Word Count of Assignment: 3240
Understanding patient sexuality and associated issues that can arise after a cardiac event:
A reflection of practice.
This assignment reflects on my role as a student nurse on a cardiac ward. Using theory to analyse missed opportunities in addressing patient’ sexuality; I have focussed on why communication was ineffective and ways to improve my future practice. To first understand sexuality I have selected definitions which I believe to be inclusive and holistic.
A person’ sexuality is formed by their individualism, culture, upbringing and social influence of the period in which they develop (Tiefer 1995.) Sexuality is a lifelong process, from birth until death and each individual’s perception of their sexuality is likely to evolve with their experiences (Carabine 2004.)
Johnson and Chang (2008) recognised that sexuality can be displayed through a broad range of social emotional, spiritual, sensual and physicals means. It may be expressed as feelings, attitudes and beliefs, needs, desires and fantasies.
The term encompasses emotional intimacy and any form of sexual activity or habit including pro-creational, recreational and relational practices and can be with or without the goal of achieving please, for example wearing perfume to feel feminine and with or without the intimacy of a partner or partners (Tiefer 1995.) A preference to engage or dismiss the above can also be considered an aspect of sexuality. Sexuality takes many forms, for what might be a source of warmth and attraction for another may be fear and hate (Mauk 2012.)
Some of the literature focusses in on sexual orientation for examples individuals expressing heterosexuality, homosexuality, bisexuality or celibacy to name a few. I think it is important to note that the practices individuals undertake my not lead to the claiming of a sexual identity (Carabine, 2004.) For example a man who has sexual intercourse with other men may