Assessing the Impact of Serious Illness on Patient Intimacy and Sexuality in Palliative Care.

MedStar author(s):
Citation: Journal of Pain & Symptom Management. 58(2):282-288, 2019 08.PMID: 31022442Institution: MedStar Washington Hospital CenterDepartment: Medicine/Palliative CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Neoplasms/px [Psychology] | *Palliative Care/px [Psychology] | *Quality of Life/px [Psychology] | *Sexual Behavior/px [Psychology] | *Terminal Care/px [Psychology] | Adolescent | Adult | Aged | Aged, 80 and over | Female | Hospice and Palliative Care Nursing | Humans | Male | Middle Aged | Sexual Health | Sexual Partners | Young AdultYear: 2019Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:
  • 0885-3924
Name of journal: Journal of pain and symptom managementAbstract: CONCLUSION: Patients with advanced illness commonly report negative issues regarding intimacy and sexual health. Incorporating routine screening into PC consultation may be warranted.CONTEXT: Palliative care (PC) clinical practice guidelines recommend providers assess the impact of illness on intimacy and sexuality. Previous studies around sexuality and intimacy in patients with advanced illness have largely focused on patients with a cancer diagnosis in the outpatient setting. Little is known about such impact of illness on inpatients receiving PC consultation.Copyright (c) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.METHODS: Between January 2016 and May 2017, palliative social workers at three hospitals asked patients to report the level of impact that their illness(es) had on intimacy and to describe the impact. Data were analyzed using descriptive statistics and chi-square analysis. Qualitative data were analyzed using constant comparison methodology.OBJECTIVES: To assess the impact of patient illness on intimacy and sexuality through use of a screening tool and brief clinical questionnaire in hospitalized patients receiving PC consultation.RESULTS: Among the 97 PC patients screened for intimacy concerns, the majority were female (57.7%), African American (71.1%) and on average 57.9 years of age. Most (91.7%) reported that they had not been previously asked about how their illness had impacted their intimacy. Nearly half (48.4%) reported that illness had moderately or significantly impacted their intimacy; these patients tended to be younger and in a current relationship (P < 0.05).All authors: Cagle J, Chung J, Groninger H, Kelemen AOriginally published: Journal of Pain & Symptom Management. 2019 Apr 22Fiscal year: FY2020Fiscal year of original publication: FY2019Digital Object Identifier: Date added to catalog: 2019-05-21
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31022442 Available 31022442

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

CONCLUSION: Patients with advanced illness commonly report negative issues regarding intimacy and sexual health. Incorporating routine screening into PC consultation may be warranted.

CONTEXT: Palliative care (PC) clinical practice guidelines recommend providers assess the impact of illness on intimacy and sexuality. Previous studies around sexuality and intimacy in patients with advanced illness have largely focused on patients with a cancer diagnosis in the outpatient setting. Little is known about such impact of illness on inpatients receiving PC consultation.

Copyright (c) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

METHODS: Between January 2016 and May 2017, palliative social workers at three hospitals asked patients to report the level of impact that their illness(es) had on intimacy and to describe the impact. Data were analyzed using descriptive statistics and chi-square analysis. Qualitative data were analyzed using constant comparison methodology.

OBJECTIVES: To assess the impact of patient illness on intimacy and sexuality through use of a screening tool and brief clinical questionnaire in hospitalized patients receiving PC consultation.

RESULTS: Among the 97 PC patients screened for intimacy concerns, the majority were female (57.7%), African American (71.1%) and on average 57.9 years of age. Most (91.7%) reported that they had not been previously asked about how their illness had impacted their intimacy. Nearly half (48.4%) reported that illness had moderately or significantly impacted their intimacy; these patients tended to be younger and in a current relationship (P < 0.05).

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