10. Sexual neglect - many myths exist about sexuality and aging.
1. Facts about sexuality in the older adult:
1. Sexual desire can and does exist in advanced age.
2. If in good health, a satisfying sex life can extend into the eighties and beyond; if sexually active in youth and middle age, vigor and interest will be retained into old age.
3. Sexual attractiveness has little to do with age and the appearance of partner.
4. Less than 1% of sudden coronary deaths occur during sexual intercourse; greater anxiety and tension exists if sex is restricted.
5. Vaginal lubrication is decreased because of menopause, but sexual pleasure still exists.
6. Sex may actually be better in later years; partners have an appreciation of intimate sharing and caring.
7. Sexual activity is a good form of exercise and helps maintain flexibility and stamina.
8. Older adults have a strong interest in sexual activity and physical and mental wellbeing; older adults should be encouraged to continue sexual interests without guilt.
9. Male erections can continue into the eighties and beyond.
2. Nursing goal: assist the patient to reduce barriers to a satisfying sexual experience.
1. Barriers to a satisfying sexual experience:
1. Loss of sexual responsiveness - causes: monotony of a “same old” sexual relationship; mental or physical fatigue; overindulgence in food or drink; preoccupation with career or economic pursuits; physical or mental infirmities of either partner; performance anxiety.
2. Changes with aging - hormonal; decreased muscle tone and elasticity; prostate hyperplasia; sclerosing arteries and veins; increased time needed for arousal and rearousal; medications (e.g., antihypertensives); surgery (e.g., prostatectomy); response to menopause; availability of a partner.