Sexuality in Rehab Flashcards
_____ health is an important part of general health and well being
sexual
Physical function is not an important predictor for sexual satisfaction (T/F).
FALSE - it so is
What are the 3 most important functions for quad’s, in terms of QOL?
- arm/hand function
- sexual function
- trunk stability
What are the 3 most important functions for para’s, in terms of QOL?
- sexual function (!!!)
- bladder/bowe/AD
- trunk stability
What is the PLISSIT model, from top to bottom (ie. less complex to most complex)?
- permission
- limited info
- specific suggestions
- intensive therapy
Do indirect or direct questions encourage more acknowledgement re sexual concerns?
INDIRECT!
What is the 3 step model in terms of discussing sexual health?
- “many people with ____ have concerns or questions about the sexual or intimate part of their lives”
- “have you thought about this at all?”
- “would you like to talk to someone about it?”
Is arousal controlled but the sympathetic or parasympathetic NS?
parasympathetic
Is orgasm controlled by the sympathetic or parasympathetic NS?
sympathetic
In order to become aroused, there must be removal of ____ ______ from the brain.
central inhibition
For health care providers, we must discuss sexuality with respect to client _____ and within their __________ context.
readiness; biopsychosocial
“Comprehensive” means looking at the primary (_____), secondary (________ of), and tertiary (_______) effects of disease and chronic illness.
direct; consequences; psychosocial
What 3 categories are included in the sexual rehabilitation framework?
- sexual area
- consequences
- comments
Sexual interest/libido is a complex interaction of _______ ____ and _______ _____.
biological urge; motivational factors
What is the most common symptom of a testosterone deficiency?
decreased libido
_____ can completely suppress testosterone.
opiods
________ is rarely used in postmenopausal women because that is often not the cause of low drive.
testosterone
At baseline, the smooth muscle cells are _______, and blood drains from sinusoids. When aroused, muscle cells _____, and blood remains trapped in sinusoids.
contracted; relaxed
You cannot take nitrates along with PD5 inhibitors (ie. viagra); what is a type of medication that contains nitrates?
Heart medication
Are intracavernosal injections (ICI) dependent on sexual arousal or intact central and peripheral nerves?
NO; create an erection by directly relaxing the smooth muscle in the penile tissues
SSRI’s _____ orgasmic threshold.
increase
What are 3 key sexual rehab principles?
- maximize potential
- adapt to limitations
- remain positive and open minded
It is possible to recruit other afferent nerve signals on skin and turn it into sexual tissue, called _____ ____.
body remapping
________ is the only beneficial counteraction against the loss of testosterone in men with metastatic prostate cancer.
exercise!!!
