Week 5: sexuality Flashcards
Define if these are true regarding sexuality
- Sexuality is unique to the individual
* Is the core of who we are, and is
dynamic throughout the lifetime
* Learning and understanding sexuality and sexual wellbeing of patients is an important part of providing holistic care
* How people experience and express themselves as sexual beings
* Includes how we express that sense of gender, whom we are attracted to, and who is attracted to us
all are true
what type of care is important when we are thinking about sexuality in a patient
hollistic care is very important
what is the definition of world health organization ?
“A central aspect of being human throughout life encompasses sex, gender identifies and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.”
select all that is true regarding world health organization
“A central aspect of being human throughout life encompasses sex, gender identifies and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction.
Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, behaviors, practices, roles and relationships.
While sexuality can include all of these dimensions, not all of them are always experienced or expressed.
Sexuality is influenced by the interaction of biological, phycological, social, economic, political, cultural, legal, historical, religious and spiritual factors.”
all are true
Canadian institutes of health research definition
Sex refers to a set attributes in humans and animals.
It is primarily associated with physical and physiological features including chromosomes, gene expression, hormone levels and function, and reproductive/sexual anatomy. Who’s definition is this created by ?
Canadian institutes of health research
Define if this is true or false regarding sexuality by canadian institutes of health research :
Sex is usually categorized as female or male but there is variation, not reffered to as intersex.
false, it is referred to as intersex.
These characteristics are defined by who’s organization?
* Sexuality is a word we use to talk about how we understand our bodies and how we understand our relationships.
- This understanding includes all aspects of who we are – our values and beliefs, bodies, desires, relationships, gender and our thoughts and feelings about all of these.
- Because our sexuality is made up of so many different components, our understanding of our own sexuality is ever-changing and unique to each person.
The sexuality education resource center of manitoba
Sex is NOT the same as gender is that true ? ( SERC)
yes that is true
select all that is true
Gender Definition by Canadian Institute of Health Research (CIHR)
- Sex is NOT the same as gender (SERC)
- Gender refers to socially or culturally defined ideas about masculinity and femininity. (SERC)
- Gender identity is about how someone thinks and feels about the gender they are. (SERC)
- Gender identity is self-determined, and may change over a person’s lifetime. (SERC)
all true
what do we want to isolate as a society in terms of sexuality ?
the binary gender idea for example blue for a boy , pink for a girl
what is SAAB ? and what does it stand for
sex assigned at birth is what it stands for
this is a medically assigned identity often attributed directly to the presence or absence of a penis
What does this characteristics undergo to? :
Sex encompasses many traits that include genitals, chromosomal make- up, hormones and internal and external reproductive organs.
Sex Assigned at birth - SAAB
true or false. Variation does not exist within sex assigned at birth.
false, it does!
Sexuality includes multiple components including but not limited to what components ?
sexual attraction
romantic attraction
sexual behaviours
define what sexual attraction
romantic attraction
sexual behaviours mean ?
the gender ( s) someone is physically attracted to
the gene(s) someone is emotionally attracted to
The gender (s) someone prefers to engage in sexual activities with.
what are the sexuality spectrum that undergoes questioning and aromantic
questioning
- bisexual
-lesbian
-queer
-pansexual
-gay
-heterosexual;
-homosexual;
-asexual
Aromantic
- biromantic
-heteroromantic
-panromantic
-questioning
-gayromantic/homoromantic
there are many components that need to be considered when discussing gender, such as what ?
gender identity
gender expression
gender reception
gender identity
gender expression
gender reception
define what they mean
your internal sense of being a man, woman, both, neither or otherwise
how one presents their internal gender to the world. Includes dress, behaviours, mannerisms, hair, etc.
