Shared Flashcard Set

Details

HTH 471 E3 Sexuality
Gerontology
98
Health Care
Undergraduate 4
02/25/2013

Additional Health Care Flashcards

 


 

Cards

Term
In a youth-oriented country, elders are not seen as ______ beings
Definition
sexual
Term
Healthcare professionals often consider elder sexuality insignificant because
Definition
they don’t take sexual histories and may assume sexual dysfunction to be a sign of old age only
Term
Most elders maintain an interest in
Definition
sex
Term
Starr and Weiner study =
____ elders 60-91 yrs old
Definition
800
Term
Starr and Weiner study =
___% women and ___% of men said yes to “do you like sex”
Definition
96, 99
Term
Starr and Weiner study =
___% of both said touching and cuddling were very important.
Definition
84
Term
Old myth that sex is not _______ and that dysfunction is just part of _________ ____.
Definition
important, growing old
Term
Sexual expression is more than intercourse
Includes
Definition
fantasy, masturbation, genital/anal/oral expression, hugs, flirting, enjoying erotic stories or pictures
Term
Gradual decline in _______, but _______ seems to stay the same
Definition
frequency, quality
Term
Masturbation continues into _______ life
Definition
later
Term
Surveys about sex are difficult to conduct and therefore results may be
Definition
biased
Term
Masturbation is beneficial both ____________ and ____________
Definition
physiologically, psychologically
Term
Orgasms reduce ______ and induce ______.
Definition
stress, sleep
Term
four factors effecting elder sexuality
Definition
Availability of a partner: many are widowed or partner is ill
Health problems and medications of the elder or the partner
Psychological issues: boredom, fatigue, fear
Relationship issues: communication
Term
AAPR study found that more than half of those who reported no major disease or depression say they had sex at least
Definition
once a week
Term
Those with a disease or depression dropped to ____% had sex at least once a week
Definition
30
Term
Three psychological issues affecting sex
Definition
boredom with partner, fatigue mentally or physically or fear of impotence.
Term
Masters and Johnson only interviewed 31 people over ____
Definition
60
Term
For men sexual desire is _____, _____ time and stimulation is needed for an erection and orgasm
Definition
sloewr, more
Term
For women, vaginal lubrication ________
Definition
declines
Term
For women, response to stimulation and ability to achieve an orgasm _____ change with age
Definition
did not
Term
What theory applies to sex
Definition
Use it or lose it theory
Term
For elder men – plateau was
Definition
longer and they hold erections longer
Term
For elder women – resolution and orgasm are
Definition
shorter
Term
Two reasons why unmarried women are unmarried
Definition
Fewer men are available
Many men choose younger women
Term
Women may have to use other means for sexual satisfaction such as
Definition
fantasy, expanding affectionate relationships, etc.
Term
Within 65 and older age group = ____ men for 100 women
Definition
70
Term
Within 85 and older = ____ men for 100 women
Definition
40
Term
Lesbian and gay elders are hard to study because
Definition
Difficult to study numbers as many elders grew up believing homosexuality was a mental illness
Term
Homosexuals may experience _______ in health care
Definition
discrimination
Term
Important to define “______” in a way to allow partners to make decisions for frail elders – partners must seek legal rights
Definition
family
Term
RESPECT
Definition
Review practices and policies
Educate admin and staff
Unlearn homophobia and heterosexism
Promote diversity
Explore and evaluate areas for continued learning
Change beliefs and attitudes
Transition to diversity friendly facility
Term
Physicians receive little to no information about ______ _________in medical school.
Definition
sexual orientation
Term
Many elders in institutions do not desire ______ __________
Definition
sexual expression
Term
For elders in institutions, there are many barriers such as
Definition
lack of privacy or lack of available partners
Term
Institutions should consider ways to allow their patients to
Definition
express sexuality
Term
Institutions should consider ways to allow their patients to express sexuality (such as private rooms)
But must protect
Definition
vulnerable elders
Term
Education towards staff on how to ________ to sex from elders
Definition
respond
Term
Three specialty populations in elders
Definition
unmarried women, LGBT, elders in institution
Term
Chronic illness may affect both the -____ person and the ____ person in regards to sexuality
Definition
ill, well
Term
Things can be done to ______ the opportunity for sexual expression such as ________ ________
Definition
increase, changing medication
Term
_________ is the key to sexuality in any relationship
Definition
communication
Term
______ _________ to see if reducing doses that affect sexual performance.
Definition
check medications
Term
Communication with partner and possibly a professional. Can be counseled on
Definition
alternative sexual positions or expression
Term
Many believe sex will cause a ____ _____, but this is not usually true
Definition
heart attacks
Term
