# Presentation: 045454

## No Winners or Losers Just Learners: Utilizing Games to Educate Staff NursesKelly D. Skinner, MSN, CRRN, ANP, GNPVA Boston Healthcare System

_**The Spinal Cord Injury Sexuality Trivia Game **__**Directions**_

**5.     If the players land on a “SCI Literature: Read the Latest Information” square, **
**       “****Research:  Volunteers Needed” square, or a “VA Boston Healthcare System Spinal **
**        ****Cord Injury Service” square, they are not allowed to answer a trivia question and**
**        ****must wait until their next turn to roll the die again.      **
**6.     If the players pass the “Go: Collect $100” square, they collect $100  from the bank.   **
**7.     If the players land on an “Orders” or “Payment Information” square, they** **follow the  **
**        ****instructions on the card and are not allowed to answer a trivia question until their next                **
**         ****turn.**
**8.****    ****The banker is responsible for ensuring the trivia questions are answered correctly, and**
**        ****awards or collects the money appropriately.**
** ****9.****     ****After playing the game for one hour, the the player with the most wins the  game.**

**1.    Three to eight nurses, including the banker, can play the game at one time.**
**2.    The players begin by placing their figurines on the “Go: Collect $100” square.**
**        ****Each player is given $100 from the banker before** **the game begins. **
**3.    The players take turns rolling the die and moving their figurines the determined**
**        ****number of squares.**
**4.     If players land on a green, yellow, or blue square, they attempt to answer the**
**        ****question  that corresponds to that square.  If they answer the question correctly,**
**         ****they win the predetermined amount of money assigned to that colored square.**

_**True/False**_
**1. ____  Environmental barriers never limit **
**accessibility for sexual activity.**
**2. ____ For safety reasons, spinal cord injured  **
**persons may want to try their vibrostimulation **
**at a center or clinic where their blood pressure**
**can be monitored.**
**3. ____ Spinal cord injured women who opt **
**not to remove their foley catheter prior to sex**
**will often tape the catheter tubing to their **
**stomach or upper thigh.**
**4. ____ Some spinal cord injured persons use**
**spasticity to heighten sexual pleasure. Leg**
**extension or spasticity may increase  the**
**sexual experience.**
**5. ____  Adoption is the only alternative for a**
**spinal cord injured individual who desires to **
**have and raise children.**

_**Multiple Choice**_
**6..  Which type of erection occurs through a **
**reflex mechanism in the sacral part of the spinal cord? **
**The brain plays no part in this type of erection.**
**A.  Psychogenic Erection**
**B.  Reflexogenic Erection**
**7.  This process involves using a rectal probe to **
**apply electrical stimulation that causes ejaculation**
**to occur:**
**A.  Psychogenic Erection     C.  Artificial Insemination**
**B.  Reflexogenic Erection    D.  Electroejaculation**
**8.  This happens when the bladder neck stays**
** ****open and semen travels the shorter pathway into **
** ****the bladder rather than out the urethra:**
** ****A.  Reflexogenic Erection   C.  Retrograde Ejaculation**
** ****B.  Psychogenic Erection    D.  Artificial Insemination**

_**Answers:**_
** ****1) False, 2) True, 3) True, 4) True, 5) False,  **
**6) B, 7) D, 8) C**

_**The Spinal Cord Injury **__**Sexuality Trivia Game**_

_**The Spinal Cord Injury Sexuality Trivia Game **__**Sample Questions**_

**1.    Three to eight nurses, including the banker, can play the game at one time.**
**2.    The players begin by placing their four colored figurines on the “Go” circles on the four edges**
**        ****of the game board.  Each player is given $100 from the banker before** **the game begins. **
**3.    The players take turns popping the die and moving their figurines the determined number of circles. **
**       ****The players must start by moving each figurine one at a time toward the die in the center of the game**
**        ****board, turn back  around in the direction of the “Go” circles, but then move in a clockwise direction around **
**        ****the game board.**
**4.    If the players land on a colored circle that is currently occupied by another player, the player that was**
**        ****there first must return to one of their “Go” circles and start all over with that figurine.**
**5.     If the player lands on a green, yellow, orange, or pink circle, they attempt to answer the question that **
**        ****corresponds to that circle.  If the players answer the question correctly, they win the predetermined **
**        ****amount of money assigned to that colored circle.  Various topics such as anatomy and physiology **
**        ****related to spinal cord injury, statistics, functional outcomes, bowel and bladder management, **
**        ****autonomic dysreflexia, skin care issues, orthotics, nutrition, adjustment to spinal cord injury,**
**        ****respiratory, pain, spastic hypertonia, and body mechanics are covered. **
**6.     The players go around the game board once with e ach figurine.  When the players lands on one of **
**         ****the“Go” circles after going around the game board once, they collect $100  from the bank and should **
**        ****retire that figurine on one of their “Go” circles.  The player then moves clockwise around the game board**
**         ****with the next figurine on their next turn. **
**7.****     ****The banker is responsible  for ensuring that the *****The Promoting Healthy Life Styles in Spinal Cord Injury***** **
**        ****questions  are answered correctly, and the banker awards the money appropriately.**
**8.****     ****After playing the game for one hour, the the player with the most wins the  game.**

_**The Promoting Healthy Life Styles **_
_**in Spinal Cord Injury Game**_
_**Directions**_

_**The Promoting Healthy Life Styles **__**in Spinal Cord Injury Game**_

_**The Promoting Healthy Life Styles **__**in Spinal Cord Injury Game**__**Sample Questions**_

_**True/False**_
**1. _____ Spinal cord injury occurs more frequently**
** ****in males than in females.**
**2. _____ The leading cause of spinal cord injury**
**is falls.**
**3. _____ A bowel program should only be done **
**when there has been no bowel movement in **
**over three days.**
**4. _____An accurate bladder assessment can **
**be done when a person is still in spinal shock.**
**5. ____ Autonomic dysreflexia is a benign**
**condition seen in almost anyone with a spinal **
**cord injury above thoracic level six.**
**6. ____ Skin tolerance is the process of gradually **
**decreasing the amount of time a person can **
**remain in one position without tissue damage.**

_**True/False**_
**7. ____One suggestion to avoid back pain is to lift**
**objects close to your body. **
**8. ____ Quadriplegics tend to have more pain than**
**paraplegics.**
**9. ____ Pneumonia is the leading cause of death for all **
**persons with spinal cord injury.**
**10. ____ The phrenic pacemaker is an effective**
**method of ventilatory support for selected persons**
**whose diaphragm, lungs, and phrenic nerve(s) have no**
**residual function.**
**11. ____ When calculating the number of calories **
**needed by spinal cord injured persons, dieticians normally **
**decrease the amount by 5% for paraplegics and 10-15% for **
**quadriplegics.**
**12. ____ Individuals who adjust well to unexpected events **
**prior to their spinal cord injury generally lead healthy, active, **
**and happy lives after their injury.**

_**Answers:**_
** ****1) True, 2) False, 3) False, 4) False, 5) False, 6) False, **
**7) True, 8) False, 9) True, 10) False, 11) True, 12) True**