Nursing 209

N209: Reproductive Health Study Guide

they have sex.

o It can occur due to hypertension, heart disease, diabetes, or the medications used to treat chronic illnesses. • Men may also require increased time to obtain an erection, firmness and amount of ejaculate may decrease, they may lose an erection more rapidly after an orgasm, or it may take longer to achieve an erection again. 1.12 The Nursing Process Assessment: • Obtain health history: Illness/medication history, reproductive history, sexual activity, self- care behaviors (BSE, TSE, pap smear, mammogram, contraception, and STD prevention) • Assess cultural beliefs: Socioeconomic status, education level, and religious beliefs as they relate to patient’s views on sexuality and activity • Review objective data: Results related to reproductive assessment, such as pap smear results, STD testing, mammogram results, and hormone levels Analysis/Diagnosis: • Collaboration with health team and patient to identify actual and potential health problems • Identify nursing diagnosis (ineffective sexuality pattern, anxiety, acute pain, ineffective health maintenance, etc.) Planning: • Establish expected outcomes; plan nursing interventions to meet goals for health promotion (education related to STD prevention, birth control, availability of HRT, medication side effects, etc.) • Consider patient’s ability to follow the plan of care based on resources, religion, lifestyle, and mobility • Use standards of care and protocols per AWHONN, ACOG, and ANA; utilize evidence-based practice for teaching prevention and health maintenance Implementation • Set forth nursing interventions and a plan of care to achieve expected outcomes utilizing therapeutic communication and identification of cultural and religious beliefs • Implement teaching per assessment needs (STD prevention, hygiene, family planning, etc.) Evaluation • Assess and document patient’s response to nursing interventions and revise plan of care as

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