A nurse is planning interventions to enhance the sexuality of an older adult couple.

Which of the following interventions should the nurse include?

(Select all that apply.).

The correct answer is A, B, and C.

These interventions are appropriate for enhancing the sexuality of an older adult couple because they address the effects of aging, chronic diseases, medications, and environmental factors on sexual function and intimacy.

The nurse should educate the couple about the normal physiological changes that occur with aging, such as decreased vaginal lubrication, erectile dysfunction, and longer refractory periods.

The nurse should also inform the couple about how certain medical conditions (such as diabetes, hypertension, arthritis, or depression) and medications (such as antihypertensives, antidepressants, or antihistamines) can affect sexual desire, arousal, and performance.

The nurse should encourage the couple to explore alternative ways of expressing intimacy and affection, such as cuddling, kissing, caressing, or oral stimulation.

The nurse should also provide the couple with a private, comfortable and safe environment for sexual activity, such as a quiet room with adequate lighting, temperature, and ventilation.

Choice D is wrong because prescribing medications or devices to improve sexual performance or satisfaction is not within the scope of nursing practice.

The nurse should refer the couple to a physician or a sex therapist if they need pharmacological or mechanical interventions for sexual dysfunction.

Choice E is wrong because discouraging the couple from discussing their sexual concerns or expectations is contrary to promoting healthy sexuality and intimacy.

The nurse should facilitate open and honest communication between the couple and their health care providers about their sexual needs, preferences, and goals.

The nurse should also provide the couple with accurate and reliable information and resources about sexuality in older adults.

Normal ranges for sexual function and satisfaction vary widely among individuals and couples depending on their age, health status, lifestyle, relationship quality, and personal values.

Therefore, the nurse should not impose any rigid or unrealistic standards or expectations on the couple.

Instead, the nurse should respect the couple’s autonomy and dignity and support them in achieving their optimal level of sexual well-being.

The correct answer isD.

“I don’t need to worry about sexually transmitted infections at my age.” This statement indicates a need for further education because older adults are still at risk of contracting sexually transmitted infections (STIs) if they are sexually active and do not use protection.According to the National Institute on Aging, STIs can affect anyone who is sexually active, regardless of age, and some STIs may not have any symptoms.Therefore, older adults should use condoms or other barrier methods to prevent STIs, and get tested regularly if they have multiple partners or a new partner.

Choice A is wrong because it is a correct statement.

“I know that my sexual response may be slower or less intense as I age.” This statement shows that the client has realistic expectations about the normal changes in sexual function that occur with aging.As people age, their bodies change, and their sexual response may take longer or require more stimulation.This does not mean that they cannot enjoy sex or intimacy, but they may need to adapt to these changes and communicate with their partner.

Choice B is wrong because it is not necessarily a sign of a need for education.

“I sometimes feel depressed or anxious about my sexual performance.” This statement reflects the client’s emotional state, which can affect their sexuality and intimacy.Some older adults may feel insecure about their aging bodies, their sexual abilities, or their attractiveness to their partner.

These feelings are normal and understandable, but they can also interfere with sexual satisfaction and intimacy.

The client may benefit from counseling or therapy to address these feelings, but they do not indicate a lack of knowledge about sexuality.

Choice C is wrong because it is a correct statement.

“I use lubricants and different positions to make sex more comfortable.” This statement shows that the client is aware of some strategies to cope with the physical changes that can affect sexual comfort in older adults.For example, vaginal dryness is a common problem for older women, especially after menopause, and it can make sex painful or uncomfortable.Using lubricants can help reduce friction and increase pleasure.Similarly, changing positions can help avoid discomfort or injury caused by arthritis or other conditions that affect mobility or flexibility.

Normal ranges for sexual activity and satisfaction vary widely among older adults, depending on their individual preferences, health status, relationship status, and other factors.

There is no one right way to express sexuality or intimacy in older age, as long as it is safe, consensual, and enjoyable for both partners.