ch 33 - intimacy and sexuality Flashcards
(32 cards)
zone of touch: least sensitive or embarrassing
-includes hands, arms, shoulders, back
social zone
zone of touch: must ask permission to initiate procedures
-includes mouth, wrists, feet
consent zone
zone of touch: highly sexually charged
-includes face, neck, front of body
vulnerable zone
zone of touch: most highly protected
-includes genitalia
intimate zone
5 major relational areas of intimacy
- commitment
- affective intimacy
- cognitive intimacy
- physical intimacy
- interdependence
The sum of cultural factors that influence thoughts and actions related to interpersonal relationships, as well
as sexuality related to ideas and learned behavior
sexuality social sphere
Reflects attitudes, feelings toward self and others, and learning from experiences
psychological domain of sexuality
Reflected in physiological responses to
sexual stimulation, reproduction,
puberty, and growth and development
biological sexuality
most prevalent sexual problem in older men
erectile dysfunction
Inability to achieve or sustain an erection sufficient
for satisfactory sexual intercourse in at least 50%
of attempts
erectile dysfunction
meds for ED (3)
- sildenafil (viagra)
- vardenafil (levitra)
- tadalafil (cialis)
contraindications for ED meds (4)
- nitrate therapy
- HF with low bp
- certain HTN regimens
- CV conditions
2 changes with older women that can affect sexual activity
- postmenopausal changes (lower estrogen)
- UI
problems/effects caused by arthritis on sexual function
- pain, fatigue, limited ROM
- steroid therapy may decrease desire
interventions for improving sexual activity in pts with chronic arthritis
- schedule for time of day when less fatigued
- suggest pain meds
- relaxation techniques before activity
- maintain optimal health (exercise and diet)
problems/effects caused by CV disease
- most men = no changes
- women don’t have changes after MI
- fear of another MI/death
- sob
interventions for improving sexual activity in pts with CV disease
-counseling for realistic restrictions
POST MI:
-avoid large meals several hours before activity
-allow for unrestricted breathing
-stop and rest if having chest pain
POST CABG/PACEMAKER:
-avoid strain/direct pressure on device
-don’t engage in sexual activity if having poorly controlled arrhythmias
-instruct pacemaker could fire during activity
problems/effects caused by CVA
- depression
- erectile disorders
- fatigue
- mobility and sensory deficits
- perceptual and visual deficits
- communication deficits
- fear of relapse or sudden death
interventions for improving sexual activity in pts with CVA
- counseling
- alternate forms sexual expression
problems/effects caused by COPD
- coughing
- exertional dyspnea
- activity tolerance
- meds can cause ED
interventions for improving sexual activity in pts with COPD
- plan activity when energy is highest
- avoid pressure on chest
- plan activity for time when meds are most effective
- use of oxygen before/during/after
- teach partner to observe for difficulty breathing
problems/effects caused by diabetes
- neuropathy can cause ED
- women have decreased desire
- decrease/absence orgasms
- less sexual activity
- local genital infections
interventions for improving sexual activity in pts with diabetes
- possible recommendations for penile prosthesis
- alternative forms sexual expression
- recommend immediate attention genital infections
common S+S HIV/AIDS in older adults (4)
- fatigue
- weakness
- weight loss
- anorexia
