ATI Fundamentals Ch 34 Self Concept and Sexuality

what is self concept

the way individuals feel and view themselves, including conscious and unconscious thoughts, attitudes, beliefs, and perceptions

Is self concept subjective or objective

subjective, because it involves self-identity, body image, role performance, and self esteem.

What are stressors that could affect self-concept

unrealistic expectations, surgery, chronic illness, and changes in role performance.

how does body image diffrent from those in adolescence and older adults

in adolescence, hormonal changes, and body development influence body image.
Among older adults changes in mobility, thinning and greying hair, and decreased visual and hearing acuity.

What stressors may affect an individual's body image

lose of body parts, mastectomy, or hysterectomy, loss of body function due to arthritis, spinal cord injury, stroke, and an unattainable body ideal.

True false individuals with negative body image perception are at an increased risk for suicidal idealations

True

Sexuality and sexual health are vital components of general health

Occurs when relationships are safe and respectful
and is affected by developmental stage

What is the assessment tool for sexuality

PLISSIT
P: Permission
LI: Limited information
SS: Specific suggestions
IT: intensive therapy

What do you assess for self-concept

their posture
appearance
demeanor
eye contact
grooming
unusual behavior

How do you provide patient centered care for self-concept

determine how one values oneself
suggest healthier lifestyle
encourage client to verbalize fears or anxieties
use therapeutic communication skills to assist the client with self-awarness
encourage the use of effective coping skills
reinforce successes and strengths

how to provide patient centered care for body image

establish therapeutic relationship with the client
ensure privacy and confidentiality
identify individuals who can be at risk for body image disturbances
acknowledge anger, depression, and denial as feelings to be expected when adjusting to body changes
encourage the client to participate in the plan of care
arrange for a visit from a volunteer who has experienced a similar body image change.

how to provide patient centered care for sexuality

allow client to discuss issues and concerns related to sexuality
be straightforward with questions in relaxed manner
ask client to describe factors that influence sexual desire
health promotion: determine the clients current knowledge base regarding sexuality, and provide education as needed
Acute care: increase awareness by introducing or clarifying information and referring the client for counseling if necessary
inform the client of available resources and support groups
never assume that sexual function is not a concern
discuss alternative means of sexual expression if the client experiences a change in body functioning or structure