SEXUAL HEALTH INTRODUCTION This module discusses sexual health and the qualities of responsible parenthood as an important component in the childbearing and childrearing process. A... SEXUAL HEALTH INTRODUCTION This module discusses sexual health and the qualities of responsible parenthood as an important component in the childbearing and childrearing process. Also, It discusses the importance of evidence-based practice in the field of nursing practice. Learning Objectives Define sexuality Identify the stages of sexual response Describe the sexual orientation and sexual experience Identify disorders of sexual functioning Formulate nursing diagnosis related to sexual health Discuss the concept and qualities of responsible parenthood Understand evidence -based nursing Identify nursing care in maternal and child that applies the evidence- based practice Core Content of the Chapter SEXUAL HEALTH Sexuality is a multi-dimensional phenomena that includes feelings, attitudes and actions. It has biologic and cultural diversity components it encompasses and gives direction to personal, physical, social, intellectual and emotional responses to life can be understood as part of the social life of humans, governed by social norms, implied rules of behavior, and the status quo. Society’s views on sexuality have changed throughout history and are continuously evolving SEXUAL RESPONSE CYCLE EXCITEMENT – occurs with physical and psychological stimulation Women clitoris increase in size Mucoid fluid on vaginal walls Vagina widens in diameter Nipples are erect Men - erection occurs Scrotal thickening Elevation of the testes Increase RR,PR,BP PLATEAU Women clitoris is drawn forward lower part of the vagina becomes congested Men full distention of the penis ORGASM Women vigorous contraction surrounding the muscle in the pelvic area Men muscle contraction surrounding the seminal vesicle and prostate projects semen into the urethra Shortest stage Usually experience as intense pleasure affecting the whole body RESOLUTION a period during the external and internal genital organs return to unaroused state unaroused state Takes 30 min The influence of menstrual cycle on sexual response The increased of fluid and Vaso congestion in the woman’s lower pelvis during the le Luteal phase reach the plateau more quickly and achieve orgasm more readily Woman may more interested to initiate sexual relations during this phase The influence of pregnancy on sexual response Vaso congestion of the lower pelvis during pregnancy causes the woman to experience orgasm Woman has an increase sexual interest * discussing sexual relation is important during pregnancy Sexual Violence Occurs when partner does not respect the component of accepted sexual activity (privacy, consent and lack of force) Sexual Harassment Is unwanted, repeated sexual advances, remarks or behavior toward another that is offensive to the recipient or interferes with job or school performance It can involve actions as obvious as a job superior demanding sexual favors from an employee or it could be a man or woman sending sexist jokes by email to another person Applies to the same gender 2 Types Quid pro quo (an equal exchange) An employer asks something in return for sexual favors Hostile work environment An employer creates an environment in which the employee feels uncomfortable and exploited TYPES OF SEXUAL ORIENTATION Heterosexual - sexual fulfillment with opposite sex Homosexual - sexual fulfillment with same sex Bisexuality - sexual satisfaction from both homosexual and hetero sexual Transexuality - a person of one sex whose perceived identity is of the opposite sex TYPES OF SEXUAL EXPERIENCE Celibacy - abstinence from sexual activity Masturbation - self stimulation for erotic pleasure Erotic Stimulation - use of visual material Fetishism - sexual stimulation by use of certain object Transvetism - an individual who dresses to take the role of the opposite sex Voyeurism - sexual arousal by looking another’s body Sadomasochism - involves inflicting pain or receiving pain to achieve sexual satisfaction Sadism - inflicting pain to achieve sexual satisfaction Masochism - receiving pain to achieve sexual satisfaction Exhibitionism - revealing one’s genital in the public Pedophiles - person interested having sexual intercourse with children Bestiality - sexual relation with animals Disorders Primary Erectile Dysfunction - referred as impotence Inability to maintain erection Pre mature ejaculation - ejaculation before vaginal and penile contact Vaginismus - involuntary contraction of muscle at the outlet of vagina Dyspareunia - pain during coitus Inhibited Sexual Desire - lack of desire for sexual relation Secondary- disease that causes discomfort or interest in sexual activity. Read more