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SEX
You will not die without sex (although you may want to)
are supplied with powerful instincts that urge them on to having sex,
sometimes at the cost of their own lives!
(Parke, 1991)
Clients do not leave their sexuality behind when they enter the
healthcare system their sexuality comes along as part of the whole
person.
A holistic care approach to client health care needs indicates that all
aspects of being interact.
Sexuality
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a. biologic sex
b. sexual orientation
c. gender/sexual identity
d. gender role
Biologic sex
Sexual orientation
Sexual orientation
Sexual/Gender identity
Gender role
Clients do not leave their sexuality behind when they enter the
healthcare system their sexuality comes along as part of the whole
person.
A holistic care approach to client health care needs indicates that all
aspects of being interact.
Sexual Health
Sexual Function
On the negative side, he was convinced that women who have strong
sexual appetites are quite abnormal.
Looked into the social aspects of sexuality in the late 1800's and
early 1900's.
He is a hero to both the homosexual community and the feminist
movement.
Alfred Kinsey
in the 1960's and 70's, gave us the details about the mechanics of
sex.
Excitement Phase
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Plateau Phase
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Orgasmic Phase
Resolution Phase
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The smallest human penis on medical record is less than an inch long,
fully erect.
Developmental level
Culture
Religious values
Personal ethics
Health status
Developmental level
Sexuality begins with conception and changes throughout the life span.
Masturbation is common
Divorce is common
Culture
Religious Values
Personal ethics
Health Status
Healthy minds, bodies, and emotions are necessary for sexual wellness.
Many factors can interfere with persons expression of sexuality (heart
dse, DM, SCI, surgeries, jt dse, chronic pain, STDs, mental d/o,
medications)
Genital intercourse
Oral-genital intercourse
Anal intercourse
Genital Intercourse
Penile-vaginal intercourse
Anal Intercourse
The penis is inserted into the anus and rectum of the partner
Even today in movies, if a male thinks some other male has come
onto them, and they are not interested, they usually react with horror,
violence or verbal abuse. People copy the behaviors they see in movies,
so they also need to see modeled a polite decline such as Sorry, you
are not my type. I prefer women.
Heterosexuality
Homosexuality
Bisexuality
Transexuality
Heterosexuality
Interest in the opposite sex and sexual relationships may begin as early
as in the beginning of puberty
Homosexuality
Gay - refer to the entire homosexual population, both men and women.
Bisexuality
Transexuality
Types of Sexual
Expression
Celibacy
Abstinence from sexual activity
An erection is like the Theory of Relativity - the more you think about it,
the harder it gets.
~Author Unknown
Masturbation
~Thomas Szasz
~John Stoltenberg
Erotic stimulation
~St. Jerome
Fetishism
Transvestism
Voyeurism
Sadomasochism
Exhibitionism
Pedophilia
Bestiality
It isn't quite as rare as one might think: Kinsey found that 17% of farm
boys admitted to sex with animals.
Exposing themselves
Touching and grabbing the nurse; trying to pull the nurse into bed
Need for reassurance that they are still sexual beings and
sexually attractive
I see you are not dressed. I will be back in 10 minutes and will
help you with breakfast when you get your clothes on.
When you act like that toward me, I dont even want to come into your
room. It embarrasses me and makes it hard for me to give you the kind
of nursing care you need.
Take the clients hand and move it away, use direct eye contact, and
say,
Dont do that!
All morning you have been making very personal sexual comments
about yourself. Sometimes people talk like that when they are
concerned about the sexual part of their life and how their illness will
affect them. Are there things that you have questions about or would
you like to talk about?
Assign a nurse who will confront the behavior and relate to the client in
a consistent manner.
SIGMUND FREUD
P Permission giving
LI Limited information
SS Specific suggestions
IT Intensive therapy
Permission giving
Clients may feel that they need permission to be sexual beings, to asks
questions, to show affection, and express themselves sexually
Means that the nurse by attitude or word lets the client know that
sexual thoughts, fantasies, and behaviors between informed consenting
adults are allowed
Limited Information
Specific Suggestions
Intensive Therapy
THE END