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Sexuality, intimacy and palliative care


Friday, 01 September, 2017

Sexuality, intimacy and palliative care

While research has shown that patients in palliative care have unmet sexual and intimacy needs, they are usually not addressed.

A groundbreaking program at Sydney鈥檚 Neringah 黑料吃瓜群网 is now addressing this concern for聽people coming to the end of their life.

At Neringah,聽a 19-bed palliative care hospital, patients and staff are encouraged to normalise topics around sex and sexual desire.聽鈥淪exuality and dying are considered taboo subjects, and most people feel that people in this stage of their lives are too ill to think about sex,鈥 said Brigitte Karle, clinical nurse educator with HammondCare.

鈥淏ut our palliative care staff 鈥 and our patients 鈥 recognise that sexuality is part of the holistic care of patients, and this has resulted in the 鈥楲et鈥檚 Talk About It鈥 program.

鈥淲e need to make it easier for patients, their partners and staff to feel that they can have the conversation without being uncomfortable,鈥 she said.

To facilitate the process, patients are advised that they can arrange for a particular sign to be affixed to their door that forbids entry for a certain period.

鈥淭hrough our research we have identified that patients would like staff to initiate the conversation, and we have implemented a system where staff feel confident to recognise cues to take the appropriate action to provide 鈥榩rivate couple time鈥.

鈥淲e also identified a need for staff to have additional training and education so they feel more comfortable about the issue.鈥

Karle said Neringah鈥檚 unique set-up, which includes private rooms, allowed patients to have intimate private relationships with their partners that might not be available in other hospitals.

鈥淩egardless of the setting, it is important for all hospitals and staff working in subacute care to recognise that people who are in the last stage of their life may have sexual needs,鈥 Karle said.

The Let鈥檚 Talk About It study was conducted over an eight-month period and involved training for staff and designing ways that patients and their partners could have private time.

Above: Brigitte Karle, clinical nurse educator with HammondCare.

Images credit: Neringah 黑料吃瓜群网.

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