Can-SCIP Coach App
  1. Can-SCIP
  2. Recommendations
  3. Guidelines
  4. Section 2 - MANAGEMENT OF SCI COMPLICATIONS

R - SEXUAL HEALTH & RELATIONSHIPS




SCI clinicians should discuss and consider the following principles to ensure sexual well-being:

  1. Maximize inherent sexual potential prior to using medical interventions
  2. Adapt to limitations with the use of medical therapies or sexual aids and
  3. Remain open-minded during sexual adaptation.
(CAN-SCIP 2020; Level C)
Clinicians should routinely provide information on methods to enhance sensuality by using all available senses. Encourage individuals with SCI to consider expanding their sexual repertoire to enhance sexual pleasure following injury. The emphasis of the discussion should be pleasure and not just function. (Adapted from CSCM 2010, p.313; Level C)
Ensure that individuals with SCI receive counselling that promotes a positive body image and encourages respect for one’s body after SCI. (CSCM 2010, p.331; Level C)
Discuss fluctuations and potential changes that may occur with sexual desire, interest, arousal and orgasm following SCI. (Adapted from CSCM 2010, p.319/320; Level B)
Self and/or partner exploration is encouraged. Strategies and aids can be recommended based on their limitations, interests, and needs (i.e., hand function, difficulty holding on to devices, leg floppiness, finding straps). (Adapted from CSCM 2010, p.320,321; Level A)