Physicians should discuss sex when prescribing a
Definition
cardiac rehabilitation program
Term
Hypertension can increase the incidence of
Definition
impotence
Term
______ such as diuretics also can cause impotence
Definition
medications
Term
Changing _________, or ________ doses can help lower hypertension
Definition
medications, Lowering
Term
Heart disease: resumed ___ to ____ weeks after a heart attack
Definition
8-12
Term
Especially debilitating strokes, often lead to reduced _______ ________ and _________
Definition
sexual function, satisfaction
Term
For cancer Different treatment options should be explored based on the importance of
Definition
sex in a person’s life
Term
Cancer has ________ and _______ factors
Definition
psychological and physiological
Term
what to things are important with sex and cancer?
Definition
Education and communication
Term
Stoke can also increase
Definition
depression
Term
Cancer – depends on
Definition
location and extent of cancer and treatment
Term
__________ for prostate cancer instead of ___________.
Definition
radiation, prostatectomy
Term
Psychological factors such as what three things for cancer?
Definition
“are they well enough” “altered appearance” “equity in interest when other is sick- when is it ok”
Term
The most common cause of impotence
Definition
diabetes
Term
If impotence occurs even with diabetes under control,
Definition
recovery is unlikely
Term
Diabetes _____ studies about women, but many showed ____ of interest in sex
Definition
fewer, lack
Term
Arthritis education should include
Definition
alternative sexual positions that may reduce pain
Term
For arthritis, a warm bath can increase
Definition
flexibility
Term
For arthritis lovemaking can be scheduled for when
Definition
pain levels are low
Term
Diabetes – impotence is seen ___ to ____ years from onset.
Definition
10 to 20
Term
Arthritis – education and counseling may be needed because of what three things
Definition
pain, stiffness and decreased flexibility.
Term
Many medications reduce sexual desire and increase
Definition
the difficulty in achieving orgasm
Term
The healthcare professional needs to discuss side-effects of meds in regards to
Definition
sexual function
Term
Alcohol has a _______ effect on sexual potency in men and women
Definition
negative
Term
Cigarette smoking _______ blood flow to the organs including the penis
Definition
reduces
Term
some ____ meds affect sex drive/performance (______ etc.)
Definition
OTC, benedryl
Term
Smoking reduces blood flow because of ______________ in the vessels.
Definition
atherosclerosis
Term
______ surgery may affect erectile function
Definition
Prostate
Term
A _________ may affect women’s perceptions of sexual attractiveness
Definition
mastectomy
Term
Society’s attitudes that elders are
Definition
sexless
Term
The elder generation’s belief that sex may not be important in a
Definition
marriage
Term
Five types of surgery
Definition
Prostatectomy
Hysterectomy
Mastectomy
Knee and hip
Stomas
Term
Psychosocial
Definition
many elders aren’t tested for STI’s because we don’t believe they are sexually active
Term
Sexual dysfunction
Definition
physiological impairment in sexual response that prevents sexual arousal or orgasm.
It is associated with poor physical and emotional health, unsatisfactory relationships and unhappiness.
Term
Sexual dysfunction affects more _____ than ____
Definition
women than men
Term
Women have many _________ of dysfunction
Definition
classifications
Term
Erectile dysfunction (ED) is more likely caused by ______ or ____ ______ ______ than by age alone
Definition
diabetes, high blood pressure
Term
Fear of dysfunction can _______ impact sexual relationships
Definition
negatively
Term
Physical activity and leanness are associated with ______ erectile problems.
Definition
fewer
Term
Elders may be embarrassed to talk about sex with their doctors, so doctors need to
Definition
bring it up
Term
Sexual dysfunction could be a symptom of ______ or a _______ ____ ______
Definition
disease, medication side effect
Term
A sexual history should be taken at
Definition
routine visits, or with complaint
Term
Nine treatments of sexual function
Definition
viagra, Levitra, Cialis, injection, hormone replacement therapy, mechanical aides, penile prosthesis, external vaccum device, sex therapy
Term
Mechanical aids
For ED that is caused
by an
Definition
irreversible physical
problem
Term
Penile prosthesis
Definition
Rigid plastic rods
Inflatable implant
Term
Sex therapy
Definition
Both partners are responsible
Other aspects of a relationship may need to be examined
Term
Inflatable implant cost
Definition
10 to 15K dollars
Term
External vaccum cost
Definition
100 to 450 dollars
Term
Elders are _____ knowledgeable about sex than other age groups
Definition
less
Term
Healthcare professional may think elders
Definition
are not interested in sex or already know everything
Term
Professionals can set the tone by being
Definition
open and comfortable
Term
Six chronic diseases that affect sex
Definition
stroke, heart disease, hypertension, cancer, diabetes, arthritis
Term
Four other factors influencing sexual dysfunction
Definition
medications, alcohol/tobacco, surgery, psychosocial considerations
Supporting users have an ad free experience!