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NRP 563 DQ 2

NPs foster LGBTQIA+ inclusivity with non‑discrimination policies, safe‑space signage, inclusive “partnered” forms; support older adults’ sexual health amid hormonal shifts, mental health, and age‑related changes.

Alice Edwards
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Nurse practitioners can make many small changes to signal respect andaffirmation to LGBTQIA+ patients. Some examples include communicatingnon-discrimination policies to all employees and patients on hospitalwebsites, posted in patient waiting areas, and on patient registration forms,displaying rainbow decals or wearing lapel pins; may say "safe space" or "allare welcome," and add "partnered" to demographic forms.Some sexual health considerations based on age or cultural influences aredropping hormone levels, leading to changes in sexual organs, decreases insexual function and sexual response, mental health status such as anxietyand depression, and aging causes changes in body image and a loss ofattractiveness. Age and senescence lead to the decline of hormone levels,which affect the changes in sexual organs and sexual functions of olderadults, thus affecting sexual desire and sexual experience. Eleven of theincluded literature mentioned the influence of physiological factors on thesexual life of older adults, as reported by researchers. There is less mucussecretion, weak ejaculation, and less semen secretion before ejaculationwhen men's sexual desire declines and erections require more stimulationand last less time. The refractory period lasts for a long time. Increasedsexual arousal, decreased vaginal lubrication, vaginal mucosa thinning, andpainful sexual intercourse require more time in women, as does lessfrequency and intensity of orgasm.Nurse practitioners must actively implement changes that signal respect and affirmation toLGBTQIA+ patients. Communicating non-discrimination policies to all employees and patientsthrough hospital websites, signage in patient waiting areas, and clear statements on patientregistration forms is essential. Additionally, displaying rainbow decals or wearing lapel pins thatstate "safe space" or "all are welcome" is crucial in fostering an inclusive environment. It is alsoimperative to include "partnered" in demographic forms to accurately reflect the diversity ofrelationships. (Fitzgerald Health Education Associates, 2025). When addressing the sexual healthof older adults, we must recognize the significant factors influenced by age and culturalbackgrounds. Declining hormone levels are critical as they lead to changes in sexual organs andadversely affect sexual function and response. Mental health challenges, including anxiety anddepression, are common, and aging can severely impact body image and perceptions of

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