Using the PLISSIT model and taking into consideration the four area of sexual concern, develop a plan that addresses the specific diagnosis, age, and concerns of the following clients. Also, discuss who might be involved in their care using a team approach.
a. A woman, age 72, with a total hip replacement and arthritis who is interested in continuing sex with her partner.
b. A 65-year old man with congestive heart failure who is very concerned about continuing his sexual relationship with his 55-year-old wife.
c. A 70-year-old man, post-right-cardiovascular accident, who is experiencing both sensory changes (decreased sensation on the left side, decreased left visual field) and decreased endurance. Despite these, he wishes to maintain an intimate relationship with his wife of more than 50 years.