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1-Nursing History
o Collect data about erectile dysfunction in a male who has diabetes and may be indicated in the review of the cardiovascular, neurologic and genitourinary system.Nursing history data indicating the need for a physical examination include the following:
1- Suspicion of infertility, pregnancy or STDs
2- Reports of discharge, presence of lump or change in color, size and shape of a genital organ.o Disfiguring conditions such as burns, skin conditions, birth marks, scars, and ostomies
Specific medication therapy that decreases sexual drive or causes erectile or ejaculatory dysfunction.3-Identifying clients at risk
o Physical, psychosocial, or sexual abuse
Altered body structure or function due to trauma, pregnancy, recent child birth, anatomic abnormalities of the genitals, or disease.
1-Nursing History
• Collect data about erectile dysfunction in a male who has diabetes and may be indicated in the review of the cardiovascular, neurologic and genitourinary system.
• Screening process of the systems review allows the nurse and client to identify problem areas.
• Psychosexual assessment (to review of sexual self-concept). Manner of dress, tone of voice and comments about self and relationships with others can give the nurse opportunities to explore issues of sexual self- concept more fully.
• Illnesses and other health concerns have a strong influence on sexual self-concept.
2-Physical Examination
• Physical examination of the female genitals and reproductive tract and the male genitals is part of a routine physical examination.
Nursing history data indicating the need for a physical examination include the following:
1- Suspicion of infertility, pregnancy or STDs
2- Reports of discharge, presence of lump or change in color, size and shape of a genital organ.
3- Changes in urinary function.
4- Request for birth control.
3-Identifying clients at risk
• Physical, psychosocial, or sexual abuse
Altered body structure or function due to trauma, pregnancy, recent child birth, anatomic abnormalities of the genitals, or disease.
• Disfiguring conditions such as burns, skin conditions, birth marks, scars, and ostomies
Specific medication therapy that decreases sexual drive or causes erectile or ejaculatory dysfunction.
Temporary or long-term impaired physical ability to perform groo ning and maintain sexual attractiveness.
• Value conflicts between personal beliefs and religious doctrine.
• Loss of a partner
Lack of knowledge or misinformation about sexual functioning and expression.
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