What Do I Say When My Patient Asks Me About Sex?
Presented by Donald Kautz
Non-Financial: Donald D. Kautz, RN, PhD, CRRN has no competing non-financial interests or relationships with regard to the content presented in this course.
Meet your instructor
Donald Kautz
Donald D. Kautz earned his BSN from the University of Northern Colorado, and his MSN and PhD in Nursing from the University of Kentucky. Don worked in many areas of Rehabilitation Nursing, including acute inpatient rehab on spinal cord, head injury, stroke, and general rehab units. He worked as a staff nurse in a pain clinic,…
Chapters & learning objectives
1. Responding to The Patient
Therapists and nurses may be caught off guard when a patient or one of the patient’s loved ones asks: “Can I have sex?” or “Will I be able to love again?” or “How can anyone love me like this?” This chapter will provide options that healthcare providers can use to ensure that the patient’s questions and concerns are answered and their dignity is preserved.
2. Common Changes in Sexual Function and Sexual Relationships
This chapter presents common sexual function and sexual relationship changes that occur with various disabilities. Although the underlying cause may vary, changes are often quite similar between diseases. For example, fatigue and loss of desire occur with most disabilities and chronic illnesses, and the suggestions that a health care provider can give to help patients may work regardless of the underlying cause.
3. Health Promotion Activities May Increase Intimacy
At all ages, being healthy promotes sex and intimacy. The “first line of treatment” for erectile dysfunction, vaginal dryness, loss of desire, and fatigue include healthy eating, maintaining an ideal body weight (losing weight), stopping smoking, and regular aerobic exercise.
4. Resources About Sex for Those with Disabilities and Chronic Illnesses
Pamphlets, videos, and websites have been developed specifically for those with various disabilities and chronic illnesses. This chapter provides a list of up-to-date resources for patients and their partners, and describes how nurses can incorporate the use of these resources into their practice.
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