Ineffective sexuality pattern

Ineffective sexuality pattern

Domain 8. Sexuality
Class 2. Sexual function
Diagnostic Code: 00065
Nanda label: Ineffective sexuality pattern
Diagnostic focus: Sexuality pattern

Sexual health is an important part of overall health, yet many people struggle with their sexuality. For those living with ineffective sexuality pattern, the feeling of frustration can be all too familiar. Fortunately, a comprehensive nursing diagnosis can help to better understand and address this common concern.

NANDA Nursing Diagnosis Definition

At its core, NANDA nursing diagnosis for ineffective sexuality pattern describes an individual’s struggles with physical or emotional aspects of sexual expression. In addition, incorrect judgements or stereotypes related to these activities can cause further discomfort.

Defining Characteristics

The defining characteristics of ineffective sexuality pattern vary among individuals. However, they typically include both subjective and objective elements.


Subjective indicators of ineffective sexuality pattern include feelings of guilt, low self esteem, and social stigma. These elements are often rooted in a decrease in sexual desire, or lack of enjoyment in expressing oneself sexually.


Objective indicators of ineffective sexuality pattern refer to physical signs. These include patterns of avoiding sex, reduced size or strength of genitals, or changes in hormone levels. Other physical symptoms may also appear depending on underlying medical conditions.

Related Factors

There are numerous factors which could lead to an ineffective sexuality pattern. Such factors can range from socio-economic, to medical, to relationship differences.

  • Socio-Economic Factors: Factors such as poverty and education level can affect the level of understanding, acceptance, and access available to individuals.
  • Medical Factors: Certain conditions—such as diabetes, cancer, or a history of medication use—can also lead to an ineffective sexuality pattern.
  • Relationship Factors: Unresolved conflicts can lead to avoidance of sexual activity, either temporarily or long-term.

At Risk Population

Given the complexity of the issue, there are a number of groups which may be particularly vulnerable to ineffective sexuality pattern. Special attention should be given to those who are young, chronically ill, and/or low-income. In addition, those with mental health concerns—or who have experienced trauma—may also benefit from additional care.

Suggestions for Use

When working with individuals who suffer from ineffective sexuality pattern, it is important to take a patient and understanding approach. Additionally, it may be beneficial to provide information focused on understanding the condition and recognizing potential risk factors and triggers. Working with a sex therapist or counselor may also be of benefit.

Suggested Alternative NANDA Nursing Diagnosis

In some cases, ineffective sexuality pattern may not encompass all aspects of the individual’s struggles. If that is the case, alternative NANDA nursing diagnoses may be more appropriate. These can include Low Self Esteem, Disturbed Body Image, and Anxiety.

Usage Tips

It is important to keep safety and comfort in mind when presenting information regarding the various elements of sexuality. Additionally, it may be useful to involve family members in support and education. Lastly, foster understanding and agreement between the patient and their partner(s) whenever possible.

NOC Outcomes

The following is a list of key NOC outcomes related to ineffective sexuality pattern:

  • Libido/Sexuality: This outcome refers to the individual’s ability to control and manage sexual urges.
  • Relationship Satisfaction: This outcome focuses on the individual’s desired satisfaction level with interpersonal relationships.
  • Family Coping: This outcome assesses how well a family unit can adapt to changes and difficult situations.
  • Family Processes: This outcome evaluates the harmony between family members and how they interact.

Evaluation Objectives and Criteria

The evaluation objectives and criteria for ineffective sexuality pattern focus on the individual’s behavior levels and improvement of related symptoms. Objectives typically revolve around increasing libido, improving relationship satisfaction, and strengthening family interaction. Criteria for successful treatment may include the individual’s progress in terms of communication, problem solving, and intervention utilization.

NIC Interventions

The following is a NIC Interventions associated with ineffective sexuality pattern:

  • Sex Therapy: Sex therapy offers safe and comfortable settings for open discussion of personal issues related to sexual health.
  • Cognitive-Behavioral Therapy: CBT helps to identify and re-frame negative thought patterns that shape behavior.
  • Family Systems Counseling: This intervention works to address familial issues that may impact an individual’s sexual health.
  • Psychotherapy: Psychotherapy provides a safe and trusted environment to talk openly about difficult issues.

Nursing Activities

Nursing activities for ineffective sexuality pattern should aim to strengthen coping skills and provide necessary support and understanding. Additionally, nurses should remain active in the progress assessment of successful treatment by monitoring relevant indicators.


Infective sexuality pattern can be a difficult and uncomfortable topic to discuss. The good news is that there are effective interventions available to those living with the condition. With the use of both medical therapy and counseling, individuals can find better symptom management and improved empowerment.


  • What is NANDA nursing diagnosis?
    NANDA nursing diagnosis is a formal terminology used by nurses to describe a wide variety of conditions which may present in varying patient populations. Ineffective sexuality pattern is one such condition with a well-defined definition and criteria.
  • What are the defining characteristics of ineffective sexuality pattern?
    The defining characteristics of ineffective sexuality pattern can be both subjective and objective. Subjective indicators may include feelings of guilt or shame, while objective indicators may include physical changes or avoidance of sexual activity.
  • What are some of the at risk populations?
    Those who are young, chronically ill, or low-income are all more likely to struggle with ineffective sexuality pattern. Those with mental health concerns or who have a history of trauma may also be more susceptible.
  • What are some suggested interventions?
    Suggested interventions for those struggling with ineffective sexuality pattern may include sex therapy, cognitive-behavioral therapy, family systems counseling, and psychotherapy.
  • What are common NOC outcomes?
    Common NOC outcomes associated with ineffective sexuality pattern include libido/sexuality, relationship satisfaction, family coping, and family processes.