06 Jan What risk factors

NR601 Primary Care of the Maturing and Aged Family

Week 6 Discussion

DQ1 Post Menopausal and Sexuality Issues in the Maturing and Older Adult

Students will not receive credit for any discussions posted after Sunday 11:59pm MT.

Ageism and gender bias can affect who and how we ask about sexual health, sexual activity, and concerning symptoms. Depending on your own level of comfort and cultural norms this can be a tough conversation for some providers. But this is an important topic and as our videos discussed, women are wanting us to ask about sexual concerns. This week we also reviewed sexually transmitted diseases and the effects of ageism on time to diagnosis so it is necessary to ask these questions and provide good education for all patients. You will not know any needs unless you ask.

Discussion Questions:

Review the required NAMS videos. What was the most surprising thing you learned about in the videos? Explain why it was surprising.

What is GSM? What body systems are involved? How does this affect a woman’s quality of life?

What treatment does Dr Shapiro recommend?

Review one aspect of treatment that Dr Shapiro recommends and include an EBP journal article or guideline recommendation in addition to referencing the video in your response.

Sexuality and the older adult

What is your level of comfort in taking a complete sexual history? Is this comfort level different for male or female patients? If so, why?

How will this information impact the way you will interact with your mature and elderly clients?

DQ2 Urologic Concerns in the Maturing and Older Adult

Men and women both can experience urologic concerns with aging. This week’s presentations and readings covered urologic concerns and common problems. Utilize the national guidelines and scholarly references to develop your responses.

Urinary Tract Infections

What risk factors contribute to the development of a UTI in men versus women?

In which sex is a UTI more concerning and why?

It is important to know when to treat a UTI and when not to treat. Is there a particular situation where you would not treat a UTI?

BPH

As a provider it is essential for you to know to interpret DRE findings and what your next step should be. The American Urology Association has specific recommendations based on age. Be sure you know these because the guidelines will guide your patient counseling and treatment plan.

What does the AUA state about drawing PSA levels?

If you do decide to draw a level what specific counseling should you include in your education today?