NEURO FINAL- Amputee Sex Lecture Flashcards
_ _ are any behavior involving the secondary erogenous zones and genitalia. Secondary erogenous zones often _ _ _
SEX ACTS
Often CHANGE AFTER SCI
_ is a combination of sex drive, sex acts and all those aspects of personality concerned with learned communications and relationship patterns.
SEXUALITY
Sexuality is important in rehab because of the relationship of sexuality to _ _ and _ _. Can possibly impact the their _ _ and _ with _.
Because of relationship to SELF-ESTEEM and BODY IMAGE
Can possibly impact their SEXUAL EXPRESSION and RELATIONSHIP with OTHERS.
What does PLISSIT (Annon) model address? What does it stand for? Which 2 should PT’s most comfortable with discussing?
Helps health care professionals understand what they should know
Permission*
Limited Information*
Specific Suggestion
Intensive Therapy
*=
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.
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)
Limited information means that the PT provides general and basic education such as: _ and _; _ of _; describing general ways in _ _ in _ _ resolved their own problems.
Provides basic education such as:
ANATOMY and PHYSIOLOGY
DISPELLING of MYTHS
Describing general ways in WHICH OTHERS in SIMILAR SITUATIONS resolved their own problems.
Effects of disabilities on sexuality: interference with _ _ due to _ _; _ _ may interfere with sexual function; and change in _ _ which may seem incompatible with maintaining 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
Any patient who experiences _, _ _ of a _ _ experiences a disturbance of his or her body image.
Any patient who experiences TRAUMA, SURGICAL REMOVAL of a BODY PART experiences a disturbance of his or her body image.
Many _ _ _ _ modifications that need to be made post surgery, some _.
Many FACILITIES DO NOT ADDRESS modifications that need to be make post surgery, some DO
Many patients may _ _ _ in order to gauge attractiveness, gain attention or in order to get _ _ _.
Many patients may ACT OUT SEXUALLY in order to . . . Or in order to get WHAT THEY WANT
Basic rules for communication: provide _, don’t _ _ and be aware of _ _.
Provide PRIVACY
Don’t MAKE JUDGEMENTS
Be aware of CULTURAL BARRIERS
Communicating about sex: use _ statements and avoid _ statements
Use BRIDGE statements and avoid BARNUM statements
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 _.
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
Many times patients will _ the _ with you either _ or by _ _. Be sure to set _ and _ _ to _.
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
_ _ include statements that are general, deflect, depersonalize or are conversation stoppers.
BARNUM STATEMENTS include . . .