Post menopausal, sexuality issues, and urologic concerns in the maturing and older adult

Definition of GSM Assignment Paper: 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.

Definition of GSM Assignment Paper: Discussion Questions:

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 tat Dr. Shapiro recommends and include an EBP journal article or guidelines recommendation

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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?

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

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 Incontinence

Men and women can both get UTIs. What factors contribute to the development of a UTI in men versus women? Include risk factors. In which sex is a UIT more concerning and why?
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 AUA state about drawing PSA levels?
If you decide to draw a level what specific counseling should you include in your education today?
Urinary tract infections
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?