Using A Model, Plissit, Or Recognition And Considering The F

Using A Model Plissit Or Recognition And Considering The Four Areas

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

Introduction

Addressing sexual health concerns in older adults requires a comprehensive approach that considers physical, emotional, and relational factors. The PLISSIT model (Permission, Limited Information, Specific Suggestions, and Intensive Therapy) provides a structured framework for healthcare professionals to facilitate discussions about sexuality. When combined with the four areas of sexual concern—physical, psychological, relational, and contextual—this model allows for tailored interventions suited to each client’s specific health condition and personal circumstances. This essay develops individualized plans for three clients using this approach, emphasizing interdisciplinary care to support sexual wellbeing in aging populations.

Case 1: Woman, age 72, with total hip replacement and arthritis

The primary concerns for this client involve physical limitations due to her hip replacement and arthritis, which can cause pain and reduced mobility, affecting sexual activity. Using the PLISSIT model, initial permission is crucial, establishing a safe space for her to express concerns. Limited information involves educating her about safe sexual positions that reduce joint strain, emphasizing gentle methods and comfort. Specific suggestions may include incorporating pillows for support or adjusting positions to avoid joint stress, allying with her pain management plan. Collaborating with her physical therapist and primary care provider ensures she maintains mobility and reduces discomfort, promoting confidence and intimacy. Addressing emotional aspects, including her body image and self-esteem, through counseling or sex therapy, can enhance her overall sexual satisfaction. A multidisciplinary team—including physiotherapists, pain specialists, and mental health professionals—should be involved to provide holistic care tailored to her health status and personal desires.

Case 2: Man, age 65, with congestive heart failure

In clients with congestive heart failure, physical limitations and fears related to exertion are common concerns impacting intimacy. Applying the PLISSIT model, permission involves reassuring him that sexual activity can often be safely continued with appropriate modifications. Limited information entails educating him about energy conservation techniques, the importance of timing medication around sexual activity, and recognizing signs of overexertion. Specific suggestions could include planning intimacy when energy levels are highest, avoiding positions that excessively strain the heart, and encouraging open communication with his partner about comfort levels. The care team should include cardiologists, nurses, and possibly a sex therapist specializing in cardiac conditions to address psychological concerns and facilitate trust. Emotional support through counseling may assist in managing anxiety or fears about cardiovascular risks, fostering a positive sexual identity despite his chronic condition.

Case 3: Man, age 70, post right cerebrovascular accident

Post-stroke clients often face multifaceted challenges affecting sexual functioning, including sensory deficits, endurance limitations, and psychological impacts such as anxiety or depression. The PLISSIT model supports gradual exploration of concerns. Permission involves validating his desire to maintain intimacy, boosting confidence. Limited information entails education on how sensory changes may alter sexual sensation and the importance of patience and adaptation. Specific suggestions include exploring different types of intimacy, focusing on non-penetrative activities, and using assistive devices if needed. Interventions to enhance endurance, such as tailored physical therapy exercises, are essential, alongside counseling to address emotional and relational aspects. An interprofessional team—comprising neurologists, physical therapists, occupational therapists, and mental health professionals—should collaborate to maximize his functional ability and emotional wellbeing, thus supporting a fulfilling intimate relationship.

Conclusion

Supporting sexual health in older adults necessitates sensitive, individualized care plans rooted in models like PLISSIT and considering core concern areas. Interdisciplinary teamwork ensures comprehensive management of physical limitations, emotional wellbeing, and relational dynamics. Recognizing and addressing these aspects can significantly improve clients’ quality of life, intimacy, and overall satisfaction, reinforcing that sexuality remains a vital component of aging healthily and happily.

References

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