What are factors that affect sexuality?
-age
-culture
-religion
-lifestyle
-sexual knowledge
-health/illness
-mental health
What types of medications can impact sexuality?
-antihypertensives
-antihistamines
-antidepressants
-anti-anxiety agents
-anticonvulsants
-chemotherapy
-diuretics
-alcohol
-opioid analgesics
-stimulants
Whare common reasons nurses don’t talk about their patient’s sexuality?
-invasion of privacy
-embarrassment
-seen as inappropriate
-not a priority issue
-outside of nursing scope
-lack of knowledge/training
-assume patient will initiate
-physician responsibility
What are key techniques in taking a sexual history?
-provide privacy
-maintain eye contact/be direct
-opening statement
-preface direct questions
-start with less sensitive questions
-accept patient terminology
-use precise, unambiguous terms
What is the PLISSIT model?
framework for discussing sexual topics
What are the four steps of the PLISSIT model?
-Permission
-Limited Information
-Specific Suggestions
-Intensive Therapy
