Nursing Care Planning: Sexual Dysfunctions and Gender Identity

Child Abuse

• Family history of frequent moves, unstable employment, marital discord, and family violence can be indicators of child abuse
• Nursing plans and interventions include reporting suspected cases to the appropriate local agency, documenting injuries, and establishing trust with the child
• Primary and immediate needs of abused children include physical care and addressing their trust issues
• Recognizing own feelings of disgust and contempt for the parents is essential for nurses to provide effective care

Intimate Partner Violence

• Intimate partner violence (IPV) is a criminal act of physical, emotional, economic, or sexual abuse between an assailant and victim, often in an intimate relationship
• Abuse is usually a tension-releasing action and a lack of impulse control

Nursing Care for Patients with Somatic Complaints or Somatoform Disorder

• Convey understanding that symptoms are real to the patient, even if no organic pathology is found
• Provide for dependency needs by being available to the patient
• Encourage independent behaviors, verbalization of fears and anxieties, and discourage verbalization about physical symptoms
• Report and assess any new physical complaint, and teach relaxation exercises

Nursing Care for Patients with Dissociative Disorder

• Develop a trusting relationship and provide support during times of depersonalization, emergence of a new personality, or amnesia
• Encourage disclosure of painful experiences, facilitate exploration of alternative coping mechanisms, and help identify sources of conflict
• Focus on personal strengths and skills, and support a commitment to insight-oriented therapy with an experienced therapist

Stress-Resistant Person

• 6 characteristics of a stress-resistant person include: utilizing reasonable mastery skills, committing to a meaningful project, making wise lifestyle choices, seeking social support, maintaining a sense of humor, and being concerned for the welfare of others

Family Violence

• RA 9262, also known as The Anti-Violence against Women and their Children Act of 2004, is a law addressing family violence

Nursing Goals for Sexual Dysfunctions, Gender Dysphoria, and Paraphilias

• Major nursing care planning goals include resuming sexual activity, expressing satisfaction with own sexuality pattern, and demonstrating behaviors appropriate for assigned gender
• Nursing interventions include determining stressors, helping clients determine the time dimension of the problem, and encouraging discussion of disease process and cultural factors affecting sexuality