Describe and discuss the use of the Ex-Plissit model (Davis and Taylor. 2006) to support nurses to discuss sexual health issues with patients/clients. Discussing sexuality, sexual health or sexual problems with a patient can be an awkward task for any nurse. Nurses may find it difficult to bring up the topic of sex when engaging with their patients. The sexual health needs of a client should be evaluated when the nurse is assessing the patient’s physical, mental and emotional needs. Sometimes the sexual health needs of a patient are not seen as a priority, and can be overlooked or dismissed. The PLISSIT model was created by Jack Annon (1976), and is a tool nurses can use to evaluate and assess a patient’s sexual needs, or sexual problems a patient may be experiencing. The letters P.LI.SS.IT represents four stages of intervention: Permission, Limited Information, Specific Suggestions, and Intensive Therapy. In this essay I will be examining the use of the Ex-Plissit model, which is slightly different. The Ex-Plissit model is an extended version of the Plissit model, and was recreated by Sally Davis and Bridget Taylor in 2006. In the Ex-Plissit model, the stages of limited information, specific suggestions, and intensive therapy are all based on the initial ‘permission giving’ stage, in other words no further stages of intervention can be carried out without the patients permission. The Ex-Plissit model requires the nurse to reflect and review all stages of interactions with the patient. (Davis and Taylor 2006). The sexual health needs of a patient can be easily identified using the Ex-Plissit model, and it makes discussing the topic of sex more comfortable for both the nurse and the patient. It is vital for the nurse to crea... ... middle of paper ... ...stand the importance of constantly incorporating permission-giving questions when talking to a patient. I know if I had a sexual concern I would not feel comfortable addressing it to a nurse on my own, however if the nurse addressed the issue first, I would feel more confident voicing my concerns. I did not understand how important it is for nurses to consider the sexual health needs when assessing a patient. I believe there is not enough information provided on this topic. When on placement, I have never seen the sexual needs of a client being addressed or discussed. Before completing this assignment I did not consider the sexual health needs of a patient to be a priority, however my opinion on the matter has certainly changed. Studying this important topic has been an eye opener, and I hope to implement all that I have learned when I go out on placement.
The first provision of the American Nurses Association’s (ANA) “Code of Ethics” states, “ The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.” The second provision states, “The nurse’s primary commitment is the patient, whether the patient is an individual, family, group, or community” (Fowler, 2010). As nurses we need to respect the autonomy and allow for the patient to express their choices and concerns. We also need to provide them with support by giving them knowledge and understanding so they
Although nursing is universally practiced, not all nurses values and morals are the same. Nurses and nursing students are usually put in situations where they must operate within an ethical structure which is either unfamiliar to their cultural criterion or those of the patients for whom they are taking care of. The most prominent values and morals of nurses are based on human dignity and benevolence. Human dignity is the main component that branches off into other values under caring for health and well-being. Trust, integrity, autonomy, and privacy are one of the many sub-values that fall under human dignity. It is important for the nurses to respect and understand the culture and beliefs of the patient without being judgmental or confrontational. The wellbeing of the patient is priority and so the nurses must focus on gaining the patients trust first by tending to their needs and exhibiting
Over the last century, the life expectancy of the elderly has increased. This means that the largest growing population right now, in the United States, is persons over the age of 65 (Sex Tips for Older Adults, 2000). With this in mind, it would be helpful to talk about the personal aspects or as I like to call it, "sex lives" of the elderly. When people in our society think of the elderly, they almost never think of this population having sex or good sex for that matter. But they do! Unfortunately, the elderly encounter problems with sex as they become older and that is what I will be discussing along with way of coping with sexual dysfunction.
The genital examination can be uncomfortable for both the patient as well as for the healthcare professional. Therefore, for us as clinicians, it is crucial first to examine our personal biases as well as personal beliefs that make us feel unease before performing a genital exam. Being aware of our body language, is essential, as the patient could feel or sense of being judge, especially special populations such as those affected by obesity, mental, physical disability. Furthermore, it is crucial that as advanced clinicians understand that for most patients this experience may be a significant source of discomfort and anxiety. Consequently, as healthcare providers, it is important to make the patients feel as comfortable as possible to reduce their stress, while at the same time take this opportunity to educate them on sexual preventive measures and conditions that may affect them in the present and future.
Nurses everywhere face problems and challenges in practice. Most of the challenges occur due to a struggle with the use of ethical principles in patient care. Ethical principles are “basic and obvious moral truths that guide deliberation and action,” (Burkhardt, Nathaniel, 2014). Ethical principles that are used in nursing practice include autonomy, beneficence, non-maleficence, veracity, confidentiality, justice, and fidelity. These challenges not only affect them, but the quality of care they provide as well. According to the article, some of the most frequently occurring and most stressful ethical issues were protecting patient rights, autonomy and informed consent to treatment, staffing problems, advanced care planning, and surrogate decision making (Ulrich et. al, 2013). The ethical issue of inadequate staffing conflicts with the principle of non-maleficence.
Out of all the duties of a nurse, one of the most important duties is how the nurse honors the trust of a patient by maintaining the patient’s privacy and safeguarding the patient’s information confidentially. Privacy is the ability of the patient to make the choices in how to handle information regarding him or herself that other individuals are not aware of. As an example, prior to releasing the patient’s private information, the nurse must notify the patient on how their information will be handled and get consent from the patient
Everyone has an opinion about sexuality education. From vocal parents at PTA meetings to state governors who must decide whether to apply for federal funding for abstinence-only-until-marriage programs or more comprehensive sexuality programs, or both, or neither. From school pri...
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
Nursing surrounds the concept of patient care physically, mentally and ethically. The therapeutic relationship that is created is built on the knowledge and skills of the nurse and relies on patient and nurse trusting one another. The use of nursing skills can ensure these boundaries are maintained, it allows for safe patient care. Professional boundaries are the line that nurses cannot cross, involving aspects such as patient confidentiality and privacy, ensuring legal aspects of nursing and the boundaries put in place are not breached. However, nurses accepting financial or personal gain from patient can also cross these professional boundaries. It is only through education in this area that the rights of patients can be preserved, as well as the nursing standards. Through education in areas such as confidentiality, boundaries can remain in tact and the patient care can remain within the zone of helpfulness.
As health care providers, nurses strive to instill confidence in their patients and their loved ones. A nurse is respectful to their colleagues as well as their patients. Nurses promote patients’ independence, patients can be confident in the knowledge that a nurse will do what is best for them, respecting their privacy and dignity. This means that a nurse does not share the patient information for personal reasons nor does the nurse get involved in a patients personal relationship if it is not medically relevant (NCSBN, 2011).
In conclusion, there are numerous legal and ethical issues apparent in the nursing practice. Nurses should study and be as informed as they can with ethics and legality within their field in order to ensure no mistakes occur. Ethical issues vary based on patient’s views, religion, and environment. Nurses are influenced by these same views, but most of the time they are not the same as the patients. As a nurse we must learn to put the care of our patients and their beliefs, rights, and wishes before our own personal
Successful sex education programs have several high points. The high points include exercises to encourage the appraisals of values, and skills in which students are taught how to negotiate while in sexual situations (" What type" )
In order to promote healthy living in young women, nurses play a crucial role in patient education, in regards to the sexually transmitted disease such as Chlamydia.