Exam 25: Sexual Function and Intimacy

A patient asks you for advice concerning positioning for sex now that she has hemiplegia.You just reviewed this information in a staff inservice and feel you can help the patient and her husband solve the problem.You should:

A female patient offhandedly says she does not want to have sex with her husband anymore.During further discussion,she tells you that since her stroke vaginal dryness has made sex painful.You have just completed PLISSIT training.You should:

A male patient is on an antihypertensive medication and is managing incontinence associated with a neurogenic bladder problem he developed after his stroke.He is married and was sexually active prior to the stroke.The patient makes rude,sexually suggestive remarks to you during a therapy session.You should:

During your initial evaluation,you say to your client,"People who have had strokes sometimes have concerns or questions about how they will be affected sexually.Do you have any concerns or questions in this area?" Using the Permission,Limited Information,Specific Suggestions and Intensive Therapy (PLISSIT)model,this would be an example of: