Sexuality
Chemotherapy toxicity - #37
Review toxic affects of chemo therapy on geriatric patients.
Should your patient have that oncology intervention? - #36
Diagnostic testing and treatment are determined based on ability to improve disease process or quality of life/goals of care.
Diagnosis of Sexually Transmitted Infections in Older Adults - #85
Sexually Transmitted Infections (STIs) are increasing among older adults. These infections may include chlamydia, gonococcal infections, and syphilis5. Patients may experience no symptoms or symptoms may be mistaken for a urinary tract infection.
Conversations Surrounding STI Prevention - #84
While sexually transmitted infections (STIs) are on the rise among older adults, medical providers may associate this problem with younger populations, missing prevention and treatment opportunities.
Possible Reasons for the increase of STIs in older adults1:
- Lack of STI screening and treatment
- Physiologic changes (e.g., weakened immune system, thinning mucosal tissue)
- Changing relationships (e.g., widow/widowerhood, divorce)
- Increased availability of medication for intercourse (e.g. sildenafil)
- Misinformation/misunderstanding (e.g., risks of unprotected sex, need for condom use even for postmenopausal women, STI transmission routes)
- Inaccessibility to STI protection in community living environments
Conversations about “safer sex” may be difficult and uncomfortable for providers and patients but are vital to maintain patients’ health. Having open, nonjudgmental discussions about individual risk factors may lead to safer sexual practices.
Treatment of Sexually Transmitted Infections in Older Adults - #86
Sexually Transmitted Infections (STIs) are increasing in older adults. These infections may include chlamydia, gonococcal infections, and syphilis5. Patients may experience no symptoms or symptoms may be mistaken for a urinary tract infection.
Inappropriate Sexual Behavior (ISB) and the Dementia Patient. - #53
Identify and define inappropriate sexual behavior (ISB) in the context of a patient with dementia.
Initiating Renal Replacement Therapy (RRT) - #6
Consider quality of life assessment in initiating renal replacement therapy.