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  4. A Primary Care Provider’s Guide to Sexual Health for Individuals With Spinal Cord Injury

A Primary Care Provider’s Guide to Sexual Health for Individuals With Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2020 · DOI: 10.46292/sci2603-144 · Published: July 1, 2020

Spinal Cord InjuryUrologyHealthcare

Simple Explanation

This article provides guidance for primary care practitioners caring for individuals with spinal cord injuries, emphasizing the importance of addressing sexual health within the primary care setting. It encourages clinicians to shift their focus from merely treating medical conditions to promoting overall health and wellness, recognizing disability as a social construct rather than a purely medical issue. The article also provides practical strategies and frameworks, such as the PLISSIT and Ex-PLISSIT models, to help primary care providers initiate and manage conversations about sexual health with their patients.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Relationship factors, such as partner satisfaction and relationship quality, are significant predictors of sexual satisfaction in individuals with spinal cord injury.
  • 2
    Patients often wait for healthcare providers to initiate conversations about sexuality, indicating a need for providers to be proactive in addressing these issues.
  • 3
    Effective management of sexual health in individuals with SCI requires a collaborative approach across different medical specialties and disciplines.

Research Summary

The article addresses the gap in sexual health discussions within primary care for individuals with spinal cord injuries, highlighting barriers such as time constraints and provider discomfort. It advocates for a shift towards patient-centered care, emphasizing the importance of addressing biopsychosocial factors influencing sexual well-being and enjoyment. The article offers practical recommendations and frameworks for primary care providers to improve their approach to discussing and managing sexual health concerns in patients with SCI.

Practical Implications

Enhanced Patient-Provider Communication

Encourages primary care providers to proactively initiate discussions about sexual health with patients who have spinal cord injuries, fostering a more open and supportive clinical environment.

Holistic Care Approach

Promotes a shift towards a more comprehensive, patient-centered model of care that addresses not only the physical but also the emotional and social aspects of sexual health.

Improved Clinical Competence

Provides practical tools and frameworks for primary care providers to effectively assess and manage sexual health concerns, enhancing their overall competence in this area.

Study Limitations

  • 1
    Lack of specific quantitative data on the effectiveness of the recommendations.
  • 2
    Limited discussion of the specific needs of diverse populations within the SCI community.
  • 3
    The reliance on existing models (PLISSIT, Ex-PLISSIT) without novel frameworks specific to SCI.

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