OT MIDTERM: SCI and sexuality

Question 1

How to respond to a client asking sexual questions about themselves?

Answer 1

Respond non-judgmentally
Not expected for you to have answers, but make it clear that issues will be addressed
◦ Use Reflective Listening
◦ Use Normalizing (egs. may acknowledge that others have similar concerns)
◦ Use a Neutral voice.
◦ Comments are very Generalized.

Question 2

Changes after a SCI

Answer 2

• Usually no genital sensation
• Often has the ability to have reflex erections
• Disruption in ability to ejaculate
• Maintaining an erection may require a device like a constrictor band, medication, or penile implant

Question 3

Factors that effect:

Answer 3

• Fatigue
• Limited ROM
• Spasticity
• Limited independent mobility
• Dysreflexia
• Bowel and bladder management
  All of these factors often mean more planning, less spontaneity.

Question 4

PLISSIT Model

Answer 4

Base of pyramid is Permission giving: this is a TA, allow the client to express concerns
* Few people will be at the top (Intensive therapy providers)

Question 5

Intensive therapy may include:

Answer 5

• Medical & surgical investigation
• Use of medication
• Use of devices
• Sex therapy
  Relationship counseling