Sexuality 2

Question 1

What are Disorders of Excitement?

Answer 1

Female sexual arousal disorder

Male erectile disorder

Question 2

Why do practitioners not discuss sexuality with patients?

How can this improve?

Answer 2

Many practitioners fail to discuss sexuality with their clients b/c of own embarrassment or lack of knowledge.

Accurate practitioner knowledge is associated with more positive attitudes about sexuality.

Question 3

What is the 4 step approach to sexuality education?

Answer 3

1. Initiate self learning about sexuality specific to the client population.
2. Raise the consciousness of other team members by asking questions related to meds or other Rxs that may affect sexual function.
3. Become comfortable discussing issues of sexuality with clients. Use available resources.
4. Document the topics discussed and create a written plan for future discussions.

Question 4

What 3 basic rules assist in communicating sexually sensitive information with therapeutic sensitivity?

Answer 4

Prevent shaming experiences.
Maintain privacy.
Do not make judgements.

Question 5

What are bridging statements?

Answer 5

Statements to transition from easy, comfortable topics to difficult ones. general to specific.
They emphasize the professional relationship between the patient and therapist, and focus on permission giving and permission seeking.
“Has anyone talked to you about how your illness can affect your ability to have sex?”

Question 6

Annon’s PLISSIT Model.

P–Permission

Answer 6

Mention sexuality changes while also addressing diagnosis or condition related changes.
This gives your patient permission to think about the two together, which legitimizes the topic.

Question 7

Annon’s PLISSIT Model

LI–Limited Information

Answer 7

Give the patient LIMITED INFORMATION about the sexuality changes that can stem from treatment or condition.

Question 8

Annon’s PLISSIT Model.

SS–Specific Suggestions

Answer 8

Make SPECIFIC SUGGESTIONS that address sexual dysfunction.

For instance, if the patient complains of pain in movement, suggest an alternative position.

Question 9

Annon’s PLISSIT Model

IT–Intensive Therapy

Answer 9

If the patient needs more INTENSIVE THERAPY than you can provide, refer for psychological interventions, sex therapy, and/or biomedical approaches.

Question 10

What are the 5 parts to taking a sexual history?

Answer 10

May be included in medical history.
Move from nonthreatenin to intimate details.
Be professional.
Some clients prefer writing.
If trust is there, patients will open up.