Week 10: Sexual Health Promotion Flashcards
RESPECT
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)
Sexuality
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
Sexual health
physical, emotional, mental and social well-being related to sexuality
Characterized by a positive and respectful approach to sexuality and sexual relationships
Sexual development
Each stage have different milestones
Sexual development
Each stage have different milestones
Sexual development
Infancy/childhood
Socialized into norms through interactions with others
Important that kids have education about body and expected body changes
Sexual development
Adolescence and sexuality
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
Sexual development
Adulthood
Issues and changes: Fertility, sexual dysfunction, contraception, postpartum changes, menopause, impotence
Sexual development
Older adulthood
Issues: affect functioning of sexual organs but not desire
Sexualitree
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)
Gender vs. Sexuality
Gender – Who you go to bed as
Sexuality – who you go to bed with
Gender identity
feeling of personal sense of self and identification (male, female, trans, etc)
Gender expression
ways we communicate gender (androgynous = male oand female or neither)
Biological sex
physiological sex
Intersex
biological sex
Xxy or variations (not XX and not XY)
LGBT2SQIA+
(lesbian, gay, bisexual, trans, two-spirit, queer, questioning, intersex, asexual)
2-10% Canadians identify^ or higher due to under reporting
Heterosexism
normality
Risk for nurses: assumption
What might LGBTQ Canadians experience?
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
sexual Health Promotion
Needs to include all aspects:
Emotional
Physical
Mental
Social
Sexual health promotion
- 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
Lesbian and bisexual women
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
Gay and bisexual mens issues
47% HIV positive gay, bisexual or transgender men experience homophobic care
- Especially emergency room
Lqbtq and addiction
2-3x more likely to suicide and homelessness
Higher rate of high risk behaviours
Drug and alcohol use
Top list reasons client sexuality might not be addressed in nursing practice:
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
Nursing responsibilities for sexual promotion
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
What should we be avoiding?
Sexual promotion
Assumptions
- The person looks like what they identify as
- All people are heterosexual
- All LGBTQ ppl have the same experience
