00059 Sexual Dysfunction

Domain 8: sexuality
Class 2: sexual function
Diagnostic Code: 00059
Nanda label: sexual dysfunction
Diagnostic focus: sexual function
Approved 1980 • Revised 2006, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « sexual dysfunction » is defined as: State in which the person experiences a change in sexual function during the phases of sexual response of desire, excitement and/or orgasm that It is contemplated as unsatisfactory, non -rewarding or inappropriate.

Definite characteristics

  • Alteration of interest in others
  • Personal interest alteration
  • Alteration of sexual activity
  • Alteration in sexual excitement
  • Sexual role alteration
  • Alteration of sexual satisfaction
  • Decrease in sexual desire
  • Perception of sexual limitation
  • Look for confirmation of being desirable
  • Unwanted alteration in sexual function

Related factors

  • erroneous information about sexual function
  • Inappropriate knowledge about sexual function
  • Inappropriate role models
  • Insufficient intimacy
  • Vulnerability perception
  • Abuse not attended
  • Conflict of values ??

Risk population

  • People without a significant person

Associated problems

  • Alteration of body function
  • Alteration of body structure

Suggestions of use

If patient data does not fit the defining characteristics, the use of the most general label of ineffective sexual patterns should be considered. Note : Sexual dysfunction can be a symptom of other diagnoses, such as traumatic violation syndrome, or it could be the etiology of other diagnoses, such as anxiety or low situational self -esteem.

Suggested alternative diagnostics

  • Low self -esteem, chronic or situational
  • Body image,disorder
  • ineffective sexual patterns
  • Traumatic violation syndrome

NOC Results

  • Knowledge: pregnancy and sexual function in postpartum: degree of understanding expressed about sexual function during pregnancy and postpartum
  • Risk control: Sexually transmitted diseases (STDs): Personal actions to prevent, eliminate or reduce, behaviors associated with sexually transmitted diseases
  • Sexual functioning: integration of physical, socio -emotional and intellectual aspects of sexual expression and performance
  • Sexual identity: recognition and acceptance of one’s own sexual identity
  • Physical maturation: normal physical changes that occur during the natural aging process
  • Abuse recovery: sexual: scope of healing of physical and psychological injuries due to sexual abuse or exploitation

Evaluation objectives and criteria

  • demonstrates abuse recovery: sexual, as manifested by the following indicators (specify from 1 to 5: none, limited, moderate, substantial or extensive):
    • Evidence of relationships without abuse with people of the same sex
    • Evidence of relationships without abuse with people of the opposite sex
    • Manifestations of comfort with gender identity and sexual orientation
  • demonstrates sexual functioning, as manifested by the following indicators (specify from 1 to 5: never, rarely, sometimes, often or usually):
    • Achieve sexual excitement
    • Keep excitation to orgasm
    • Express intimacy skills
    • Express an acceptance of the couple
    • Express desire to have sexual activity

Other examples

The patient and the couple will be able to:

  • Show desires to talk about changes in sexual functioning
  • Request the necessary information on changes in sexual functioning
  • Express understanding of medical restrictions
  • Modify the forms of sexual expression to adapt to physical changes due to aging or a disease
  • Express ways to avoid STDs

NIC Interventions

  • Support for abuse protection: identification of high -risk dependency actions and relationships to prevent greater suffering of physical or emotional damage
  • Psychological advice: use of an interactive process of help focused on the needs, problems or feelings of the patient and their loved ones, to improve or strengthen the coping, solution of problems and interpersonal relationships
  • Sexual advice: monitoring of an interactive help process that focuses on the need to make adjustments to sexual practices or improving the coping of an event or sexual disorder
  • Infection control: reduction of the acquisition and transmission of infectious agents
  • postpartum care: surveillance and management of the patient who has just given birth
  • Prenatal care: patient control and management during pregnancy to avoid complications and favor a healthy result for both the mother and the baby
  • Teaching: Safe sex: Provision of information on sexual protection during sexual activity
  • Teaching: Sexuality: Support for individuals to understand the physical and psychosocial dimensions of sexual growth and development
  • Risk identiñcation: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
  • Improvement of self -awareness: helping a patient to explore and understand their thoughts, feelings, motivations and behaviors
  • Behavior modification: promotion of a behavior change

Nursing Activities

Valuations

  • Monitor the indicators of resolution of sexual dysfunction (for example, capacity for intimacy)
  • (NIC) Sexual advice:
    • Start with questions about sexuality, affirming the patient that many people experience sexual problems
    • Determine the amount of sexual fault related to the way in which the patient perceives the causal factors of the disease

Patient and family education

  • Provide the necessary information to improve sexual functioning (for example, anticipatory guide, educational material, exercises to reduce stress, exercises to improve sensations, prostheses, implants, specific advice)
  • (NIC) Sexual advice:
    • Talk about the effect of the disease, health status and medications for sexuality, as required (for example, side effects of medicines, normal aspects of aging, postoperative adjustments, especially after surgery in surgery in surgery in sexual organs or an ostomy, myocardial infarction)
    • Talk about the modifications that must be made in sexual activity, according to proceed
    • Inform the patient at the beginning of the relationship that sexuality is an important part of life and that, often, diseases, medications and stress (or other problems or events that the patient experiences) alters sexual functioning
    • Provide informed information about sexual myths and erroneous information that the patient can express

Collaboration activities

  • Motivate the patient to continue with the advice after medical discharge
  • (NIC) Sexual advice:
    • Channel to the patient with other members of the health team, as required
    • Channel to the patient with a sexual therapist, as required

Others

  • Promote the verbal expression of sexual concerns when using caregivers who have a good relationship with the patient and feel comfortable talking about the patient’s sexual problems; Specify the caregiver
  • Provide time and privacy to address the patient’s sexual concerns
  • Alert the patient and his partner about the possibility of a lack of interest, a reduction in capacity or discomfort during sexual activity
  • (NIC) Sexual advice:
    • Encourage the patient to express their fears and ask questions
    • Help the patient express suffering and anger due to alterations in the appearance and functioning of the body, as required
    • Involve the spouse or sexual partner in psychological orientation as much as possible, as required
    • Present positive role models to the patient that have successfully overcome a similar problem, as required
    • Encourage and allow the patient to experience with alternative forms of sexual expression, as required

At home

  • The above activities are suitable for home care
  • Help the patient and their partner identify a moment and a place with privacy for a sexual relationship; Help them to be assertive and communicate this need to their relatives, as needed

Older adults

  • Evaluate the needs and sexual functioning of older patients
  • Inform patients about normal aging changes, such as decreased vaginal lubrication in women and erections with less firmness in men
  • Suggest methods to improve sexual functioning (for example, the use of water soluble lubricants and kegel exercises for women)