The nurse's role in sexual counseling

Sexual concerns can result from many common illnesses or treatments. If problems or potential problems are left unresolved, the patient's self-concept is decreased and adjustment to altered body image or altered bodily functions are difficult. Sexuality should be a part of the plan of care for patients as are nutrition, elimination and mobility. If sexuality and sexual activity are part of a patient's normal life, they must be considered with other components of daily living. Jack Annon developed a model for sexual counseling called PLISSIT: Permission, Limited Information, Specific Suggestions, and Intensive Therapy. This short-term supportive counseling during hospitalization can enhance self-esteem and assist with adaptation. In providing this support, nurses can help patients to know and understand their own abilities and disabilities brought on by their illness or surgery, allowing them to adjust accordingly.