HUMAN SEXUALITY Amy C. Chavarria, RN, MSN, MBA, HCM, CCE - PowerPoint PPT Presentation

Loading...

PPT – HUMAN SEXUALITY Amy C. Chavarria, RN, MSN, MBA, HCM, CCE PowerPoint presentation | free to view - id: 3af54-YTdiZ



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

HUMAN SEXUALITY Amy C. Chavarria, RN, MSN, MBA, HCM, CCE

Description:

The testes produces the spermatozoa for the semen. 2- Epididymus: ... Self care Monthly BSE, TSE, Kegel exercises. Contraception. Screenings. Counseling ... – PowerPoint PPT presentation

Number of Views:406
Avg rating:3.0/5.0
Slides: 52
Provided by: stc47
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: HUMAN SEXUALITY Amy C. Chavarria, RN, MSN, MBA, HCM, CCE


1
HUMAN SEXUALITYAmy C. Chavarria, RN, MSN,
MBA, HCM, CCE
2
(No Transcript)
3
(No Transcript)
4
STRUCTURE
  • MALE
  • - External
  • Penis
  • Scrotum
  • - Internal
  • Prostate Gland
  • Seminal Vesicles

5
  • MALE
  • Reproductive Gland
  • Testes
  • produces male cells (spermatozoa)
  • testosterone (male hormone).

6
(No Transcript)
7
1-Testes The testes produces the spermatozoa
for the semen.   
8
2- Epididymus The epididymus is like a storage
area for the spermatozoa. 
9
3- Vas deferens Also called the "ductus
deferens,"
10
4- Ampulla This is just a widened area of the
vas deferens.  
11
5-Seminal vesicle The seminal vesicles secrete
a fluid that contains fructose
12
6-Prostate gland The prostate gland also adds
fluid to the semen.   This fluid is milky in
appearance and alkaline.
13
7-Bulbourethral gland a.k.a., Cowper's glands
secrete a mucus-like fluid that is not really a
semen component. 
14
  • FEMALE
  • External

Vulva (VUHL-vuh) the name of the whole pubic
area, containing your external genitalia, or
outer genitals Pubic bone a roundish bone at
the top of the genital area Mons the fatty
tissue that covers the pubic bone
15
  • FEMALE
  • External

Labia majora (LAY-bee-uh mah-JOHR-uh) soft flaps
of skin just below the mons, protection for the
vagina Labia minora (LAY-bee-uh muh-NOR-uh)
softer lips found inside the outer lips
16
  • FEMALE
  • External

Urethra (yoo-REE-thruh) small opening found
around the middle of the vulva tube through
which urine passes through the body Vaginal
(VA-jih-nuhl) opening the pathway in and out of
your reproductive system larger opening below
the urethra
17
  • FEMALE
  • External

Hymen (HI-muhn) a thin stretch of tissue that
may partially cover the vaginal opening Clitoris
(CLIT-or-is) an organ of mature female sexual
responsiveness, filled with nerve endings
18
  • FEMALE
  • Internal

Ovaries (OH-vuhr-ees) two reproductive glands
that produce hormones and eggs Fallopian
(fuh-LOH-pee-uhn) tubes two tubes through which
the egg travels from the ovary to the uterus
19
  • FEMALE
  • Internal

Uterus (YOOT-er-uhs) muscular organ in the body
where a fertilized egg develops Endometrium
(en-doh-MEET-ree-um) the lining of the uterus
that is shed every month
20
  • FEMALE
  • Internal

Cervix (SER-viks) the lower part of the uterus
Vagina (vuh-JY-nuh) the canal that leads from
the cervix to the outside of the body and through
which menstrual fluid passes when a baby is
born, it also passes through the vagina
21
REPRODUCTION
  • Menstruation Menses occurs when levels of
    Estrogen and Progesterone fall.
  • Conception - Occurs when fertilization of one
    ovum by one sperm occurs in the outer third of
    the Fallopian Tube
  • Pregnancy Approximately 40 weeks from time of
    fertilization

22
CHARACTERISTICS OF SEXUALITY
  • Sexual Orientation
  • Heterosexual
  • Bisexual
  • Homosexual

23
  • Gender Identity and Roles
  • Sexual Expression
  • Perception of Gender
  • Transexual
  • Transvestites

24
FUNCTION OF SEXUALITY AND REPRODUCTION
  • Reproduction is only one concept of sexuality .
  • Humans can be sexual and not reproduce.
  • Male
  • Female

25
FUNCTION OF SEXUALITY AND REPRODUCTION
  • Master Johnson Sexual Response Cycle
  • Excitement
  • Plateau
  • Orgasm
  • Resolution

26
EXCITEMENT PHASE
  • Myotonia
  • Vasocongestion
  • Increase heart rate
  • Increase blood pressure
  • Sex flush
  • Duration 1 minute to several hours

27
PLATEAU PHASE
  • Continued myotonia
  • Continued vasocongestion
  • Continued increased heart rate
  • Continued increased blood pressure
  • Duration few seconds to several minutes

28
ORGASM PHASE
  • Series of muscular contractions 0.8 sec
    frequency
  •  

29
RESOLUTION PHASE
  • Reversal in myotonia
  • Reversal of vasocongestion
  • Reduction in heart rate
  • Reduction in blood pressure
  • After glow
  •  

30
LIFESPAN CONSIDERATIONS
  • Prenatal - When ovum and
  • spermatozoon unite sex is determined.
  • Newborn and Infant Cuddling and touching helps
    develop normal psychosexual orientation.
  • Often explore their bodies.

