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.
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
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.
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
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...
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.
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
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 ...
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
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).
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" )
Sexual education and sex in general is a taboo subject. A number of people, both in the past and recently, have suggested that sex education programs should be taught elsewhere besides schools, like at home. Sadly, parents a...
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.
This provision is strongly connected with nursing as a human science because one has to treat every patient in a unique matter with respect, compassion and empathy to their particular situation they are experiencing. The third provision interrelates with the fundamental nursing responsibilities of optimizing the health by advocating for the patient and protecting the patient. In sixth provision, it explains how nursing is group work that is constantly being evaluated, and improving to provide a safe but quality environment for everyone. (Morrisard, n.d.) Each of code of ethics are essential in providing care for the patient as well as protecting the patient’s safety, rights, and
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
Many children who receive an abstinence only sex education are afraid to ask questions because they feel as though they should not talk about the subject. By practicing the hands on approach of sex education, it will allow children to be more comfortable with the subject and won’t feel as foreign, especially when they are surrounded by people who know how to educate children about the subject and know how to make them comfortable. The passive approach may make children feel squeamish and unwilling to talk about the subject. Having adults who are skilled in talking about the concept of sex are pertinent, for