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First published on June 20, 2008
American Journal of Hospice and Palliative Medicine® 2008, doi:10.1177/1049909108318569


Article

Is There a Place for Sexuality in the Holistic Care of Patients in the Palliative Care Phase of Life?

Margaret J. Redelman, MD, MPsychotherapy*

Sydney Centre for Sexual and Relationship Therapy

* To whom correspondence should be addressed. E-mail: redels{at}medemail.com.au.


   Abstract
Being diagnosed with a life-limiting condition is a traumatic event. The journey to the moment of death is usually only done once—so it is a time of fears and uncertainty. Sexuality is particularly vulnerable at this time. It may be difficult for both patient and partner to deal with the changes in sexuality without professional assistance. It is "sexuality" rather than "sex" that defines the meaningful relationships people have with themselves and significant others. When sexuality is lost or changed, important benefits may be lost. Studies show that many patients do value sexuality and want assistance in making the best of their sexual potential during the palliative care phase. Health professionals regularly acknowledge the importance of sexuality for their patients but have difficulties acting on their beliefs. Sexuality, within the patient’s functional ability and desire for it, must be acknowledged and included in holistic management. It is the health professional’s responsibility to raise this issue.


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