ABSTRACT
No disponible
Subject(s)
Humans , Sexuality , Sexual and Gender Disorders/nursing , Delivery of Health Care/organization & administration , Minority Health/trends , Midwifery/trends , Transsexualism , Homosexuality , Bisexuality , Reproductive Health Services/organization & administrationABSTRACT
Sexual abuse is a problem of epidemic proportions in the United States. Given the scope of the problem of sexual abuse and the amount of media attention it receives, it is not unusual for parents or caretakers who witness a child exhibiting sexual behavior to become alarmed. Primary care providers, including pediatric nurse practitioners, may be the first professional parents contact with concerns regarding a child's sexual behavior. It is imperative that primary care providers understand childhood sexuality and respond appropriately when confronted with child sexual behaviors in their practice. Although the literature includes little research on the subject of normal child sexual development, certain guidelines have been identified to describe normal child sexual behaviors and those of concern. Case studies illustrate the response of two primary care providers when they are confronted with sexual behaviors in their patients. Implications for practice are discussed, with examples and guidelines provided for primary care providers to use when evaluating sexual behavior in their pediatric patients.
Subject(s)
Child Development/physiology , Health Knowledge, Attitudes, Practice , Sexual Behavior/physiology , Sexual Behavior/psychology , Adolescent , Body Image , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Mass Media , Pediatric Nursing/methods , Sex Offenses/prevention & control , Sexual and Gender Disorders/nursing , Sexual and Gender Disorders/prevention & controlABSTRACT
There is very little research literature that addresses sexuality at the end of life. Although end-of-life care has become a priority for nursing education, the issue of end-of-life sexuality is not included in the curriculum. Nurses are frequently in a position to establish relationships with couples that encourage a frank discussion and information sharing. As patient advocates, nurses can address end-of-life sexuality issues by taking a sexual history and implementing a general intervention model, such as the PLISSIT. Couples need to be reassured that if they have enjoyed a close sexual relationship, sexual intimacy may continue to be part of their relationship, even at the end of life.
Subject(s)
Patient Education as Topic/methods , Sexual Dysfunction, Physiological/nursing , Sexuality , Terminal Care/methods , Female , Humans , Male , Neoplasms/nursing , Nursing Care/methods , Sexual and Gender Disorders/etiology , Sexual and Gender Disorders/nursingABSTRACT
Inappropriate sexual comments and behaviors from clients with brain injuries can be frustrating, awkward, and time consuming for the nurses who are caring for them. Understanding the meaning of these comments and behaviors, as well as receiving direction concerning ways to handle the situation can help nurses overcome their frustration and improve the quality of nursing care. This article examines potential underlying causes of inappropriate sexual behavior, explains the behaviors from client, family, staff, and organizational perspectives, and begins to look at ways to respectfully and sensitively address the behaviors using a model and framework developed by the Sexual Health Service (SHS) at Vancouver Hospital and Health Sciences Centre (VHHSC), in British Columbia, Canada.
