Introduction
nursing diagnosis: Impotence is a form of male sexual dysfunction that shows limited or absent ability to participate in sexual activity. Impotence can occur due to psychological issues, physical diseases and conditions, medications, or lifestyle impairments. It can also indicate early detection of certain medical conditions such as diabetes, hypertension and heart disease.
Nursing Diagnosis Definition
Impotence: Inability to achieve or maintain an erection sufficient for sexual satisfaction.
Defining Characteristics
Subjective Data
- Expressions of frustration and depression.
- Reports of lack of interest in sexual relationships.
- Reports of difficulty in achieving or maintaining an erection.
Objective Data
- Diminished libido.
- Frequent urination.
- Sexual activity marked by lack of erectile rigidity.
- Testes not descended.
- Nocturnal emissions.
- Lowered pulse rate.
- Psychologic factors such as anxiety, stress, guilt, and depression.
- Physical factors such as cardiovascular diseases, diabetes, hypogonadism, neurogenic factors, organ pathology, and vascular and hormonal disorders.
- Medications such as antipsychotics, antihypertensives, and antidepressants.
- Malnutrition and complicating illness.
- Excessive nicotine, alcohol, and drugs.
- Patient-related factors such as extreme fatigue, poor self-image, and impaired body image.
Risk Population
The elderly are especially at risk for the development of impotence because of the presence of common illnesses such as diabetes, cardiovascular disease, and endocrine disorders at higher rates in this population. Additionally, use of medications in this population is likely to increase with age, which can also lead to impotence.
Associated Problems
Impotence can lead to a variety of problems, including decreased self-esteem, decreased quality of life, and partner dissatisfaction. It can also lead to difficulty forming and sustaining relationships.
Suggestions for Use
When assessing for the presence of impotence, nurses should include history taking and assessment of physical exam findings. Additionally, patients should be assessed for any contributing factors, such as medications, physical health, psychosocial factors, and lifestyle choices. The nursing diagnosis definition for impotence should be used to ensure accurate documentation.
Suggested Alternative Nursing Diagnosis
- Anxiety
- Imbalanced Nutrition: Less Than Body Requirements
- Ineffective Coping
- Ineffective Sexuality Pattern
- Risk for Injury: Self-Directed Violence
Usage Tips
Nurses should document any behaviors associated with impotence that are observed during patient assessment. These behaviors may include avoidance or withdrawal from intimate relationships, expressing frustration or depression, or impaired social functioning.
NOC Results
- Body Image: perceives and expresses a positive self-image.
- Coping: Employs strategies to deal with current life situation.
- Intimate Relationship Status: Demonstrates effective coping with intimate relationship difficulty.
- Interpersonal Relationships: Interacts effectively with family and friends.
- Sexual Functioning: Demonstrates effectiveness of sexual behavior.
NIC Interventions
- Health Teaching: Provide patient with information about the illness itself, treatment options and side effects, emotional and practical considerations, and contraception.
- Counseling: Assist patient to develop coping strategies for dealing with the illness, as well as emotional and psychosocial support.
- Risk Detection: Monitor for changes in mood, behavior, and level of functioning; refer for psychotherapy as needed.
- Support Systems: Help patient access support systems (friends, family, religious organization, therapist).
Conclusion
nursing diagnosis: Impotence is an important diagnosis to consider when assessing male patients. An accurate diagnosis will provide the necessary foundation for appropriate treatment and outcomes. Nurses should conduct a thorough assessment, using the nursing diagnosis definition for impotence, in order to accurately identify and diagnose impotence.
FAQ
Q: What types of diagnostic tests are used to assess impotence?
A: Tests used to assess impotence include physical examination, laboratory tests, psychological testing, and imaging studies.
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