NEURO FINAL- Amputee Sex Lecture Flashcards

1
Q

_ _ are any behavior involving the secondary erogenous zones and genitalia. Secondary erogenous zones often _ _ _

A

SEX ACTS

Often CHANGE AFTER SCI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

_ is a combination of sex drive, sex acts and all those aspects of personality concerned with learned communications and relationship patterns.

A

SEXUALITY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Sexuality is important in rehab because of the relationship of sexuality to _ _ and _ _. Can possibly impact the their _ _ and _ with _.

A

Because of relationship to SELF-ESTEEM and BODY IMAGE

Can possibly impact their SEXUAL EXPRESSION and RELATIONSHIP with OTHERS.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does PLISSIT (Annon) model address? What does it stand for? Which 2 should PT’s most comfortable with discussing?

A

Helps health care professionals understand what they should know

Permission*
Limited Information*
Specific Suggestion
Intensive Therapy

*=

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Permission has to do with the health care practitioner being _ and _ of the topic of sex and gives the patient _ to _ without _. 2 types of message and general description of each.

A

Permission has to do with the health care practitioner being OPEN and ACCEPTING of the topic of sex and give the patient PERMISSION TO INQUIRE without EMBARASSMENT

2 types of messages:

  • Covert messages (PT to eludes to the topic being ok to discuss)
  • Overt messages (introduces the subject directly)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Limited information means that the PT provides general and basic education such as: _ and _; _ of _; describing general ways in _ _ in _ _ resolved their own problems.

A

Provides basic education such as:
ANATOMY and PHYSIOLOGY
DISPELLING of MYTHS
Describing general ways in WHICH OTHERS in SIMILAR SITUATIONS resolved their own problems.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Effects of disabilities on sexuality: interference with _ _ due to _ _; _ _ may interfere with sexual function; and change in _ _ which may seem incompatible with maintaining a _ _ .

A

Interference with SEXUAL FUNCTION due to PHYSIOLOGIC CHANGES

PHARMACOLOGICAL AGENTS may interfere with sexual function

And change in BODY IMAGE which may seem incompatible with maintaining a SEXUAL RELATIONSHIP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Any patient who experiences _, _ _ of a _ _ experiences a disturbance of his or her body image.

A

Any patient who experiences TRAUMA, SURGICAL REMOVAL of a BODY PART experiences a disturbance of his or her body image.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Many _ _ _ _ modifications that need to be made post surgery, some _.

A

Many FACILITIES DO NOT ADDRESS modifications that need to be make post surgery, some DO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Many patients may _ _ _ in order to gauge attractiveness, gain attention or in order to get _ _ _.

A

Many patients may ACT OUT SEXUALLY in order to . . . Or in order to get WHAT THEY WANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Basic rules for communication: provide _, don’t _ _ and be aware of _ _.

A

Provide PRIVACY
Don’t MAKE JUDGEMENTS
Be aware of CULTURAL BARRIERS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Communicating about sex: use _ statements and avoid _ statements

A

Use BRIDGE statements and avoid BARNUM statements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bridge statements are statements that facilitate the transition from _, _ _ to _ or _ ones. Facilitate the transition from _ to _. Emphasize the _ _ between the patient and PT. Focus on permission _ and permission _.

A

Statements that facilitate the transition from EASY COMFORTABLE TOPICS to AWKWARD or DIFFICULT ones

Facilitate transition from GENERAL TO SPECIFIC

Emphasize the PROFESSIONAL RELATIONSHIP b/w pt. and PT

Focus on permission GIVING and permission RECIEVING

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Many times patients will _ the _ with you either _ or by _ _. Be sure to set _ and _ _ to _.

A

Many times patients will OPEN THE SUBJECT with you either DIRECTLY or by FLIRTATIOUS BEHAVIOR

Be sure to set BOUNDARIES and STAY OPEN TO DISCUSSION

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

_ _ include statements that are general, deflect, depersonalize or are conversation stoppers.

A

BARNUM STATEMENTS include . . .

