Sexual_x_eating_Disorders

Sexual_x_eating_Disorders - Sexual Disorders Nurses' role...

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Sexual Disorders Nurses’ role in assessing the problems Categories of sexual disorders Causes of the disorders Related issues
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Issues involved Legal – consent vs. coercion Moral – norms, standards, values Effect – level of functioning, self-esteem, relationships with others Sexuality – experience of one’s sexual self
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Categories Sexual dysfunction disorders Sexual response cycle. Emotional, physiological, medications, chemicals Paraphilias Pedophilia, exhibitionism, voyeurism, incest, fetishism, frotteurism, sexual masochism, sexual sadism Lifelong, chr. disorder Gender identity disorders – transexualism Depression due to difficulty finding an accepting partner
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Criteria for gender identity disorder- Children A strong & persistent cross-gender identification Stated desire or insistence that he/she is the other sex In boys, dressing in female attire; in girls, wearing only masculine clothing Make-believe play or fantasies of being the other sex Desire to participate in games & pastimes of other sex Prefers playmates of other sex Feelings of discomfort with own sex or inappropriateness in gender role of own sex
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Criteria for gender identity disorder- Stated desire to be the other sex Frequently passes as the other sex Desires to be treated as the other sex Conviction that he/she has typical feelings & reactions of other sex Feelings of discomfort with own sex or inappropriateness in gender role of own sex
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Female sexual dysfunction Problem Inhibited desire Orgasmic dysfunction Dyspareunia Vaginismus Phase Arousal Orgasmic Any phase Orgasmic if vaginal penetration Major symptom No lubrication, little interest Inability to have orgasm most of the time Pain Involuntary, painful spasms
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Male sexual dysfunction Problem Phase Major Symptom Inhibited desire Erective incapacity Premature ejaculation Orgasmic dysfunction Dyspareunia Arousal- excitement Ditto Orgasmic Orgasmic Any phase No erection, no interest No or partial erection Ejaculation before he wishes Inability to ejaculate Pain
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Biological Causes of Sexual Disorders General illness – cold, fatigue, influenza, renal and urologic disorders Severe and persistent dis – DM, MS, Hormonal disorder – hypopituitary dis. DM. Alcohol and drug use Pain – arthritis, back pain, obesity, vaginal infection, Age – perimenopausal and postmenopausal Others – radiation therapy
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Drug-induced sexual dysfunction Alcohol – libido, sperm production Tobacco – small peripheral vasculature CNS depressants – benzodiazepine ie Valium Barbiturates – phenobarbital, secobarbital Antipsychotics – Thorazine, Mellaril, Stelazine Antidepressants – Elavil, Tofranil, Norpramin, Anticonvulsant – Dilantin, Others – Lithium, Marijuana, Cocaine, Inderal,
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This note was uploaded on 09/08/2010 for the course NURS 127A at San Jose State.

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Sexual_x_eating_Disorders - Sexual Disorders Nurses' role...

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