LOGIC March 2018 Vol 17 Vol 1 - Page 52

require regarding a sexual health matter of any kind. The PLISSIT model was designed to help us gain some perspective of the needs of individuals with a sexual health concern and the differing levels of interventions possible, so we aren’t always worried about the outcome of asking questions about someone’s sexuality. matters. If someone discusses their concern it may be all that is required as an intervention. Discussing the “elephant in the room” eliminates the concern of a question held in silence. When we role model a few simple queries regarding sexual health it makes it easier for our patients to ask us questions. This also could have your patient going home to talk about sexuality with their partner too. Jack Annon suggests as health care providers we are offering Permission by asking questions and broaching the subject. When we ask the questions we are role modelling the importance of using the language and simply initiating a conversation about it. Usually sexuality is tapu, or a tabu subject. If we don’t ask the questions where else will our patients get initial Permission or information from?…..This is a health matter after all, like any other aspect of our patients health. I submit we are denying our patients the opportunity to present these conversations or inquiry if we are not forming some quick Permission giving questions for patients. It’s important to note the few frameworks I tried out are easy to use and make good sense to back up the workshop content. Those who were already asking questions of patients found the workshop reinforced what they were already doing and appreciated using the frameworks to develop their assessments further. Most importantly, as you can see on the model, the first area of intervention with any patient is that of giving Permission to talk about sexual health March 2018 L.O.G.I.C The most important ingredient for developing good conversations about sexual health is Permission. The next level of concern for the Nurses was “If we ask the initial questions do we have to provide the support required?” The answer is a clear, no, of course not. When questions or queries come up from a patient you don’t have to provide the intervention they need. Interventions offering Limited Information or Specific Suggestions don’t have to come from you. These next layers can be provided by other services or resources. The important thing for your patients is to start somewhere with Permission asking questions; don’t be afraid of the patients answers, work with them to find the next level of support to their inquiry. The post-workshop feedback was positive with 100% of the attendees feeling affirmed, more confident and wanting to ask their patients some of the questions they designed during the workshop. They left with the willingness to be curious about developing further Permission specific questions that may work for them and for their patients. Feedback from a few Nurses; “I learned how to better engage with patients”. “I valued the frameworks, examples and scenarios” “I learned how to be honest and acknowledge the elephant in the room” “Brenda is so real; Reality is so key to my nursing practice”. “Real Sexual Health Conversations” with your patients is a new venture by Brenda Little. The workshops are informative, fun, and interactive and provide heaps of learning. You will leave the workshop with new ideas and the confidence to give sexual health conversations a go in a 50