wk 11 LG2 sexuality , Intimacy, & Relationships

What is sexuality?

The ability to be intimate with oneself or another person in a mutually satisfying manner.

What is sexual health?

A state of physical, emotional, mental, and social well-being related to sexuality, not merely the absence of disease, dysfunction, or infirmity.

What are the three components of sexual health?

Sexual identity, sexual expression, and sexual function.

What is sexual identity?

A person's understanding of themselves as a sexual being.

What does sexual identity include?

Values, beliefs, interests, self-esteem, and self-image.

What is sexual expression?

Communicating and acting on sexual desires and needs.

What does sexual expression include?

Verbal and nonverbal communication, appearance, and behaviors.

What is sexual function?

Physical, cognitive, and physiological functioning.

Name one psychological benefit of safe sexual expression.

Improved self-esteem.

Name one cognitive benefit of safe sexual expression.

Improved cognitive functioning.

Name one social benefit of safe sexual expression.

Improved social connection.

Name one emotional benefit of safe sexual expression.

Improved emotional well-being and mood.

Name one functional benefit of safe sexual expression.

Improved functional independence.

Name one health benefit of safe sexual expression.

Reduced risk of disease.

Sexual expression remains an important need during what life stage?

Older adulthood.

Sexual expression is associated with reduced __________.

Pain sensitivity.

Sexual expression is associated with improved __________ health.

Cardiovascular.

Sexual expression is associated with reduced __________ and loneliness.

Depression.

Approximately what percentage of nursing home residents report satisfaction with their sexual lives?

About 25%.

What happens to testosterone with aging?

It decreases.

What happens to sperm production with aging?

It decreases.

What changes occur in seminal ejaculate?

The amount and consistency change.

What happens to ejaculation force with aging?

It decreases.

What happens to premature ejaculation with aging?

It becomes less likely.

What happens to ejaculation frequency with aging?

It decreases.

What happens to the refractory period with aging?

It increases.

What may happen to prostate size?

It may increase.

What happens to the time required for sexual excitement in older males?

It increases.

What happens to erection duration with aging?

It lasts longer.

What hormonal changes occur during menopause?

Estrogen and progesterone decrease.

What happens to external genitalia after menopause?

They shrink.

What happens to pubic hair growth after menopause?

It decreases.

What happens to vaginal walls after menopause?

They shrink and become thinner.

What happens to vaginal secretions after menopause?

They decrease.

What happens to lubrication with aging?

It takes longer to achieve.

What is perimenopause?

The transition period around menopause.

During perimenopause, what do the ovaries produce less of?

Hormones.

What does menopause mean?

The end of menstruation.

How is menopause defined?

Twelve consecutive months without a menstrual period.

Name one consideration when discussing intimacy in older adults.

Stage of life.

Name another consideration.

Settings and environment.

Name another consideration.

Health and disability.

Name another consideration.

Attitudes and norms.

Name another consideration.

Family and relationships.

Name another consideration.

LGBTQ+ identity and intersectionality.

Name another consideration.

Culture, race, and ethnicity.

Name another consideration.

Communication.

Name one barrier to sexual expression.

Physiological changes and disability.

Name another barrier.

Health conditions and medications.

Name another barrier.

Attitudes and beliefs.

Name another barrier.

Settings and environment.

Name another barrier.

Communication with providers.

What percentage of older adults agreed that 'Sex in elderly is taboo'?

71%.

What percentage agreed that 'Sex is for young people only'?

64%.

What percentage agreed that 'Sex is not important in life'?

51%.

What is ageist erotophobia?

A form of ageism that denies older adults as sexual beings.

What does intersectionality recognize?

That multiple identities interact to influence health risks and protective factors.

What is aromantic?

Little to no romantic attraction to other people.

What is asexual?

Lacking sexual attraction to or disinterest in being sexual with other people.

What is celibacy?

The choice to abstain from sexual activity.

What is dyspareunia?

Pain in the genital area during sexual intercourse.

What is ethnogeriatrics?

Healthcare for older adults from diverse ethnic backgrounds; the intersection of aging, ethnicity, and health.

What is inappropriate sexual behavior?

Unwelcome sexual advances, requests for sexual favors, or other verbal or physical harassment of a sexual nature; it is subjectively defined.

What is menopause?

Cessation of menstruation.

What is the refractory period?

The recovery phase after orgasm during which it is physiologically impossible for a male to have additional orgasms.

What does 'sexual health' include besides the absence of disease?

Physical, emotional, mental, and social well-being.

According to the lecture definition, what is sexuality?

The ability to be intimate with another person in a mutually satisfying manner.

What is the main purpose of discussing sexuality in OT?

To recognize that sexual health and intimacy are meaningful occupations that influence overall well-being.

In the dementia debate scenario, what two principles must clinicians balance?

Resident safety/capacity and the right to sexual expression.

Why should OTs discuss sexuality with older adults?

Because sexuality and intimacy remain meaningful occupations throughout older adulthood and can affect physical, emotional, social, and psychological well-being.