Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

Predisposing Factors to Sexual Dysfunctions 1. Physiological Factors a. b. c. (e.g., prostatectomy), Parkinson’s disease, and diabetes. Sexual Desire Disorders: and depression) and certain medications (antihyperten-been linked to low levels of serum testosterone and to elevated levels of serum prolactin. Evidence also exists that suggests a relationship between serum testosterone to some medical conditions (hypothyroidism, diabetes, and increased female libido. Various medications, such as antihypertensives, antipsychotics, antidepressants, anxio-lytics, and anticonvulsants, as well as chronic use of drugs such as alcohol and cocaine, have also been implicated in sexual desire disorders.Orgasmic Disorders: terfere with male orgasm include genitourinary surgery Sexual Arousal Disorders: sives, antidepressants). Medical conditions that may in-to decreased estrogen levels in postmenopausal women. Medications such as antihistamines and cholinergic blockers may produce similar results. Erectile dysfunc-tions in men may be attributed to arteriosclerosis, dia-betes, temporal lobe epilepsy, multiple sclerosis, some medications (antihypertensives, antidepressants, tran-quilizers), spinal cord injury, pelvic surgery, and chronic use of alcohol. Sexual and Gender Identity Disorders In women these may be attributed In men, these disorders have These may occur in response ●^205
2 2506_Ch11_201-217.indd 0205 506 Ch 11 201 - 217 .indd 2. 0205 Psychosocial Factors a. d. Sexual Desire Disorders: Transient cases of the disorder may occur with excessive by disorders of the vaginal entrance, irritation or damage a number of individual and relationship factors that may contribute to hypoactive sexual desire disorder. Individual causes include religious orthodoxy; sexual identity con-antihypertensives, antidepressants, and antipsychotics. flto the clitoris, vaginal or pelvic infections, endometrio-sis, tumors, or cysts. Painful intercourse in men may be depression; and aging-related concerns (e.g., changes in physical appearance). Among the relationship causes are interpersonal conflattributed to penile infections, phimosis, urinary tract abuse; extramarital affairs; and desire or practices differ-ent from partner.infections, or prostate problems.alcohol intake.Various medications have also been implicated, including Sexual Pain Disorders: icts; past sexual abuse; fi icts; current physical, verbal, or sexual nancial, family, or job problems; In women these can be caused Phillips (2000) has identifi ed 10/1/10 9:35:44 AM 10 / 1 / 10 9 : 35 : 44 AM