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Self concept and sexuality, Lecture notes of Nursing

Nashville State Community CollegeNursing

Self concept and sexuality in the nursing field

Typology: Lecture notes

2022/2023

Available from 03/04/2023

nsamsil
nsamsil 🇺🇸

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Chapter 24 Self Concept and sexuality
- Scientific Knowledge Base
Self-concept
oYour view of who you are
oAffects self-esteem
oInfluences how you care for others
Sexuality
oRefers to all aspects of being sexual
- Nursing Knowledge Base: Development of Self-Concept
Development of self-concept is a lifelong process.
Erikson’s psychosocial theory:
oEach stage builds on tasks of the previous stage.
oSuccessful mastery leads to a sense of self.
- Components and Interrelated Terms of Self-Concept
Identity
oInvolves the internal sense of individuality, wholeness, and consistency of self
Body image
oInvolves attitudes related to physical appearance, structure, or function
Role performance
oHow individuals carry out their significant roles
Self-esteem
oAn individual’s sense of personal worth or value
- Stressors Affecting Self-Concept
Identity stressors
oEspecially during adolescence
Body image stressors
oAffect appearance, structure, or function of body
Role performance stressors
oRelationship or situational transitions and illness
Self-esteem stressors
oVary by developmental stage
Sexuality stressors
oOccur across the lifespan
- Sexuality Stressors
Sexual orientation
Sexual dysfunction
Menarche
Puberty
Sexually transmitted infections
Sexual abuse, assault, and rape
- The Nurse’s Influence on the Patient’s Self-Concept and Sexuality
Use a positive and matter of fact approach.
Build a trusting relationship.
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Chapter 24 Self Concept and sexuality

  • Scientific Knowledge Base  Self-concept o Your view of who you are o Affects self-esteem o Influences how you care for others  Sexuality o Refers to all aspects of being sexual
  • Nursing Knowledge Base: Development of Self-Concept  Development of self-concept is a lifelong process.  Erikson’s psychosocial theory: o Each stage builds on tasks of the previous stage. o Successful mastery leads to a sense of self.
  • Components and Interrelated Terms of Self-Concept  Identity o Involves the internal sense of individuality, wholeness, and consistency of self  Body image o Involves attitudes related to physical appearance, structure, or function  Role performance o How individuals carry out their significant roles  Self-esteem o An individual’s sense of personal worth or value
  • Stressors Affecting Self-Concept  Identity stressors o Especially during adolescence  Body image stressors o Affect appearance, structure, or function of body  Role performance stressors o Relationship or situational transitions and illness  Self-esteem stressors o Vary by developmental stage  Sexuality stressors o Occur across the lifespan
  • Sexuality Stressors  Sexual orientation  Sexual dysfunction  Menarche  Puberty  Sexually transmitted infections  Sexual abuse, assault, and rape
  • The Nurse’s Influence on the Patient’s Self-Concept and Sexuality  Use a positive and matter of fact approach.  Build a trusting relationship.

 Be aware of facial and body expressions.

  • Nursing Process: Assessment Behaviors suggestive of altered self-concept and sexuality:  Avoidance of eye contact  Slumped posture  Unkempt appearance  Overly apologetic  Hesitant speech/withdrawn  Overly critical or angry  Frequent or inappropriate crying  Negative self-evaluation  Excessively dependent  Hesitant to express views or opinions  Lack of interest in what is happening  Passive attitude  Difficulty in making decisions
  • Nursing Process: Assessment (Cont.)  Older adult considerations o Ask about past sexual experiences. o Consider coping behaviors. o Explore resources and strength.  Patient expectations o Discuss the patient’s goals.
  • Nursing Process: Diagnosis  Disturbed Body Image  Disturbed Personal Identity  Ineffective Role Performance  Readiness for Enhanced Self-Concept  Chronic Low Self-esteem  Situational Low Self-esteem  Sexual Dysfunction  Ineffective Sexuality Pattern
  • Nursing Process: Planning  Goals and outcomes o Be realistic.  Setting priorities o Focus on adaptations to stressors.  Collaborative care o Consider additional resources.
  • Nursing Process: Implementation  Health promotion o Healthy lifestyle behaviors support adaptation to stress o Education topics are based on patient’s age.  Acute care o Address patient stressors to promote health.