Nr601 Week 6: Post-Menopausal and Sexuality Issues in the Maturing and Older Adult
Nr601 Week 6: Post-Menopausal Purpose
The purpose of this student discussion is to discuss Post-Menopausal and Sexuality Issues in the Maturing and Older Adult
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
1) Discuss the symptoms related to genitourinary syndrome of menopause (GSM) (WO 6.2,6.3) (CO 1,3,5)
2) Reflect on personal comfort level when performing a sexual history on the maturing an older adult. (WO 6.2,6.3) (CO 1,3,5)
Requirements:
Ageism and gender bias can affect to whom and how we ask about sexual health, sexual activity, and concerning symptoms. Depending on your own level of comfort and cultural norms this can be a tough conversation for some providers but this is an important topic. As this week’s required NAMS videos discussed, women are wanting us to ask about sexual concerns. This week we also reviewed sexually transmitted diseases and the effects of ageism on the time to diagnosis so it is necessary to ask these questions and provide good education for all patients. You will not know any needs unless you ask.Nr601 Week 6: Post-Menopausal
Discussion Questions:
- Review the required NAMS videos. What was the most surprising statement or topic that you heard in the videos? Explain why this was surprising to you.
- What is GSM? What body systems are involved? How does GSM affect a woman’s quality of life?
- Review one aspect of treatment that Dr Shapiro recommends for GSM and include an EBP journal article or guideline recommendation in addition to referencing the video in your response.
Sexuality and the older adult
- What is your level of comfort in taking a complete sexual history? Is this comfort level different for male or female patients? If so, why?
- How will this week’s information impact the way you will interact with your mature and elderly clients in the future?
Nr601 Week 6: Post-Menopausal Answer
Critical Reflection
Surprising Insights from Videos
The videos revealed a striking revelation: despite the positive correlation between patient satisfaction and discussions around sexuality and sexual dysfunctions during healthcare visits, many healthcare professionals neglect the significance of addressing these issues (Dr. Shapiro, NAMS). This oversight results in inadequate attention to patients’ sexual health concerns. The surprise stems from the understanding that sexuality is a fundamental aspect of life, necessitating more comprehensive consideration for the timely identification and treatment of related health issues.
Genitourinary Syndrome Menopause (GSM)
Genitourinary Syndrome Menopause (GSM), elucidated by Kaunitz, Pinkerton, and Manson (2018), denotes the constellation of symptoms emerging post-menopausal estrogen decline. This syndrome encompasses sexual, genital, and urinary symptoms, impacting various body systems such as the labia, clitoris, urethra, vestibule, and bladder. The repercussions include vaginal dryness, painful intercourse, itching, irritation, burning sensations, and increased susceptibility to urinary tract infections. The interconnectedness of these symptoms underscores the profound effect GSM can have on a woman’s quality of life.Nr601 Week 6: Post-Menopausal
Understanding GSM not only requires acknowledging its impact on diverse bodily systems but also recognizing its implications for a woman’s overall well-being. By comprehending the multifaceted nature of GSM, healthcare professionals can adopt holistic approaches to alleviate symptoms and enhance the quality of life for women experiencing this menopausal condition.Nr601 Week 6: Post-Menopausal
In conclusion, the videos provided valuable insights into the neglected aspects of patient care related to sexuality and highlighted the intricate challenges posed by GSM, emphasizing the need for a more comprehensive and patient-centric approach in healthcare.
References: Dr. Shapiro, NAMS (National Association for Continence). (Date of the video). Title of the Video. [Link to the video].
Kaunitz, A. M., Pinkerton, J. V., & Manson, J. E. (2018). Management of Genitourinary Syndrome of Menopause in Women With or at High Risk for Breast Cancer: Consensus Recommendations From The North American Menopause Society and The International Society for the Study of Women’s Sexual Health. Menopause, 25(6), 1-22.