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 2 spinal cord areas that affect erections for both men and women? Brief description (type of arousal associated). Typically work in _

A

2 spinal cord areas that affect erection:

  • T11-L2: Mental arousal (psychogenic)
  • S2-S4: tactile arousal (reflexogenic)

Typically work in CONJUNCTION

17
Q

SCI affects _ _ _ more than _.

A

Affects MENS SEXUAL FUNCTION more than WOMENS

18
Q

_/ _ is mediated by SNS (T11-L2), the PSNS (S2-S4) and the _ _ _ in men/ women

A

EJACULATION/ ORGASM is mediated by SNS, PSNS, and the SOMATIC NERVOUS SYSTEM in men/ women

19
Q

In women normally the psychogenic and reflexogenic systems _ _ _ in the female response cycle.

A

ARE NOT SEPARATE in the female response cycle

20
Q

With males who have SCI at levels above the cauda equina: have the ability to _ and _ an _ as long as reflexogenic feedback loop for _ is _. _ is more rare. _ is an issue.

A

Have the ability to SUSTAIN and ACHIEVE an ERECTION as long as reflexogenic feedback loop for ERECTION is INTACT

EJACULATION is more rare

FERTILITY is an ISSUE

21
Q

Males with tetraplegia or paraplegia can get a _ _ because the _ _ arc is undisturbed. _ erection is not intact. _ is rare, and _ is almost nil.

A

Can get a REFLEXOGENIC ERECTION because the SACRAL RELFEX arc is undisturbed

PSYCHOGENIC ERECTION - not intact
EJACULATION is rare
FERTILITY is almost nil

22
Q

Fertility can be _ _

A

Fertility can be ARTIFICIALLY ASSISTED

23
Q

With Cauda Equina lesions (LMN) reflexogenic erection is possible if _ _, psychogenic erection is _ (T11-L2). _ _ of ejaculation. _ is possible.

A
Cauda Equina lesions:
Reflexogenic erection is possible if ABOVE L2
Psychogenic erection is INTACT
MODERATE CHANCE of ejaculaton
FERTILITY is POSSIBLE
24
Q

In females with SCI: reflexive lubrication, engorgement, contraction is _ _. Psychogenic lubrication, engorgement and contraction is _ _ _. Fertility is usually _, _ _ returns within _ _.

A

Reflexive- USUALLY INTACT

Psychogenic IS USUALLY NOT INTACT

Fertility is usually UNAFFECTED, MENSTRUAL CYCLE returns within 6 MONTHS

25
Q

If female SCI patient gets pregnant, during childbirth uterus _ _ _, but usually _ _ is chosen due to _ _.

A

During childbirth uterus MAY CONTRACT REFLEXIVELY but usually CESARIAN SECTION is chosen due to OTHER COMPLICATIONS

26
Q

When it comes to treating sexual difficulties more _ and more _ _ exist for _ than for _.

A

More OPTIONS and more SUCCESSFUL OPTIONS exist for MEN than for WOMEN

27
Q

T/F: Sexual activity is more important than walking to some people with paraplegia? The menstrual period of a women with SCI will cease after the trauma and never resume?

A

T- more important than walking for some

F- menstruation will cease and never return

28
Q

T/F: orgasm can be reached in men and women with SCI by stimulating parts of the body other than genitals? Erection is most men with CSI can be maintained as long as stimulation is present.

A

Both are TRUE

29
Q

T/F: If the man with SCI can ejaculate, he is likely to be fertile. Cesarean sections are necessary in women with SCI because their uterine muscles will no longer contract

A

Both are False

30
Q

T/F: Fertility in men with SCI is low, but fertility is unaffected for women with SCI. Sperm from a man with SCI can be obtained via electroejaculation and store until there is enough for artificial insemination.

A

Both are TRUE

31
Q

T/F: Muscle spasms in the extremities doing sexual activity can result in eith loss or facilitation of an erection? The alteration in the body’s heat regulatory mechanism could affect fertility of a man with an SCI

A

Both are TRUE

32
Q

T/ F: It is not appropriate for therapists to address sexual concern of clients who have sustained a brain injury? People who have had a brain injury and/ or neurological injury should not be concerned with having a sexual relationship with their partner

A

BOTH ARE FALSE