Ch 19: Gender And Sexuality Flashcards
What is the ratio of men to women who incur brain injury?
2:1
What is the mortality rate for women with moderate to severe TBI compared to men?
1.3x
Women are ________ times more likely than men to have poorer outcomes.
1.6x
Women are ________ times more likely than men to have cognitive impairments.
1.7x
Which gender experiences higher rates of PTSD post TBI?
Females
What percent of women who are assaulted incur a blow to the head, and what percent lose consciousness?
92% have a blow to the head and 40% have a LOC
What are the vocational outcomes for males vs females regarding full time employment?
23.6% of males return to work and only 4.4% of females return to work full time
What are the primary causes of sexual dysfunction?
Neuroendocrine changes
Hypothalamus and pituitary damage
What are the secondary causes of sexual dysfunction?
Physical changes- spasticity, ataxia
Cognitive impairments
Emotional and behavioral changes- depression, apathy, disinhibition
Other changes (marital dysfunction, social isolation, etc.)
What is benign neglect?
Reference to the tx of LGBT patients where staff ignore or mismanage the unique challenges of these individuals
Why do healthcare professionals experience discomfort discussing brain injury and sexuality?
lack of knowledge, view of sexuality as unimportant, person with TBI appears child like, embarrassment
10 notable findings of sexuality and brain injury
- difficulties with sexual energy, desire and drive- dec fatigue
- reduction in sensation and orgasm
- problems with positioning, movement, and pain
- changed body image, self-confidence, and mood
- decreased ability to sexually satisfy a partner- may not recall the patterns of interaction
- disinhibition and hypersexuality
- issues with bowel, bladder and adaptive equipment
- diminished capacity for sexual ideation- reduces drive and interest
- more concerns in those with mild injuries
- sexual and intimacy issues may predate TBI
P(A)LISSIT
Permission- open with discussing sexuality
Affirmation- receiving acceptance and support
Limited information- reviewing impact of TBI on sexuality
Specific suggestions- therapeutic activities, safe practice, environmental modifications, etc
Intensity therapy- individual, couple, and or family therapy
What are the four domains of intimacy?
psychological- self-esteem, awareness, respect, loyalty
emotional- abilities to share emotional needs, communicate affective, share mutual empathy and listen
operational- sharing responsibilities, decisions, role expectations, and parenting
shared- activities, hobbies, traditions, friends, family and community
What are the four Ts that affect sexual energy in a marriage?
time together, talking together, trusting each other, touching each other
