A 58-year-old woman asks the nurse what she can do to adjust to normal changes related to aging. How does the nurse respond?
a. "Continue what you've been doing. Nothing should have changed."
b. "I will refer you to a sexual therapist to assist you."
c. "Using a water-based lubricant may be helpful."
d. "Reducing the frequency of intercourse may help you."
C
The perimenopausal and menopausal woman may have diminished vaginal lubrication due to decreased levels of estrogen. Suggestions such as using a vaginal lubricant and creating time for caressing and tenderness can help to ease adjustment to normal changes related to aging.
Some physical changes may affect sexuality as the client ages. The client should be educated on the expected changes and how best to address them.
If the nurse is uncomfortable discussing sexual issues with the client, then he or she should ask another nurse who is comfortable to talk with the client. A sex therapist is not necessary in this situation. Sex therapists address more complex sexual issues.
Decreasing the frequency of intercourse would not promote healthy sexual relations.
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