QUESTIONS AND ANSWERS
What are the 3 components of body image? - ANS Perceptual
psychological
Social
Factors influencing adjustment to body image - ANS Influence on time
meaning and significance
social + cultural influences
healthcare team members
age
gender
coping mechanisms
4 body image issues that are influenced by chronic disease - ANS 1. external changes - visible
changes, funcitonal changes, how fast have the changes happened
2. appearance may draw attention to stigmatizing cause
3. Visibility and invisibility of body image alternations
4. functional limitations
Name a few possible interventions for body image - ANS communication
self-help/support groups
education and anticipatory guidance
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,self-care
prostheses
Does chronic illness affect sexuality? - ANS absolutely
Implications of CAD on sexuality - ANS Post-MI risk of sexual activity is assessed
Education about sexual activities is also part of cardiac rehab
Implications of diabetes of sexuality - ANS Erectile dysfunction is common but manageable
with glycemic control
diabetic women may experience decreased satisfaction
nurses are obligated to address sexual difficulties
Implications of cancer on sexuality - ANS surgical treatments may impact body image and
function
radiation and chemo can cause temporary or permanent infertility
Implications fo MS on sexuality - ANS motor, sensory, and cognitive changes may occur
sexual difficulties may fall into 3 classifications
primary - caused by CNS damage or hormones
secondary - arise from symptoms (fatigue, pain, bladder dysfunction)
tertiary - concerning attitudes and feelings
Possible interventions surrounding sexuality - ANS sexual assessment - should be routine
with chronic illness
include sexuality in practice - nurses should be comfortable with their own sexuality and
comfort discussing with others
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, Desired outcomes of sexuality interventions - ANS engage in open communication with
partner about sexual functioning/desire within a cultural framework
Describe appropriate interventions for actual or potential changes
identify personal and community resources to assist with changes
What is one of the major reasons people seek healthcare? - ANS Pain
What is pain? - ANS Unpleasant sensory and emotional experience associated with actual or
potential tissue damage
How many people over 65 years experience pain? - ANS 1 in 3
What is nociceptive pain? - ANS damage to somatic or visceral tissue
What are nociceptive pain characteristics? (visceral and somatic) - ANS Somatic
- aching, throbbing, localized
- can include bones, joints, muscle, skin, or connective tissue
Visceral
- vague, intermittent, deep ache or pressure
- can be caused by tumours, obstructions, internal organs
What do we use to treat nociceptive pain? - ANS Opioids and nonopioids
What is neuropathic pain? - ANS damage to peripheral nerve or CNS
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