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Sexual Health In Palliative Care

Year 2018, Volume , Issue 4, 371 - 377, 01.12.2018

Abstract

Palliative care involving physical, emotional, social and spiritual aspects focuses on enhancement of quality of life for the patient and relatives. A holistic approach to existing problems is important for nurses and other health personnel on the palliative care team. Sexual health is an important component of palliative care. Sexual health is often adversely affected in palliative patients. Talking about sexuality with patients is irritating for the majority of health professionals. The issue of sexuality is often ignored by health personnel. Judgments and taboos about sexuality held by health personnel may make it difficult to talk about sexuality with patients. However, studies show that many patients need counseling about their sexual life during the palliative care phase. Patient’s sexual health and sexual concerns assessment counseling are part of the health care team’s professional role and holistic care. In this review, it is aimed to discuss the role of sexual health in palliative care and the role and responsibilities of health professionals in ensuring sexual health

References

  • Elçigil A. Palyatif Bakım Hemşireliği. Gülhane Tıp Dergisi 2012;54:329-34.
  • Librach SL, Moynihan TJ. Sexuality. In: Emanuel LL, Librach SL, (eds). Palliative Care-Core Skills and Clinical Competencies. 2nd ed. Elsevier Saunders, St. Louise, 2011: 186-95.
  • Reis N, Kızılkaya Beji N, Coskun A. Quality of Life and Sexual Functioning in Gynecological Cancer Patients: Results from Quantitative and Qualitative Data. European Journal of Oncology Nursing 2010;14:137-46. [CrossRef]
  • Grieblin TL. Sexuality and aging: A Focus on Lesbian, Gay, Bisexual And Transgender (LGBT) Needs in Palliative and End of Life Care. Curr Opin Support Palliat Care 2016;10:95-101. [CrossRef]
  • Leung MW, Goldfarb S, Dizon DS. Communication about Sexuality in Advanced Illness Aligns With a Palliative Care Approach to Patient- Centered Care. Curr Oncol Rep 2016;18:11. [CrossRef]
  • World Health Organization. WHO Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/en/ Erişim tarihi: 06.09.2018.
  • Aygin D, Acar K. Güncel Makale Özeti-Terminal Dönem Hastalıkta Cinsellik ve Cinsel İlişkin Deneyimleri: Olgusal Çalışma. Androloji Bülteni 2016;18:56.
  • Nyatanga B. Sexuality in Palliative Care: More Than Sex, British Journal of Community Nursing 2014;19:151 [CrossRef]
  • Akyol M, Ulger E, Alacacioğlu A, Kucukzeybek Y, Yıldız Y, Bayoğlu V ve ark. Sexual Satisfaction, Anxiety, Depression and Quality of Life Among Turkish Colorectal Cancer Patients (İzmir Oncology Group (IZOG) Study. Japanese Journal of Oncology 2015;45: 657-64. [CrossRef]
  • McIness RA. Sexuality and Illness, Med JAUS 2003;179:263-6.
  • Rolland JS. In Sickness and in Health: The Impact of Illness on Couples’ relationships. Journal of Marital and Family Therapy 1994;20: 327-47. [CrossRef]
  • Shell JA. Sexual Issues in the Palliative Care Population. Semin Oncol Nurs 2008;24:131-4. [CrossRef]
  • Moorman SM, Carr D, Boerner K. The Role of Relationship Biography In Advance Care Planning. J Aging Health 2014;26:969-92. [CrossRef]
  • Webber K, Mok K, Bennett B, Lloyd A R, Friedlander M, Juraskova I, & Goldstein D. İf I am in the Mood, I Enjoy İt: An Exploration of Cancer- Related Fatigue and Sexual Functioning in Women With Breast Cancer. Oncologist 2011;16:1333-44. [CrossRef]
  • Santos PR, Capote JRFG, Cavalcanti JU. Quality of Life Among Women with Sexual Dysfunction Undergoing Hemodialysis: A Cross-Sectional Observational Study. Health Qual life Outcomes 2012;10:103. [CrossRef]
  • Cagle JG, Bolte S. Sexuality and Life-Threatening Illness: Implications For Social Work and Palliative Care. Health & Social Work 2009;34:223-33.
  • Bryant-Lukosius D, Browne G, DiCenso A, Whelan T, Gafni A, Neville A, et al. Evaluating Health-Related Quality of Life and Priority Health Problems in Patients with Prostate Cancer: A Strategy For Defining the Role of the Advanced Practice Nurse. Can Oncol Nurs J 2010;20:5–14.
  • Hordern AJ, Street AF. Let’s Talk About Sex: Risky Business for Cancer and Palliative Care Clinicians. Contemporary Nurse 2007;27:49-60. [CrossRef]
  • Gölbaşı Z, Evcili F. Hasta Cinselliğinin Değerlendirilmesi ve Hemşirelik: Engeller ve Öneriler. Journal of Anatolia Nursing and Health Sciences 2013;16:182-9

