Sexuality in Rehab

Question 1

_____ health is an important part of general health and well being

Answer 1

sexual

Question 2

Physical function is not an important predictor for sexual satisfaction (T/F).

Answer 2

FALSE - it so is

Question 3

What are the 3 most important functions for quad’s, in terms of QOL?

Answer 3

1. arm/hand function
2. sexual function
3. trunk stability

Question 4

What are the 3 most important functions for para’s, in terms of QOL?

Answer 4

1. sexual function (!!!)
2. bladder/bowe/AD
3. trunk stability

Question 5

What is the PLISSIT model, from top to bottom (ie. less complex to most complex)?

Answer 5

1. permission
2. limited info
3. specific suggestions
4. intensive therapy

Question 6

Do indirect or direct questions encourage more acknowledgement re sexual concerns?

Answer 6

INDIRECT!

Question 7

What is the 3 step model in terms of discussing sexual health?

Answer 7

1. “many people with ____ have concerns or questions about the sexual or intimate part of their lives”
2. “have you thought about this at all?”
3. “would you like to talk to someone about it?”

Question 8

Is arousal controlled but the sympathetic or parasympathetic NS?

Answer 8

parasympathetic

Question 9

Is orgasm controlled by the sympathetic or parasympathetic NS?

Answer 9

sympathetic

Question 10

In order to become aroused, there must be removal of ____ ______ from the brain.

Answer 10

central inhibition

Question 11

For health care providers, we must discuss sexuality with respect to client _____ and within their __________ context.

Answer 11

readiness; biopsychosocial

Question 12

“Comprehensive” means looking at the primary (_____), secondary (________ of), and tertiary (_______) effects of disease and chronic illness.

Answer 12

direct; consequences; psychosocial

Question 13

What 3 categories are included in the sexual rehabilitation framework?

Answer 13

1. sexual area
2. consequences
3. comments

Question 14

Sexual interest/libido is a complex interaction of _______ ____ and _______ _____.

Answer 14

biological urge; motivational factors

Question 15

What is the most common symptom of a testosterone deficiency?

Answer 15

decreased libido

Question 16

_____ can completely suppress testosterone.

Answer 16

opiods

Question 17

________ is rarely used in postmenopausal women because that is often not the cause of low drive.

Answer 17

testosterone

Question 18

At baseline, the smooth muscle cells are _______, and blood drains from sinusoids. When aroused, muscle cells _____, and blood remains trapped in sinusoids.

Answer 18

contracted; relaxed

Question 19

You cannot take nitrates along with PD5 inhibitors (ie. viagra); what is a type of medication that contains nitrates?

Answer 19

Heart medication

Question 20

Are intracavernosal injections (ICI) dependent on sexual arousal or intact central and peripheral nerves?

Answer 20

NO; create an erection by directly relaxing the smooth muscle in the penile tissues

Question 21

SSRI’s _____ orgasmic threshold.

Answer 21

increase

Question 22

What are 3 key sexual rehab principles?

Answer 22

1. maximize potential
2. adapt to limitations
3. remain positive and open minded

Question 23

It is possible to recruit other afferent nerve signals on skin and turn it into sexual tissue, called _____ ____.

Answer 23

body remapping

Question 24

________ is the only beneficial counteraction against the loss of testosterone in men with metastatic prostate cancer.

Answer 24

exercise!!!