While we have had a few lectures previously in occupational
therapy school on the topic of sexual health, we had not had one that was as
in-depth and focused on aging until this lecture. I think that the fact that
this area is in the scope of practice of OT emphasizes the holistic view that
occupational therapists take on their clients. There are very few other
healthcare professionals that will address this topic with their clients, and
while it might be a little difficult or awkward to discuss, I think it is very
powerful that OTs can help clients in this area of their lives. One of the main
things that I took away from this lecture was that sexual activity is beneficial
for reducing stress, improving sleep, can boost immune system function and
lifespan, and can also produce higher levels of cognitive functioning. When
there are disruptions in this area of someone’s life, it can be difficult for
them to reach out for help. However, sexual health is a key component in overall
health, therefore it is important that people know who they can turn to with
this subject. Especially in the older adult population, sex has a direct impact
on health. Physical changes, hormonal changes, and medications can all affect one’s
sexual health.
As far as interventions that an OT could provide in this area,
I think that client education and access to resources are two of the most
common ways we can help clients. An OT could educate an older adult client with
arthritis about the importance of applying heat and doing gentle stretching
before engaging in sexual activity (or any other kind of activity). Energy
conservation techniques could also be provided to the client to allow them to
prioritize what they want to get done in a day in order to save energy for sexual
activity. Another possible intervention could be providing stress management
technique education and practice to older adult clients with mental health
needs (anxiety, depression) and teaching assertive communication techniques for
them to increase communication with their spouse or partner. Any disruptions in
mental health can affect one’s sex life, and the same is true the other way around.
It is important for OTs to establish healthy therapeutic relationships with
their clients in order to provide a supportive environment for open communication
from their clients, especially when dealing with a sensitive topic such as
sexual health.
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