Sexuality and Reproductive Pattern.ppt for nurses and lhvs x

Sexuality and Reproductive Pattern.ppt for nurses and lhvs

1. sexuality and reproductive pattern 1

2. By the end of the presentation student would be able to: Review male and female reproductive system Define the concept of sexuality, sexual and reproductive health Discuss the integration of sexuality across the life span Comprehend the human sexual response cycle Discuss factors affecting sexuality pattern Describe the common risks and alteration in relation to sexual-reproduction pattern Apply nursing process 11/14/2017 sexuality and reproductive pattern 2

3. 11/14/2017 sexuality and reproductive pattern 3

4. What is sex? What is your perception about sexuality? Do you think this pattern should taught in holistic care? sexuality and reproductive pattern 4

5. 11/14/2017 sexuality and reproductive pattern 5

6. 11/14/2017 sexuality and reproductive pattern 6

7. Orgasm Erectile Ejaculation Masturbation Intercourse Desire Plateau 11/14/2017 sexuality and reproductive pattern 7

8. Hetero sexual Homo sexual Bisexual Trans sexual 11/14/2017 sexuality and reproductive pattern 8

9. An individual’s self concept, shaped by their personality and expressed as sexual feelings attitudes, beliefs and behaviors, expressed through a hetero sexual, bisexual or transsexual orientation. (Blackburn, 2002) 11/14/2017 sexuality and reproductive pattern 9

10. 11/14/2017 sexuality and reproductive pattern 10  Sexuality is an important part of one’s self- identity and plays a significant role in intimate relationships. (Segraves, 2008)

11. 01 Birth to 02 years Oral stage Pleasure is experiencing through suckling 02 1-3 years Anal stage Develop pleasure from retaining and expelling feces 03 3-5 years Phallic stage Interest centers on genitals 04 6-12 years Sex becomes the major topic for discussion Sex games with peers and siblings 05 Adolescent 12-19 years Puberty begins Uncomfortable with rapid body changes Maintain an intimate relationship 11/14/2017 sexuality and reproductive pattern 11

12. • 06 Young adult Intense urge for sexual intercourse • 20-24 years Highest rate of sexually Transmitted Diseases(STD) 11/14/2017 sexuality and reproductive pattern 12 07 Early adult hood 25- 30 years • Use of sex as a medium for expressing love Maximum sexual self consciousness Develop self control Male and female partners are equally valued as individuals Love must involve sharing 08 Middle & late adulthood 35-40 -65 years 65 &over • • • Interest in sexual activity continue In female vaginal secretions diminish breast atrophy In men produce fewer sperms, need time for erection and ejaculation •

13. Physiological factors: 11/14/2017 sexuality and reproductive pattern 13 Genetic determination Full and correct functioning of sexual and reproductive organs Absence of disease (Fogel & Lauver, 1990)

14. Psychological: Correct information Comfort with one’s body Confidence and self esteem Awareness of one’s likes and dislikes Healthy relationships 11/14/2017 sexuality and reproductive pattern 14

15. Social Enabling environment (nurtures mutual respect) Laws and policies (protect and promote individual rights) Quality and accessible services. 11/14/2017 sexuality and reproductive pattern 15

16. Family: Children observe their parents Culture: Sexual nature of dress, rules about marriage, expectations of role behavior and social responsibilities, and specific sex practices. Religion: Provides guidelines for sexual behavior, hold virginity before marriage 11/14/2017 sexuality and reproductive pattern 16

17. Personal expectations and Ethics: Ethics is integral to religion, culture set the guidelines and cultural norms may be different e.g. masturbation, cross dressing or anal or oral intercourse. 11/14/2017 sexuality and reproductive pattern 17

18. It is a four-stage model of physiological responses during sexual stimulation 1.Desire 2.Excitement phase 3.Plateau phase 4.Orgasmic phase 5. Resolution phase (Nusbaum & Rosenfeld, 2004) 11/14/2017 sexuality and reproductive pattern 18

19. Menstruation : Cycle: Regular ( ) Irregular ( ) Amount Pain/problem: Frequency: Age of menopause (problem if any): Pregnancy (gravida/para/outcome): Number of children/sibling Ages: Contraception: Sexual relations: Sexual satisfaction/dissatisfaction: Medication: Special Tests: Nursing Diagnosis: 11/14/2017 sexuality and reproductive pattern 19 T e a ch i ng Needs: •

20. Sexual dysfunction Knowledge deficit Fear Pain Anxiety Body image disturbance 11/14/2017 sexuality and reproductive pattern 20

21. Verbalize the concerns Verbalize understanding Verbalizes satisfaction 11/14/2017 sexuality and reproductive pattern 21

22. PLASSIT Model Of Intervention P -Permission LI -Limited information SS -Specific suggestion IT -intensive therapy Teaching Discuss fears and concerns Enhance body image Counseling Maintain privacy 11/14/2017 sexuality and reproductive pattern 22

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24. V ideo 11/14/2017 sexuality and reproductive pattern 24

25. Mrs. ABC, 55 years old, reports vaginal burning and pain whenever she and her husband make love. Her last menses was 14 months ago. She says her husband is concerned about the lack of her usual response to lovemaking. 11/14/2017 sexuality and reproductive pattern 25 Nursing Diagnosis: Sexual Dysfunction related to painful intercourse from inadequate vaginal secretion

26. Mrs. G, 49 years old had mastectomy 2 weeks ago. She says “I am sure not going to be sexually appealing to my husband anymore. How on earth will he ever want to make love to me again “I feel like a lopsidedness”. Nursing diagnosis: Altered sexuality related to body image disturbance secondary to mastectomy 11/14/2017 sexuality and reproductive pattern 26

27. Mr.S ,52 years old has a history of hypertension for which has been taking an antihypertensive (reserpine).He says he has lost interest in sex in the past few months, and when, he does have sex, he has trouble keeping an erection. Nursing diagnosis: altered sexuality related to altered body function secondary to use of antihypertensive 11/14/2017 sexuality and reproductive pattern 27