Which strategies should the nurse recommend to improve the client’s sexual health?

1. Discuss your position in the family and how that has affected your relationship with siblings and parents.
2. How have your grandparents affected your life?
3. How you would conduct a review of systems in the area of sexual health with an older adult?
4. What would be the most important factors to consider when providing education about sexuality and sexual health to older adults?
5. What resources are available for older adults who identify as LGBT in your community?
AT CLINICAL: Interview a resident who is willing.
What is your role in your family?
Do you have children? Are they married?
Do you feel you come from a small or large family? Why?
Are you a grandparent? How does it feel to be a grandparent?
At what age did you stop being sexually active? What impact did that have on your life?
POST CLINICAL:
Case Study:
Ms. Booth, 68 years old, comes to the senior health clinic to establish care and is accompanied by Ms. Singh, her partner of 20 years. Ms. Booth has a history of osteoarthritis in her hips and knees, coronary artery disease, a chronic obstructive pulmonary disease with a 53-pack/year history of smoking, and Type 2 diabetes with mild peripheral neuropathy. Her medications include meloxicam 15 mg daily, aspirin 81 mg daily, valsartan/hydrochlorothiazide 160 mg/25 mg daily, nitroglycerin SL 0.5 mg every 5 minutes × 3 as needed for chest pain, fluticasone/salmeterol 250 µg/50 µg inhaled twice a day, glipizide/metformin 5 mg/500 mg twice a day, and pregabalin 50 mg three times per day. Vital signs include a blood pressure of 145/88 mmHg, a pulse of 92 beats per minute, a respiration rate of 18 breaths per minute, a temperature of 97.9°F, and oxygen saturation on room air of 96%.
The nurse asks Ms. Singh to leave the room during Ms. Booth’s physical examination; however, Ms. Booth asks for her partner to stay, saying they have some sensitive questions to ask and want to ask them together. Both women appear uncomfortable. The nurse sits down, leans forward, smiles, and asks how they can help. Ms. Singh looks at Ms. Booth, then says they are afraid to have intercourse since Ms. Booth’s chest pain began 6 months ago. The nurse nods then discuss with them ways to adapt to Ms. Booth’s chronic illnesses.
Which strategies should the nurse recommend to improve the client’s sexual health?