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