Palyatif Bakımda Cinsel Sağlık

Year 2018, Volume , Issue 4, 371 - 377, 01.12.2018

Abstract

Fiziksel, emosyonel, sosyal ve manevi yönleri içeren palyatif bakım, hasta ve ailesinin yaşam kalitesini güçlendirmeye odaklanır. Hemşire ve palyatif bakım ekibi içerisinde yer alan diğer sağlık personeli için mevcut problemlere bütüncül yaklaşım önemlidir. Cinsel sağlık, palyatif hasta bakımının önemli bir bileşenidir. Palyatif hastalarda cinsel sağlık sıklıkla olumsuz etkilenir. Hastalarla cinsellik hakkında konuşmak, sağlık profesyonellerinin çoğunluğu için rahatsız edicidir. Cinsellik konusu sağlık personeli tarafından genellikle görmezlikten gelinir. Sağlık personelinin cinselliğe ilişkin yargıları ve tabuları hastalarla cinsellikleri hakkında konuşmayı zorlaştırabilmektedir. Ancak araştırmalar, çok sayıda hastanın palyatif bakım aşamasında cinsel yaşamları hakkında danışmanlık almak istediklerini göstermektedir. Hastaların cinsel sağlığının ve cinselliğe ilişkin kaygılarının değerlendirilmesi sağlık bakım ekibinin profesyonel rolünün ve holistik bakımın bir parçasıdır. Bu derlemede palyatif bakımda cinsel sağlığın önemi ve sağlık profesyonellerinin cinsel sağlığın sağlanmasına yönelik rol ve sorumluluklarının tartışılması amaçlanmıştır

References

  • Elçigil A. Palyatif Bakım Hemşireliği. Gülhane Tıp Dergisi 2012;54:329-34.
  • Librach SL, Moynihan TJ. Sexuality. In: Emanuel LL, Librach SL, (eds). Palliative Care-Core Skills and Clinical Competencies. 2nd ed. Elsevier Saunders, St. Louise, 2011: 186-95.
  • Reis N, Kızılkaya Beji N, Coskun A. Quality of Life and Sexual Functioning in Gynecological Cancer Patients: Results from Quantitative and Qualitative Data. European Journal of Oncology Nursing 2010;14:137-46. [CrossRef]
  • Grieblin TL. Sexuality and aging: A Focus on Lesbian, Gay, Bisexual And Transgender (LGBT) Needs in Palliative and End of Life Care. Curr Opin Support Palliat Care 2016;10:95-101. [CrossRef]
  • Leung MW, Goldfarb S, Dizon DS. Communication about Sexuality in Advanced Illness Aligns With a Palliative Care Approach to Patient- Centered Care. Curr Oncol Rep 2016;18:11. [CrossRef]
  • World Health Organization. WHO Definition of Palliative Care. http://www.who.int/cancer/palliative/definition/en/ Erişim tarihi: 06.09.2018.
  • Aygin D, Acar K. Güncel Makale Özeti-Terminal Dönem Hastalıkta Cinsellik ve Cinsel İlişkin Deneyimleri: Olgusal Çalışma. Androloji Bülteni 2016;18:56.
  • Nyatanga B. Sexuality in Palliative Care: More Than Sex, British Journal of Community Nursing 2014;19:151 [CrossRef]
  • Akyol M, Ulger E, Alacacioğlu A, Kucukzeybek Y, Yıldız Y, Bayoğlu V ve ark. Sexual Satisfaction, Anxiety, Depression and Quality of Life Among Turkish Colorectal Cancer Patients (İzmir Oncology Group (IZOG) Study. Japanese Journal of Oncology 2015;45: 657-64. [CrossRef]
  • McIness RA. Sexuality and Illness, Med JAUS 2003;179:263-6.
  • Rolland JS. In Sickness and in Health: The Impact of Illness on Couples’ relationships. Journal of Marital and Family Therapy 1994;20: 327-47. [CrossRef]
  • Shell JA. Sexual Issues in the Palliative Care Population. Semin Oncol Nurs 2008;24:131-4. [CrossRef]
  • Moorman SM, Carr D, Boerner K. The Role of Relationship Biography In Advance Care Planning. J Aging Health 2014;26:969-92. [CrossRef]
  • Webber K, Mok K, Bennett B, Lloyd A R, Friedlander M, Juraskova I, & Goldstein D. İf I am in the Mood, I Enjoy İt: An Exploration of Cancer- Related Fatigue and Sexual Functioning in Women With Breast Cancer. Oncologist 2011;16:1333-44. [CrossRef]
  • Santos PR, Capote JRFG, Cavalcanti JU. Quality of Life Among Women with Sexual Dysfunction Undergoing Hemodialysis: A Cross-Sectional Observational Study. Health Qual life Outcomes 2012;10:103. [CrossRef]
  • Cagle JG, Bolte S. Sexuality and Life-Threatening Illness: Implications For Social Work and Palliative Care. Health & Social Work 2009;34:223-33.
  • Bryant-Lukosius D, Browne G, DiCenso A, Whelan T, Gafni A, Neville A, et al. Evaluating Health-Related Quality of Life and Priority Health Problems in Patients with Prostate Cancer: A Strategy For Defining the Role of the Advanced Practice Nurse. Can Oncol Nurs J 2010;20:5–14.
  • Hordern AJ, Street AF. Let’s Talk About Sex: Risky Business for Cancer and Palliative Care Clinicians. Contemporary Nurse 2007;27:49-60. [CrossRef]
  • Gölbaşı Z, Evcili F. Hasta Cinselliğinin Değerlendirilmesi ve Hemşirelik: Engeller ve Öneriler. Journal of Anatolia Nursing and Health Sciences 2013;16:182-9

Details

Primary Language Turkish
Journal Section Collection
Authors

Anahit COŞKUN This is me
Bezmialem Vakıf Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, Türkiye


Nebahat ÖZERDOĞAN This is me
Eskişehir Osmangazi Üniversitesi Sağlık Bilimleri Fakültesi, Ebelik Bölümü, Eskişehir, Türkiye

Publication Date December 1, 2018
Application Date
Acceptance Date
Published in Issue Year 2018, Volume , Issue 4

Cite

EndNote %0 Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Palyatif Bakımda Cinsel Sağlık %A Anahit Coşkun , Nebahat Özerdoğan %T Palyatif Bakımda Cinsel Sağlık %D 2018 %J Acıbadem Üniversitesi Sağlık Bilimleri Dergisi %P 1309-470X-1309-5994 %V %N 4 %R %U