Sexuality after stroke: patient counseling preferences

Stein, Joel; Hillinger, Marni; Clancy, Cait; Bishop, Lauri

doi:10.3109/09638288.2012.754953

Cited by 56 publications

(67 citation statements)

References 33 publications

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“…This information does not have to be very extensive, but basic information on what to expect or what to do with the prosthesis for example, would have been welcomed by the majority of participants. As suggested in other studies, the current study confirmed that the timing of providing this kind of information is crucial [39,40]. In the beginning of the rehabilitation process, people are trying to recover from the amputation, and are learning to walk with the prosthesis.…”

Section: Discussionsupporting

confidence: 90%

People with lower limb amputation and their sexual functioning and sexual well-being

Verschuren

Geertzen

Enzlin

et al. 2014

Disability and Rehabilitation

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Participants in this study indicated some problems concerning sexual functioning and/or sexual well-being. Some of these problems were of practical nature, and participants would have appreciated some information about how to handle this kind of practical sexual problems. However, such information should not be given at the beginning of the rehabilitation process, as at that time sexuality is not a priority for all patients.

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Section: Discussionsupporting

confidence: 90%

People with lower limb amputation and their sexual functioning and sexual well-being

Verschuren

Geertzen

Enzlin

et al. 2014

Disability and Rehabilitation

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“…890 Stroke survivors report a desire for more information about sexuality from healthcare providers, physicians in particular. 891 It is important for the patient and significant other to know that sex is not contraindicated after stroke. The most common sexual dysfunctions after stroke are decreased libido, erection and ejaculation disorders in men, lubrication and orgasm in women, and self-image and role changes for both men and women.…”

Section: Sexual Functionmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

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2,169

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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“…There is a large body of evidence across cultures and stroke severities that patients after stroke want to learn and talk about sexual health, but are not receiving the information that they want from healthcare providers [1][2][3][4].…”

Section: Problemmentioning

confidence: 99%

Let's Talk About Sex! - Improving sexual health for patients in stroke rehabilitation

Guo

Bosnyak

Bontempo

et al. 2015

BMJ Qual Improv Report

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Sexual health contributes greatly to quality of life. Research shows that stroke survivors want to learn and talk about sexual health, but are not given information. In keeping with the Canadian Best Practice Recommendations for Stroke Care, this project aimed to provide all stroke rehabilitation inpatients with the opportunity to discuss sexual health concerns with healthcare providers at West Park Healthcare Centre, a rehabilitation and complex continuing care centre in Toronto. Gap analysis conducted via staff member interviews and retrospective chart reviews showed that close to no patients were given the opportunity to discuss sexual health concerns at baseline.Plan-Do-Study-Act (PDSA) methodology was used as the project framework. The changes implemented included a reminder system, standardization of care processes for sexual health, patient-centred time points for the delivery of sexual health discussions, and the development of a sexual health supported conversation tool for patients with aphasia. By the end of the ten month project period and after three PDSA cycles, the percentage of patients provided with the opportunity to discuss sexual health during inpatient rehabilitation increased to 80%. This quality improvement project successfully implemented the Canadian Best Practice Recommendations for Stroke Care with respect to sexual health.Lessons learned included the importance of early baseline data collection and advance planning for tools used in QI projects. Future projects may focus on improving the discussion of sexual health concerns during outpatient stroke rehabilitation.

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Sexuality after stroke: patient counseling preferences

Cited by 56 publications

References 33 publications

People with lower limb amputation and their sexual functioning and sexual well-being

People with lower limb amputation and their sexual functioning and sexual well-being

Guidelines for Adult Stroke Rehabilitation and Recovery

Let's Talk About Sex! - Improving sexual health for patients in stroke rehabilitation

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