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Sexuality in the Aging Community

Terms in this set (16)

What are the risk factors for sexual dysfunction?
disabilities
newly unpartnered
sexual orientation
medical treatment
high risk behaviors
underlying medication conditions (acute/chronic pain, anxiety, fatigue, depression, CV disease, DM, chronic respiratory conditions)
medications
What medications are risk factors for sexual dysfunction?
-antiHTN (ACEI, BB, beta agonists, diuretics)
-antiulcer medications
-antidepressants
-antipsychotics
-anticonvulsants
-diuretics
-narcotics
What is the primary prevention for sexual dysfunction?
Education on:
safe sex practices
STIs
healthy relationships
community resources
abstinence
protection
What is the secondary prevention for sexual dysfunction?
-screening for STIs
-screening for IPV
What are collaborative interventions for sexual dysfunction?
medications (antibiotics, hormone replacement therapy, phosphodiesterase-5-inhibitors)
surgery (hysterectomy, penile implant)
CBT counseling
What medical conditions can cause sexual dysfunction among the geriatric population?
heart disease
breast and prostate cancer
HIV/AIDS
dementia
depression
DM
What are older adult barriers to sexual health?
-not always familiar with safe sex practices
-may not be aware of alternative sexual acts and positions to accommodate health needs
-fear of discussing sexuality
-cultural and religious beliefs towards sexuality
-privacy
-physical barriers
Describe the PLISSIT model
P - obtain PERMISSION from the client to initiate sexual discussion
LI - providing LIMITED information needed to function sexually
SS - giving SPECIFIC SUGGESTIONS for the individuals to proceed with sexual relations
IT - providing INTENSE therapy surrounding the issues of sexuality for that client
Describe the normal changes of aging female
thinning of vaginal walls
decreased or delayed vaginal lubrication
labia and endometrium atrophy
vagina shortens
loss of fat pad over symphysis may lead to pain from direct pressure over bone
loss of muscles
increased flabbiness and fibrosis of breast
decreased erection of nipples
Describe the normal changes of the aging male
-more direct stimulation of the penis is required to experience a somewhat weaker erection
-ED is more common
-increased likelihood of urethral obstruction
-erection may not be as long or large as it used to be
-loss of erection after ejaculation may happen more quickly
Describe heart disease affect on sexual health
-narrowing and hardening of arteries can change blood vessels so that blood does not flow freely
-antiHTN result in impotence and ejaculatory disturbances
-may have a lack of sexual interest from the heart disease itself
Describe DM affect on sexual health
impact sexual function
impacts arousal and pleasurable sensations
can cause ED for men
women can get yeast infections
will affect circulatory and sensory changes impacting sexual health
Describe depression affect on sexual health
lack of interest in intimacy and sexual activity

SSRI, TCA, MAOIs can affect sexual health

can cause a decline in desire and ability to perform
Describe cancer's affect on sexual health
women with breast and other reproductive system cancers may have a difficult time adjusting to disease and tx due to their association with bodily changes in self-image that impact sexuality

men with prostate cancer who have undergone surgical radiation treatments may experience ED following tx
Describe cognitive impairments affect on sexual health
show increased interest in sex and physical closely

often manifest in inappropriate sexual behavior

the first stage of Alzheimer's diagnosis may have a heighten sexual desire or loss of all sexually activity
How is hypersexuality treated in a patient with Alzheimer's?
bentos
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