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THE SEXUAL SELF |
INTRODUCTION Sexuality is a crucial part of a person’s identity. Sex is central to who we are and to our emotional well-being. All people have the potential to positively experience and pleasurably express their sexuality . Sexuality is always part of an individual professional nurse, as health care providers, focus on the holistic nature of care and have responsibility to provide effective sexual health care for their clients. THREE ELEMENTS OF SEXUAL HEALTH 1. A capacity to enjoy and control sexual behavior in accordance with a social and personal ethic 2. Freedom from fear, shame guilt, false beliefs, and other psychological factors inhibiting sexual response and impairing sexual relationship. 3. Freedom from organic disorders , disease, and deficiencies that interfere with sexual and reproductive functions. COMPONENTS OF SEXUAL HEALTH Sexual self concept- It determines the gender and kinds of people a person is attracted to, and the values about when, where, and with whom one expresses sexuality. A positive sexual self-concept enables people to from intimate relationship through out life. A negative sexual concept may impede formation of relationship. Body image- It is the sense of life, it is constantly changing , aging, pregnancy, trauma, disease and therapies can alter an individual’s appearance and function, which can affect body image. COMPONENTS OF SEXUAL HEALTH Gender identity- It is one’s self image as a male and female. gender role behavior is the outward expression if what is perceived as gender appropriate behavior. Sexual orientation- It is defined as one’s attraction to people of same sex, opposite sex, or both sexes. Sexual orientation lies along a continuum with a wide range between the two extremes of exclusively heterosexual attraction and exclusively homosexual attraction Individual who are attracted to people of both genders are called bisexual. FACTORS INFLUENCING SEXUALITY CULTURE CULTURE Sexuality regulated by the individual’s culture. For eg. Muslims can have more than one wife. Polygamy or monogamy maybe the norm. Specific sex practices include circumcision. RELIGIOUS VALUES Religion influences sexual expression. It provides guideline for sexual behavior and acceptable circumstances for the behavior as well as prohibited sexual behavior and consequences of breaking sexual rules. FACTORS INFLUENCING SEXUALITY CULTURE PERSONAL Although ethics is integral to religion, ethical thought and ethical approaches to sexuality can be viewed separately from individual to individual HEALTH STATUS Healthy minds, bodies and emotions are necessary for sexual well-being. Many health factors can interfere with myocardial infraction person’s expression of sexuality Disorders that may alter of sexuality are:- SEXUALLY TRANSMITTED INFECTION Most STIs have no symptoms. A person can have an STI and not know it. Why would you be at greater risk of getting an STI that doesn't cause any symptoms? PARASITIC STI
Pubic lice
The lice attach their eggs to the pubic hair
and feed on human blood
Trichomoniasis
Caused by a parasite that is usually sexually
transmitted, but it can survive 24 hours on wet
towels and bathing suits ew po0Se
Scabies
Caused by the itch mite. It burrows just under the skin
and lays eggs. The scabies mite can live for 2-4 days away
from the human body; it can be transmitted without
sexual contact. enn
VIRAL STI
Human Papillomavirus (HPV)
Human Papillomavirus (HPV)
* Very contagious virus
+ Some people never get symptoms
* HPV is spread through skin to skin contact ,
oral, anal and vaginal sex with an infected
partner
* Some types cause genital warts and other
types can cause cancer of the cervix
Genital Herpes Genital Herpes
* Caused by the Herpes Simplex Virus (HSV)
¢ Spread through skin to skin contact and oral, anal
and vaginal sex
* Some people with herpes never develop sores,
but are still contagious and may spread it to
others without knowing
* People who have an initial outbreak can have
more outbreaks throughout the rest of their life
Remember herpes is not CURABLE. !t is
TREATABLE! Lat mlannct.
How is Hepatitis transmitted
VIRAL STI
Hepatitis
* Hepatitis is a virus that affects your liver
* It.can cause permanent liver disease and cancer
of the liver
* Hepatitis A & B can be prevented by vaccines
* There is no vaccine for Hepatitis C
0st
Remember hepatitis is not CURABLE! @éa
Hepatitis A is transmitted through fecal oral
route
Hep B is transmitted through blood and bodily
fluids
Hep C is transmitted mostly through blood but
also through bodily fluids
Human Immunodeficiency Virus (HIV)
and Acquired Immunodeficiency
Syndrome (AIDS)
#Keann
HIV and AIDS
* HIV is the initial infection
AIDS is the advanced stage of the disease
* Over a period of time, the virus attacks and damages
the body’s immune and nervous system
How is HIV/AIDS spread?
* The virus is spread through bodily fluids
Decrease risk with condom use
* There is no cure for HIV infection
* Once infected, you have HIV for life
METHODS OF FAMILY
PLANNING
Natural Family Planning
« the couple prevents pregnancy by avoiding unprotected
vaginal sex during most fertile days, usually by abstaining
or using condoms.
Calendar rhythm
« the use of calculations to determine safe and unsafe days
of the menstrual cycle based on past cycles.
Safe Days and Unsafe Days Using the Calendar Method
eit Peer Pre Thursday eer
22 23 24 25 26 a 26
Safe Day Safe Day Safe Day Safe Day Safe Day Safe Day Safe Day
29 30 1 2 3 4 5
Start of
Period ‘|
Coitus interruptus (Withdrawal)
« The male withdraw his penis from his partner’s vagina and
ejaculates outside the vagina, keeping semen away from
her external genitalia.
Intrauterine device (IUD)
« Asmall, soft plastic device that is inserted into the
uterus. It can be placed or removed by trained personnel
only. The acceptors may experience minor discomfort
after insertion and the possibility it’s being expelled.
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Pills/Oral contraceptive
* It is a combination of synthetic hormones. It is intended
for women 19 to 34 years old who desire to space child-
bearing. It may be inconvenient since the pills are taken
daily.
Injectable
* Contains progesterone and injected every three months
E23 alamy stock photo