How others view/see your gender
what undergoes gender spectrum
agender
man
woman
cisgender
nonbinary
pangender
genderqueer
genderfluid
feminine
androgynous
masculine
what is asexual or ACE ?
are those that typically do not experience sexual attraction to other are not sexually dysfunctional
Definitions related to the concept of sexuality :
define
bisexual
gay
gender identity
heterosexuality
homosexuality
intersex
lesbian
LGBTQ
a person who is attracted to two genders
men attracted to men.
the gender that a person sees oneself as
sexual, emotional, and or romantic
attraction to a sex other than your own
sexual, emotional , and or/romantic
attraction tot he same sex
clinical term which describes the biological state of having discordance in sexual rogans ( having both a penis and ovaries) referred to hermaphrodite before
a woman who is attracted to woman
lesbian, gay, bisexual. transgender, queer
what is pansexual ?
a person who is fluid in sexual orientation and or gender or sex identity
what is queer and sex and sex identity and sexual orientation?
queer= a term refer to the entire LGBTQ community
sex= a biological term refers to a person based on their anatomy
Sex identity = the sex that a person sees themselves as a person can refuse to labels themselves as a sex
sexual orientation - the deep seated direction of one’s sexual ( eortic) attraction. It is on a continuum and not a set of absolute categories, sometimes referred to as affection orientation or sexuality
Trans female/woman
a male to female transition (MTF)
Transgender
an adjective that applies to people who feel that their assigned sex ( biological sex ) does not amtch theit tru identity
Transsexual
a clinical term that has historically has been used to describe those transgender people who sought medical intervention for gender affirmation
trans male/man
a female to man transition
what does 2SLGBTQIA+
2S= two spirit= within some indigenous cultures means a person wth both a feminine and masculine spirit living in the same body
+ ( plus ) = is inclusive of people who identify as part of sexual and gender diverse communities, who use additional terminologies
define these terms :
transgender
and non binary
describes a person whose gender identity and sex assigned at birth do not correspond based on traditional expectations.
describes a person whose gender identity falls outside of the traditional gender binary structure
what is NB or enby ?
non binary ( adjective)
what is two-spirit ( noun)
two spirit peoples are individuals whose spirit embodied masculine and feminine traits
in the following name what is wrong and what is right :
❑ There are only two genders
❑ Gender, gender identity and or expression
doesn’t change
❑ Everyone should be classified as male or female
❑Transgender individuals are confused or going through a phase
❑You must have hormone treatment or surgery to be transgender
❑All transgender individuals want to be on hormones or have gender affirmation surgery
they are all wrong, none of them is true. These are known as myths and false beliefs in the society.
what is gender affirming care ?
According to WHO It encompasses a range of social, psychological, behavioral, and medical interventions “designed to support and affirm an individual’s gender identity” when it conflicts with the gender they were assigned at birth.
The interventions help transgender people align various aspects of their lives — emotional, interpersonal, and biological — with their gender identity.
what is the umbrella that undergoes gender affirming care ?
- Using language and pronouns that affirm the clients gender identity
- Providing a clinical space which is welcoming to transgender/nonbinary individuals
- Having staff in all areas who are trained in gender affirming care
- Medical procedures that align with one’s gender identity and this can include surgery or hormone treatment Surgical procedures (mastectomy, phalloplasty, orchiectomy, facial feminization, filler injections) ,laser hair removal, hormone therapy, or counseling, social networking and support groups, social transition, legal transition.
- Gender affirming care is not just a new word for “sex change” or “sex- reassignment” but refers to the holistic approach that addresses a person’s mental and physical well-being.
What are the techniques used for best practices for gender affirming care ?
a = never assume
a= ask the patient what they prefer to reffer to them
u= use neutral language
m= mirror the language they use
a= apologize if you use the wrong pronouns
define if this is true or false when it comes to sexual response.
