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Rehabilitation sex education for patients

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So is sexuality a topic patients and healthcare providers are talking about? Farris and a group from several other brain injury rehabilitation facilities surveyed healthcare providers to find out. Survey respondents included physicians, case managers, nurses, occupational, physical, and recreational therapists, psy-chologists, neuropsychologists, social workers and speech language pathologists. Healthcare professionals listed many reasons as to why sexuality and intimacy might be a difficult topic to broach, including their own discomfort with the subject and their personal biases. Researchers identified three areas of discomfort: initiating the conversation, listening to questions and responding to concerns. Why the discomfort?
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Sexuality and Disability. A grant from the Paralyzed Veterans of America funded the development, implementation, and evaluation of a three-day interdisciplinary continuing education and training program in comprehensive sexual health care. The program was targeted toward health care professionals working in spinal cord injury SCI rehabilitation. The major goal of the program was to offer participants an opportunity to increase the knowledge, comfort, and skills necessary to understand and manage the sexual health care needs of people with SCI. The curriculum included clearly stated goals, behavioral objectives in operational terms, and multiple quantitative and qualitative program evaluations.
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The purposes of this integrative review are to 1 summarize research from the prior 10 years about sex after stroke, including sexual function, sexual self-concept, and sexual relationships; 2 make recommendations for future research; and 3 provide clinical recommendations for practitioners caring for stroke survivors and their intimate partners. Seventeen international studies conducted in several disciplines from to confirm findings from earlier research that, after a stroke, some couples experience decreased sexual desire, decreased erections, vaginal dryness, and decreased frequency of sexual intercourse, as well as problems with masculine and feminine self-concept and with intimacy and sexual relationships with their partners. However, these studies also confirm that some couples do not experience these problems and some even experience a positive impact on sex and intimacy after stroke. All seventeen studies illustrate how study designs raise as many questions as they answer about the reasons for these sexual changes. Future research needs to focus on why some couples experience sex and intimacy gains, why some do not change, and why others experience losses.
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This course will describe the current literature related to addressing sexuality and sexual activity within the healthcare environment, especially in occupational therapy. Leung has been practicing for seven years in acute care. Leung and Casey have presented numerous posters, continuing education courses, and workshops on sexuality and how to address it with various patient populations. Casey has served as an occupational therapist in acute care neurosciences and in the outpatient ALS clinic at The Johns Hopkins Hospital for the past 14 years. She also serves in leadership as a clinical specialist.
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