Woodhouse Jan, Baldwin Moyra A
Faculty of Health and Social Care, University of Chester.
Br J Community Nurs. 2008 Jan;13(1):20-5. doi: 10.12968/bjcn.2008.13.1.27979.
Sexuality is integral to a person's identity and is encompassed in holistic palliative care. Current directives emphasize psychosocial support that is sensitive to a variety of issues, including sexuality, and offer community nurses the mandate to facilitate expressing sexuality. Nurses fail to address sexuality for a variety of reasons. Appreciating patients' individuality and avoiding making assumptions are some of the requirements to enabling expression of sexuality. Nurses need wisdom and determination to discuss such issues, and it is important that they recognize opportunities and cues as they arise. This article provides an examination of the issues surrounding sexuality outlining an approach that captures' constant attention to details. This guides the 'what', 'how' and 'why' sexuality in palliative care can be addressed. Ethics and safety aspects are briefly discussed and implications for practice suggested. Educating staff and focused education for the patient can positively influence sexuality and individuals' quality of life.
性取向是个人身份认同的一部分，也是整体姑息治疗的一部分。当前的指导方针强调对包括性取向在内的各种问题敏感的心理社会支持，并赋予社区护士促进表达性取向的任务。护士未能解决性取向问题有多种原因。了解患者的个性并避免做出假设是促进性取向表达的一些要求。护士需要智慧和决心来讨论此类问题，重要的是他们要识别出现的机会和线索。本文审视了围绕性取向的问题，概述了一种始终关注细节的方法。这指导了在姑息治疗中处理性取向的“是什么”“如何做”和“为什么”。简要讨论了伦理和安全方面，并提出了对实践的启示。对工作人员进行教育以及对患者进行针对性教育可以对性取向和个人生活质量产生积极影响。
