Chapter 35 Sexuality

Chapter 35 Sexuality

1. Sexuality is related to all dimensions of health, is a part of each individual’s identity, and includes biological sex, gender identity, gender role, and sexual partner preference.

   • Attitudes toward sexuality vary widely. Religious beliefs, society values, the media, the family, and other factors all influence it.
     • Nurses’ attitudes toward sexuality vary and often differ from those of patients; be sensitive to patients’ sexual preferences and needs.
       • Sexual development begins in infancy and involves some level of sexual behavior or growth in all developmental stages.
         • The physiological sexual response changes with aging, but aging does not lead to diminished sexuality.
           • Evaluate patient satisfaction with outcomes of care by talking with patients regarding satisfaction with sexual functioning and through observations of nonverbal behaviors that suggest anxiety. Include the partner when appropriate.

2. Sexual health contributes to an individual’s sense of self-worth and positive interpersonal relationships.

   • Sexual dysfunctions result from varied and complex etiologies.
     • Interventions for sexual dysfunctions depend on the condition and the patient; they often include giving information, teaching specific exercises, improving communication between partners, and referral to a knowledgeable professional.
       • Sexual biases, comfort with touching genitalia, desire for future fertility, financial status, ability to plan sexual contact, and ability to communicate with the sex partner all affect the choice and use of effective contraceptive methods.
         • Include a brief review of sexuality whenever assessing a patient’s level of wellness.
           • Most nursing interventions that enhance sexual health require providing education.