- In the past sexual response was indetified by physiological measures but since then pyschosocial and sociological factors including motivation and desire inform present day models of sexual response
true
Sexual response
motivation–> arousal –> genital congestion–> orgasm–>resolution
define what these concepts mean
libido, sexual drive, desire–> “turned on”, release of neurotransmitters, sexual excitement–> parasympathethic nervous sytem, vaso-congestion, genital swelling—> pelvic floor contractions, ejaculation, neurotransmitters released —> sense of wellbeing, muscle relaxation
Define which are true amongst age- related differences in sexuality
- Described as a developmental process beginning at conception and ending at death
- Sexuality Is influenced by the dynamic combination of biological, societal, cultural and familial factors
- Early awareness of sexual self as an aspect of self- identity begins in adulthood
- Development of human sexuality can be observed through the socially defined stages of childhood, preadolescence, adolescence and adulthood
the third one is false, it starts in infancy
Common attributes of sexual development are
- gender identity
2.sexual response - capacity for meaningful, intimate relationships
Age related differences
this is when sexual exploration of genitals, erections and vaginal lubrication occurs
- this is also when attitudes and behaviours by family are captured
- positive physical contact and quality of relationships develop
childhood ( birth to 7 years old)
What happens in preadolescence ( 8 - 12 years) what do they develop in terms of sexuality ?
social division of boys and girls
- sexual curiosity with same sex
- many ids engage in masturbation 38-40%
What happens in adolescence ( 13- 19 years) ?
puberty
learning and managed physical and emotional aspects
psychosocial factos
gender identity and sexual identity
sexual fluidity
which stage is this ?
This is when sexual maturation
continues
effectively communicate
informed decisions
family planning
sexual lifestyles
sexual desire ongoing with age
adulthood ( 20 + years)
what is the scope of sexuality
wellbeing ( sexual function )
ill- being ( sexual dysfunction )
True or false. Practitioners often equate positive sexual functioning with the sexual response cycle rather than considering the psychological and emotional components of what truly makes up an optimal sexual encounter
true
Sexual wellbeing ( sexual function ) define what is means
These findings illustrate that optimal sexuality is not necessarily about technique or skill but, rather, about attitude, positive behaviours and healthy relationships.
sexual ill being ( sexual dysfunction )
what are the factors linked to it ?
physiological facctors
psychosocial factors
environmental factors
maturational factors
What are some examples of sexual ill being of each categories ?
physiological facctors
psychosocial factors
environmental factors
maturational factors
physiological
- alternation in the physiological function of the body systems
- acute illness infection, surgery, trauma, loss of o=immobility, medications
-pregnancy
-process of aging
Pyschosocial factors
- adverse childhood events, trauma
-any stressor that impacts the human pysche has the potential to result in sexual dysfunction ( fear, anxiety)
Maturational factor
- Knowledge deficit ( related to sexuality, birth control, safer sex practices and changes with aging )
- lack of social skills can interfere with establishing intimate and social relationships necessary for growth and development
Environmental factors
- Environment pollutants and chemicals can depress sexual function
-Patient environment like social isolation and lack of privacy, absence of partner
risk factors of sexual involvement
who’s population at risk?
Population at risk
- adolescents
-persons living with disabilities ( cognitive, developmental and physical
- newly unpartnered
risk factors of sexual involvement ? who’s individuals at risk ?
those who do not practice” safe sex”
use of drugs alcohol and marijuana
-related to impaired judgement and less throughfulness related to sex
- underlying medical conditions- chronic health conditions or medications use
vulnerability - social location - risk for exploitation
what are the 5 P’s for sexual health history ?
partners
practice
protection ( from infection)
past ( history of infection)
prevention ( of pregnancy)
Nurse role in engaging in the topic of sexuality ( how we treat our patients )
We have Thinking back to sexual well being and sexual ill-being, what personal values, beliefs, cultural, family expectations, and experiences that might influence how you respond to sexuality
what else do you have to implement ?
check our biases, assumptions and judgements
nursing actions
- assessment
-primary intervention
-secondary intervention
-collaborative interventions interdisciplinary
