Week 5 Flashcards
What is body image?
A mental image of the physical self; how one perceives their own body and the way that they think others perceive their body
What are the three categories of body image?
Perceptual – how you perceive yourself
Psychological – associated with the brain
Social – reactions of others
Describe body dysmorphic disorder.
It is a psychological and neuropathological issue
Clients are preoccupied with perceived defects in their appearance and are never satisfied with improvements
Clients also often believe that they are being mocked by others
What are the two models of sexuality and intimacy?
Masters and Johnson - excitement, plateau, orgasm, resolution
Kaplan – desire, arousal, orgasm
What are some factors that impact sexuality and intimacy?
Education, laws, family, religion, personal experiences, peers
What are the nine influences on sexuality and intimacy?
Vulnerability, helplessness, altered body image, anxieties about treatment and pain, guilt or self blame for the illness, anger and resentment, caregiver versus sexual partner, presence of common symptoms like fatigue or nausea and vomiting, and external changes such as a visible illness and rapid rate of progression
What are the three different models that we discussed regarding intimacy?
PLISSIT,BETTER, BLISSS
What are the different components of the PLISSIT model?
P – permission
LI – limited information: education and information on the impact of the illness
SS – specific suggestions: counselling etc.
IT – intensive therapy: referrals etc.
What are the different components of the BETTER model?
B – bring up the topic E – explain that sexuality is normal T - tell about resources T - time the discussion E – educate the patient R – record/document the interaction
What are the different components of the BLISSS model?
B – bring up topic appropriately LI – listen to the experience S - support S – stimulate communication S – supply advice
How does multiple sclerosis affect intimacy?
It affects motor, sensory, and cognitive aspects of a person
How does cancer affect intimacy?
Treatments may cause infertility
How does diabetes affect intimacy?
Poor glycaemic control can impact female fertility, people may experience decreased sexual desire, there may be decreased or limited feeling in the genitals which decreases the ability to orgasm, good glycaemic control decreases rates of erectile disfunction
How does coronary artery disease affect intimacy?
The risk of a heart attack may cause fear in participating in sexual activity
Educate patient on appropriate exercise, experience of chest pains during activity, shortness of breath, and the workload of the heart