31
LIFESPAN CONSIDERATIONS
  • Toddler and Preschooler
  • Independent and exploring
  • May ask sexual questions
  • Masturbate which is normal

32
LIFESPAN CONSIDERATIONS
  • Child and Adolescent
  • Adopt sex behaviors and maintain friendships with
    same sex.
  • May engage in masturbation.

33
LIFESPAN CONSIDERATIONS
  • Adolescence
  • A turbulent time.
  • Develop identity and independence.
  • Surge of hormonal changes.
  • Difficult time for child and parents.

34
LIFESPAN CONSIDERATIONS
  • Adult
  • Often avoid their own sexual needs
  • To get ahead financially.
  • To raise children
  • Fatigue and busy work schedules impact.
  • Individualized with many variables.

35
LIFESPAN CONSIDERATIONS
  • Older Adult
  • Individualized with many variables.
  • Physical ability
  • Physical changes
  • Illness
  • Change in body image
  • Many myths and stereotypes.

36
FACTORS AFFECTING SEXUALITY
  • Relationships
  • Quality
  • Love and Trust
  • Cognition and Perception
  • Emotional State
  • Culture, Value and Beliefs
  • Values and Morals
  • Religious Beliefs

37
FACTORS AFFECTING SEXUALITY
  • Self Concept
  • Comfortable with themselves
  • Previous Experience
  • Abuse, ideas from past, rape
  • Pregnancy
  • Environment
  • Illness
  • Medication
  • Surgery

38
ALTERED SEXUALITY
  • Manifestations
  • Sexual Abuse
  • To others
  • Victims
  • Inhibited Desire
  • Dissatisfaction
  • Relationships
  • Inconguency
  • Medications
  • Impotence
  • Inability to attain or maintain erection

39
ALTERED SEXUALITY
  • Manifestations
  • Ejaculatory Dysfunction
  • PrematureWhen ejaculation occurs before
    satisfaction is achieved
  • Orgasmic Dysfunction
  • Difficulty achieving orgasm
  • Dysparnuia
  • Painful Intercourse
  • Vaginismus
  • Involuntary contraction of vaginal orifice so
    penetration is painful or impossible

40
IMPACT ON DAILY LIVING
  • Emotionally - self esteem and self-confidence
  • This can result in less emotional energy and a
    decrease in physical and mental activities
  • Interpersonal difficulties
  • Assessment subjective data - elicit a sexual
    history

41
WHY DONT WE TAKE SEXUAL HISTORY?
  • Lack of Training
  • Fear of Arousal
  • Awkwardness with sexual Language
  • Personal Bias

42
HOW DO WE GET STARTED?
  • Address your feelings first.
  • Identify what makes your feel uncomfortable.
  • Develop a plan for asking questions that your are
    comfortable with and will obtain the information
    you need.
  • Overcome embarrassment through experience and
    education.

43
APPROACHING CLIENT FOR ASSESSMENT
  • Comfort with sense of self
  • Clarify own values and beliefs
  • Nonjudgmental
  • Professional
  • Matter of factly

44
TIPS
  • Use sexual history as an outline.
  • Dont be restricted by history outline.
  • Adjust order of questions to meet client needs.
  • Allow client to interject information about
    feelings or concerns.

45
TIPS
  • Use understandable language.
  • Clarify terms not understood.
  • Consider education cultural influences.
  • Convey warmth, openness, honesty objectivity

46
OBJECTIVE DATA
  • Female - Pelvic Exam
  • Bimanual exam
  • Cultures chlamydia gonorrhea
  • Blood VDRL
  • Slide prep KOH-potassium hydroxide NS)
  • Others Candidia, gardnerella, trichomonoas
  • Pap Smear - cell changes, cervical cancer

47
OBJECTIVE DATA
  • Male Genitalia
  • Penis
  • Scrotum
  • Testicles
  • Urethra Opening
  • Hypospadias - abnormal congenital opening on the
    undersurface of the penis rather than in the
    center.

48
NURSING DIAGNOSES
  • Sexual Dysfunction
  • Client verbalizes problem
  • Altered Sexuality Patterns
  • Client verbalizes problem, subjective, own
    perception
  • Rape-Trauma Syndrome

49
NURSING DIAGNOSES
  • Gender Identity Disturbance
  • Sexual Dysfunction
  • Paraphilias
  • Pregnancy
  • Infertility
  • Abortion

50
HEALTH PROMOTION
  • Anticipatory guidance
  • Client teaching
  • Sex education
  • Self care Monthly BSE, TSE, Kegel exercises
  • Contraception
  • Screenings
  • Counseling
  • Referral

51
Time for the After glow
About PowerShow.com