1. Discuss the functional consequences affecting sexual wellness in the older adult. Inevitable age-related changes coupled with risk factors can lead to the negative functional consequences that adversely impact sexual wellness in older adults. The conceptual context of sexual wellness not only includes reproduction (ability to produce offspring) but also encompasses response to sexual stimulation and interest in sexual activities. Specifically, these functional consequences can consist of the following characteristics: Reproductive ability: postmenopausal older adult women lose reproductive ability secondary to the stoppage of ova production. Additionally, there is an increased risk of fetal abnormalities if an ova is fertilized during the premenopausal years. Older adult …show more content…
Chronic conditions can cause decreased libido, inhibited performance and pleasure, and fewer episodes of sexual activities. Functional impairments (e.g., arthritis, urinary incontinence, and medical conditions and pharmacological agents can produce physiologic effects (Miller, 2015, pp. 545–548). Chapter 29 3. What influence does culture have on end-of-life care? Cultural influences play a substantial role in the direction, aspects, and characteristics of end-of-life care provided to older adults. Cultural competency (ability to understand both your own and others uniqueness) is necessary for providing therapeutic biopsychosocial-spiritual care. Cultural uniqueness can affect the following aspects of end-of-life care: Perceptions and perspectives of a good death. Accepting hospice and palliative care services. Channels of communication regarding imminent death and end-of-life care decisions. Expectations regarding healthcare actions and activities (e.g., living