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Narrative Literature Review: Sexual Dysfunction in the Patient on Hemodialysis
 (Vol 33/No. 6. On-line test expires: 12/20/2008)
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  AUTHOR
Merry Stewart, MSN, RN, APRN
 Merry Stewart, MSN, RN, APRN, is Adult Nurse Practitioner, University of Detroit Mercy Nurse Managed Center, Detroit, MI, and a Doctoral Student, Wayne State University, College of Nursing, Detroit, MI. She is a member of ANNA’s Michigan Chapter.
  OUTLINE

Sexual dysfunction is common in patients on hemodialysis. This narrative literature review utilized Roy’s Adaptation Model to identify sexual dysfunction and its effect on adaptive modes in patients on hemodialysis. The majority of studies reviewed indicated a physiologic effect in men (78%). Fewer studies reported an effect on self- concept (66%), intimate relationship (21%), or family/social roles (less than 1%). Findings also revealed minimal patient expression of sexual dysfunction to health care providers.
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  CE RELATED INFORMATION
This offering for 1.4 contact hours is being provided by the American Nephrology Nurses’ Association (ANNA), which is accredited as a provider and approver of continuing education in nursing by the American Nurses’ Credentialing Center-Commission on Accreditation (ANCCCOA). This educational activity is approved by most states and specialty organizations that recognize the ANCC-COA accreditation process. ANNA is an approved provider of continuing education in nursing by the California Board of Registered Nursing, BRN Provider No. 00910; and the Kansas State Board of Nursing, Provider No. LT0148-0738. This offering is accepted for RN and LPN relicensure in Kansas

  EDUCATIONAL OBJECTIVES

Goal:
To relay information found in a review of the literature on sexual dysfunction in patients on hemodialysis.

Objectives:
1. Describe the 4 adaptive modes used as a framework in Roy's Adaptation Model.
2. Contrast the literature reports focusing on sexual dysfunction to those on physiologic, self-concept, role, or interdependence modes of patients on hemodialysis.
3. Contrast patients’ stated needs for discussion about concerns with sexual dysfunction with their perceptions of caregivers’ willingness to engage in that discussion.
4. Suggest nursing research needed in the area of sexual dysfuction in patients on hemodialysis.
AUTHOR DISCLOSURE STATEMENT
Merry Stewart, has no conflicts of interest to disclose.

 ANNA and HDCN CE POLICY STATEMENTS

The CE policy and disclosure statements of the American Nephrology Nurses' Association are given in detail on the Symposium Home Page. The CE policy statements of HDCN are listed on this page.