Podcast
Questions and Answers
In the context of long-term care, what demonstrates an understanding of a resident's ability to consent to sexual activity?
In the context of long-term care, what demonstrates an understanding of a resident's ability to consent to sexual activity?
- Assuming consent if the resident does not actively resist.
- Focusing solely on the resident's physical capacity to engage in the activity.
- Assessing the resident's understanding of risks and benefits, mental competence, and voluntary participation. (correct)
- Deferring to family members' opinions on the resident's behalf.
What is the most accurate understanding of sexuality?
What is the most accurate understanding of sexuality?
- A basic human need encompassing sex, gender identities, orientation, intimacy and more. (correct)
- A concept limited to the act of intercourse.
- Primarily a physical drive focused on reproduction.
- A static aspect of identity determined solely by biological factors.
What is a key nursing intervention to support the sexuality of older adults in residential care?
What is a key nursing intervention to support the sexuality of older adults in residential care?
- Providing a non-judgmental space for residents to discuss sexual concerns and preferences. (correct)
- Focusing solely on physical health needs and neglecting emotional well-being.
- Discouraging discussions about sexual concerns due to potential discomfort.
- Assuming older adults are not interested in sexual activity.
Which factor primarily contributes to the increased survival of people diagnosed with AIDS into older age?
Which factor primarily contributes to the increased survival of people diagnosed with AIDS into older age?
What is a major challenge related to HIV/AIDS in the elderly population?
What is a major challenge related to HIV/AIDS in the elderly population?
Which strategy is helpful in promoting continued sexual activity among older adults?
Which strategy is helpful in promoting continued sexual activity among older adults?
What role do family members play in long-term care (LTC) facilities?
What role do family members play in long-term care (LTC) facilities?
What is the primary cause of impotence?
What is the primary cause of impotence?
What is the focus of interventions related to sexual dysfunction?
What is the focus of interventions related to sexual dysfunction?
What is the definition of female sexual dysfunction?
What is the definition of female sexual dysfunction?
Which of the following factors can influence sexuality?
Which of the following factors can influence sexuality?
What is considered a physical change that may affect an older adult's feelings of attractiveness?
What is considered a physical change that may affect an older adult's feelings of attractiveness?
What is often indicated by intimacy and sexuality for those with dementia?
What is often indicated by intimacy and sexuality for those with dementia?
What is the nurse's role in helping maintain the sexuality of older people?
What is the nurse's role in helping maintain the sexuality of older people?
Which of the following is an accurate description of how LTCs are changing in Canada?
Which of the following is an accurate description of how LTCs are changing in Canada?
Which of the following conditions is considered a cause of sexual dysfunction?
Which of the following conditions is considered a cause of sexual dysfunction?
What should nurses do to assist and support older people in their sexual needs?
What should nurses do to assist and support older people in their sexual needs?
What is an essential component of family assessment in LTC?
What is an essential component of family assessment in LTC?
Which of the following is a common experience for caregivers?
Which of the following is a common experience for caregivers?
Which perspective reflects an understanding of family involvement in LTC?
Which perspective reflects an understanding of family involvement in LTC?
Flashcards
Sexuality
Sexuality
A basic human need involving sex, gender, orientation, eroticism, pleasure, intimacy, and reproduction; multidimensional in nature.
Sexual Dysfunction
Sexual Dysfunction
Impairment in normal sexual functioning, with both physical and psychological causes.
Impotence
Impotence
The inability to achieve and sustain an erection sufficient for satisfactory sexual intercourse in at least 50% of attempts, often due to underlying medical issues.
Female Sexual Dysfunction
Female Sexual Dysfunction
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Influencing Factors on Sexuality
Influencing Factors on Sexuality
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Strategies to Assist Continued Sexual Activity
Strategies to Assist Continued Sexual Activity
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Intimacy, Sexuality, and Dementia
Intimacy, Sexuality, and Dementia
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Determination of Ability to Consent: Key Aspects
Determination of Ability to Consent: Key Aspects
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Nurse's Responsibility with Sexuality
Nurse's Responsibility with Sexuality
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Nursing Actions for Sexuality
Nursing Actions for Sexuality
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Role of families in LTC facilities
Role of families in LTC facilities
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Study Notes
Sexuality
- Fundamental human requirement central to life-long well-being
- Involves sex, gender, orientation, eroticism, pleasure, intimacy, and reproduction
- Complex and multi-faceted
Biological Changes with Age
- Can affect sexual response through illness and medications
- Altered body image in older adults may influence attraction feelings
- Physical transformations significantly impact sexual activity
Sexual Dysfunction
- Signified by impaired normal sexual functioning
- Hypoactive sexual desire, arousal, orgasmic, and sexual pain disorders are main impairments
- Can stem from both physical and psychological factors
Male Sexual Dysfunction: Impotence
- Inability to achieve/sustain erection in at least 50% of attempts for satisfactory intercourse
- Usually has underlying medical cause
Female Sexual Dysfunction
- Manifests as persistent disturbance in sexual interest, or response
Influencing Factors in Sexuality
- Cultural norms
- Ethnicity
- Emotional state
- Age
- Previous sexual experiences
- Normal aging changes
Promoting Intimacy and Sexuality
- Strategies include timing intercourse, varied positions, masturbation, and pain relief
- Intimacy/sexuality in nursing homes includes intercourse, hugging, kissing, handholding, and masturbation
- Should have same priority as nutrition and hydration
Intimacy, Sexuality, and Dementia
- May serve as nonverbal communication when cognitive skills decline
Consent Determination
- Requires understanding of voluntary participation concepts
- Necessitates mental competence
- Requires understanding risks and benefits
Sexually Transmitted Infections (STIs)
- STIs are on the rise
- Increased AIDS cases in older adults
- Better antiretroviral therapies allow people diagnosed younger to live longer
- There has been an increase in new HIV/AIDS cases in older persons
AIDS and the Elderly
- Older adults are more susceptible to HIV/AIDS due to compromised immunity
- Lack of awareness leads to late diagnosis/treatment
- HIV progresses faster in older individuals
Nursing Implications
- Nurses offer discussion opportunities to maintain older adults' sexuality
- Nurses should be open to discussing sexual concerns in a non-judgmental way
- Nurses should assist and support older persons' sexual needs
- Stopping sex is an acceptable option
Nursing Interventions
- Nurses should educate about age-related changes in sexual function
- Effectively manage acute/chronic illnesses affecting sexual function
- Remove barriers to fulfilling sexual needs
Families
- The concept of family impressions varies
- Family members are core relationships for the elderly and provide support if needed
- Some books differentiate between traditional/nontraditional couples
Caregiver Needs
- Caregivers often experience depression and exhaustion
- Caregivers often value their role as highly meaningful.
Caregiving in Long-Term Care (LTC)
- LTCs house complex resident populations in Canada
- External private agencies often contract care staff
- LTCs require family invites to care conferences
- LTCs provide encouragement for family councils
Family Involvement in LTC
- Family members actively participate contributing to personal care and facility routines
- They advocate for loved ones and other residents without family
- Families are critical but lack sufficient facility policies
Staff Perception of Family
- Staff view family as absent
- Staff view family as part of the care team
- Staff view family as recipients of care
Nursing Assessment
- Identify family members and history
- Identify roles, strengths, contributions, and deterrents
Caregiver Assessment Considerations
- Stresses
- Expectations
- Positive aspects
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