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Ch. 20 Sexual Disfunction (Nursing (Private setting…
Ch. 20 Sexual Disfunction
A disturbance in the desire, excitement, or orgasm phases of the sexual response cycle or pain during intercourse
Nursing
Private setting without distraction
Minimum note taking
Avoid making pt embarrasses
Ability to perform sexually
Comfortable with sexual expression
Reports healthy sexual functioningg
Disorders
Paraphilic D/O
Exhibitionism
Acts of sexual stimuli that fall "outside society norms" to feel sexual gratification
Fetishism
Pedophilia
Sexual activity with prepubescent child
Gender dysphoria
Strong and persistent cross-gender identification
Risk factors: genetics and psychosocial
Gender Reassignment Surgery
Nursing
Self-assess
Assess for self-harm
Focus on presenting problem
Safety!
SSRI-antidepressant
Prozac (decreases labido)
Goals
Pharm