Question

Concept: Sexuality

PLEASE DO NOT copy and paste, it must all be in your own words.

Related concepts (explain)	Related exemplars:

Related Assessments	Related Lab & Diagnostic Test	Related Nursing Interventions

Answer 1

#. Sexuality and related concepts :-

includes sexual behaviour and gender, but also our sexual identity, orientation, values and beliefs about ourselves, masculine and feminine roles

#. Gender

a collection of social attributes and qualities a society associates with being either male or female. These make up our idea of 'masculinity' and 'femininity' in any given society.

#. Homosexual

attracted to the same sex

#. Heterosexual

attracted to the opposite sex

#. Bisexual

attracted to both sexes

#. Transgender

have the physical body of one sex, but feel they should be the other

#. Sexual Orientation

who we are sexually or romantically attracted to - Males only, females only, both males and females

#. Sexual Identity

how we self-identify and publicly identify (that is, project ourselves to others) e.g. homosexual, heterosexual, bisexual, and masculine and feminine roles

#. Sexual Behaviour

the sexual activity we engage in

#. PLISSIT Assessment of Sexuality

PERMISSION to discuss sexuality issues

LIMITED information related to sexual health problems being experienced

SPECIFIC SUGGESTIONS only when the nurse is clear about the problem

INTENSIVE THERAPY referral to professional with advanced training if necessary

Nursing care plan :-

#. Assessment

-Through pts eyes (what would ou like to have happen in regard to your sexual health?)

-Factors affecting sexuality-consider physical, functional, relationship, lifestyle, developmental, and self-esteem factors that influence functioning

-Sexual health history-the PLISSIT model helps

-sexual dysfunction-many illnesses, injuries, medications and aging changes have a negative effect on sexual health. Can be perm. or temp.

-physical assessment-this provides the best opportunity for education

Sexual health history :-

most patients want to know how medications, treatments, and surgical procedures influence their sexual relationship even though they often do not ask

Physical assessment :-

teach breast and testicular self examination

#. Diagnostic tests :-

Physical exam. This might include careful examination of your genital organs and testicles and checking your nerves for sensation.

Blood tests. A sample of your blood might be sent to a lab to check for signs of heart disease, diabetes, low testosterone levels and other health conditions.

Urine tests (urinalysis). Like blood tests, urine tests are used to look for signs of diabetes and other underlying health conditions.

Ultrasound. This test is usually performed by a specialist in an office. It involves using a wandlike device (transducer) held over the blood vessels that supply the genital organs . It creates a video image to let your doctor see if you have blood flow problems.

This test is sometimes done in combination with an injection of medications into the gential area to stimulate blood flow and produce an erection.

Psychological exam. Your doctor might ask questions to screen for depression and other possible psychological causes of erectile dysfunction.

PLANNING :-

-nursing interventions for patients with sexual concerns focus on supporting patients' need for intimac and sexual activity

-patients ofent feel overwhelmed and hopeless about returning to the previous level of sexual functioning

-they usually need time to adapt to physical and physchosocial changes that affect their sexuality and sexual health

IMPLEMENTATION :-

Health promotion

-annual health exams provide opportunity to discuss contraception and safe sex practices

Accute Care

-illness and surgery create situational stressors that often affect a person's sexuality

Restorative and continuing care

-in the home environment, it is important to provide information on how an illness limits sexual activity and to give ideas for adapting or facilitating sexual activity.

EVALUATION :-

-What other questions do you have?

-Did you experience less pain during sexual intercourse after taking your med.?

-What barriers are preventing you from discussing your feelings and fears?