Sexuality, Intimacy and Chronic Conditions

sex

several distinct meanings, referring variously to biological and physiological characteristics, sexual activity and the social contexts surrounding human sexuality

intimacy

close, personal, familiar, trusting and loving relationships with another person or group with whom there is shared knowledge, acceptance and understanding

sex is an ___

ADL

managing intimate relationships is an ___

IADL

how can OT practitioners be sex positive?

• safe and healthy practices

• tolerance and celebration of all forms of human sexuality that is consensual and maintains health

• inclusion of children and adolescents

what are important questions OT practitioners need to ask their clients about sex?

• what does sex look like?

• what is difficult about it?

• what does better look like?

what plays a role in developing and managing intimacy?

• diet, exercise

• stress management

• 5 love languages

why is communication around sex important?

• limits assumptions

• communicates desires

• boundary setting

how are some ways to communicate when there is conflict?

• memory strategies

• self-soothing

• I-statements

• time outs

• silence

• writing

what are the difference senses of sex?

• vision

• auditory

• tactile

• gustatory

• olfactory

• proprioception

• vestibular

• interoception

how can OT practitioners help address the fear and anxiety around having sex?

• set or initiate a plan

• limit setting

• communication

what is important with bowel and bladder management when thinking about sex?

• empty

• pelvic floor exercises

• patient education

what are some modifications and adaptations when considering sex?

• cuffs, splints

• prosthetics

• DME

• mounting systems

what are some assistive devices in the bedroom?

• not everyone wants to use them

• grading activities

• viewing toys from a sensory integration perspective

what are some techniques for pain?

• medications

• positioning

• relaxation

what are some techniques for managing fatigue during sex?

• planning

• less strenuous activities

routines

• intentional

• preplanned

• goal directed behavior