question 20

Sexual health promotion

Answer 20

• involves acquiring skills, knowledge behaviors to practice good sexual health

Examples:

• Prevention – HPV vaccination (prevent cervical cancer)
• Education
• Screening – pap smears looking for cancer
• Protection – use condom

Question 21

Lesbian and bisexual women

Answer 21

Negative experiences with health care providers

Services aren’t inclusive

38% avoid routine check up or procedures due to sexual orientations

32% did not get regular breast screening and pap smears due to negative experiences

Question 22

Gay and bisexual mens issues

Answer 22

47% HIV positive gay, bisexual or transgender men experience homophobic care
- Especially emergency room

Question 23

Lqbtq and addiction

Answer 23

2-3x more likely to suicide and homelessness

Higher rate of high risk behaviours

Drug and alcohol use

Question 24

Top list reasons client sexuality might not be addressed in nursing practice:

Answer 24

Embarrassment

Belief its not important to problem

Inadequate training

Concern (ex, increase patient’s anxiety)
- Not a good reason – it could mean the individuals problems aren’t being addressed

Invasion of patient privacy

Lack of knowledge knowing how to intervene

No trained professional to refer patient to

Waiting for patient to bring up subject

Question 25

Nursing responsibilities for sexual promotion

Answer 25

No assumptions

Change written materials and resources to be inclusive (pronouns)

Be sensitive

Be aware of nonverbal communication

Awareness of issues that disproportionately affect LGBTQ 🏳️‍🌈

• Gay: HIV, safer sex, hepatitis immunization and screening, fitness, alcohol use, substance use, depression and anxiety, STIs, cancers, HPV
• Lesbian: breast cancer, depression and anxiety, heart health, gynecological cancers, fitness, tobacco use, alcohol use, substance use, intimate partner violence, sexual health

Question 26

What should we be avoiding?

Sexual promotion

Answer 26

Assumptions

• The person looks like what they identify as
• All people are heterosexual
• All LGBTQ ppl have the same experience