Chapter 13 Discussion And Activity Using A Model Please Or R

Chapter 13 Discussion/activity using a model Plissit Or Recognition

Chapter 13 Discussion/Activity Using a model (PLISSIT or Recognition), and considering the four areas of sexual concern, develop a plan that addresses the specific diagnosis, age, and concerns of the following clients. Also discuss who might be involved in their care using a team approach: 1. A woman, age 72, with a total hip replacement and arthritis who is interested in continuing sex with her partner. (100 words minimum) 2. A 65-year-old man with congestive heart failure who is very concerned about continuing his sexual relationship with his 55-year-old wife. (100 words minimum) 3. A 70-year-old man post right cerebrovascular accident who is experiencing both sensory changes (decreased sensation on the left side, decreased left visual field) and decreased endurance. Despite these, he wishes to maintain an intimate relationship with his wife of more than 50 years. (100 words minimum)

Paper For Above instruction

The management of sexual health in older adults requires a comprehensive, patient-centered approach, especially when considering chronic illnesses and recovery from major health events. The PLISSIT model—a framework consisting of Permission, Limited Information, Specific Suggestions, and Intensive Therapy—serves as an effective guide for addressing sexual concerns among this demographic, emphasizing sensitive communication, education, and tailored interventions.

Client 1: 72-year-old woman with hip replacement and arthritis

For the first client, the primary focus is on encouraging permission and open dialogue about her sexual needs, addressing fears related to pain or injury, and providing limited information on safe sexual activities post-hip replacement. Educating her about positioning, lubricants, and activity modifications can alleviate concerns about joint discomfort or prosthesis stability. Collaborating with her healthcare team—including her primary care physician, physical therapist, and possibly a sexual health counselor—can ensure her physical limitations are managed safely while maintaining intimacy. Encouraging her to express her desires and concerns fosters emotional intimacy and enhances her overall well-being.

Client 2: 65-year-old man with congestive heart failure

The second client’s plan involves offering permission and reassurance regarding sexual activity, dispelling myths that heart failure precludes intimacy. Providing limited information about safe activity levels and recognizing signs of fatigue or distress during sexual activity is critical. The interdisciplinary team should include his cardiologist, nurse, and possibly a psychologist to address anxiety related to his condition. Suggesting modifications such as timing, position, and pacing of activity can help him feel more confident. Open communication about his concerns, fears, and emotional state is essential to support the maintenance of his relationship with his wife.

Client 3: 70-year-old man post cerebrovascular accident

This client's plan involves obtaining permission to discuss sexuality openly, providing limited information about physical and visual limitations, and offering specific suggestions to adapt intimacy. Addressing sensory deficits and endurance issues might involve occupational and physical therapy interventions aimed at enhancing functional capacity, alongside counseling to navigate emotional and psychological impacts. His wife plays a vital role in maintaining intimacy, and involving her in education about adaptations can strengthen their relationship. The care team should include neurologists, therapists, and counselors to facilitate a holistic approach, ensuring this couple’s sexual needs are acknowledged and supported within their limitations.

Conclusion

Using the PLISSIT model provides a structured approach to enhance sexual health and intimacy among older adults with diverse health challenges. An interdisciplinary team approach is essential to tailor interventions, address psychosocial factors, and support emotional connection, ultimately promoting quality of life and relational satisfaction in aging populations.

References

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