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The most common cause of spinal injury in Kerala is fall from a coconut tree, which can be as high as 80 feet.
Loss of sexual functioning is known to rank as a very high priority for these young and middle-aged men.
Married men in Kerala are expected (by society) to work hard and make major family decisions.
But family roles change following spinal cord injury, and this affects income, male identity, and the capacity to have offspring.
Indian J Palliat Care 2015;-20How to cite this URL: Sunilkumar M M, Boston P, Rajagopal M.
Indian J Palliat Care [serial online] 2015 [cited 2017 Dec 19];-20. 2015/21/1/12/150158The physical impact of spinal cord injury is very visible in paraplegic patients; but the impact on psycho-socio-spiritual domains and sexuality is seldom appreciated by the medical system.
This was now lost causing anxiety, distress, and sadness.
Physical barriers included urinary incontinence and indwelling catheters.Qualitative methods were used to study the views, attitudes, and underlying concerns of male patients suffering with paraplegia following a spinal cord injury. Seidman describes this model in terms of a three part interview model and states that "people's behavior becomes more meaningful and understandable when placed in the context of their lives".Narrative interviews were conducted with each participant according to I. Seidman's interview approach to phenomenological interviewing. in presenting a model for conducting phenomenological studies has described this as a combination of life history interviewing and open ended in-depth interviewing that draws on phenomenological assumptions. This model focuses on three aspects of the participant's experience (1) life before the experience, (2) the participant's present experience, and (3) the meaning the participant gives to his current situation and the sense that is being made of it now.Patients with a diagnosis of spinal cord injury were recruited by a referral from the nursing and medical staff in the palliative care ward in a major teaching hospital in Trivandrum, Kerala.A purposive sample of seven male participants was developed in order to permit a rich and in-depth understanding of the research questions and to represent a variety of experiences associated with sexual functioning before and after the injury.
Although it is well researched that sexual functioning is a key focus for the majority of people living with spinal cord disabilities, very little is documented on the actual views and attitudes of the men themselves.