Which of the following older adult clients is most likely to have physiologic barriers to sexual wellness?
A) One who has chronic obstructive pulmonary disease and a recent MI
B) One who has early stages of lung cancer and who is being treated for hypothyroidism
C) One who had an ostomy created several years ago as treatment for colon cancer
D) One who recently recovered from urinary tract infection that progressed to urosepsis
Ans: A
Chronic obstructive pulmonary disease and coronary heart disease are associated with sexual dysfunction. The other noted health problems are not associated with physiologic barriers to sexual health and function. Early stages of lung cancer symptoms include cough, which potentially produces bloody sputum, not shortness of air. The ostomy may psychologically impact a client, but not physiologically. Recovered urinary tract infection/urosepsis would not specifically cause a physiologic barrier.
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