Inpatient Palliative Care Team, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Department of Medicine, Palliative Care Service, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania, USA.
J Palliat Med. 2021 Jul;24(7):1111-1116. doi: 10.1089/jpm.2020.0262. Epub 2020 Nov 20.
Discussing difficult and personal topics is not new to those practicing palliative care. Specialty-level consultation is often sought to facilitate complex and uncomfortable conversations on death and dying. Palliative care (PC) providers focus on patient and family needs through the lens of whole-person care. Sexuality is an important component of every person's identity, yet providers often avoid this topic. Avoiding conversations about sexuality is especially strong when the patient has a serious illness. PC providers are recognized communication experts, although current curricula offer little training on how to incorporate discussions regarding this important aspect of personhood. Using case discussions, we offer strategies for examining sexuality and incorporating sex-positive interventions into practice. By highlighting how sexuality and PC intersect, we hope to foster a community of interdisciplinary PC providers who practice what we have termed sex-positive palliative care.
对于从事姑息治疗的人来说，讨论困难和个人话题并不新鲜。通常会寻求专业水平的咨询，以促进关于死亡和濒死的复杂和不适的对话。姑息治疗（PC）提供者通过全人护理的视角关注患者和家庭的需求。性是每个人身份的重要组成部分，但提供者往往回避这个话题。当患者患有严重疾病时，避免谈论性的情况尤其强烈。PC 提供者被认为是沟通专家，尽管目前的课程几乎没有提供关于如何将关于这一人格重要方面的讨论纳入其中的培训。我们使用案例讨论，提供了检查性行为和将性积极干预纳入实践的策略。通过强调性和 PC 的交集，我们希望培养一个跨学科的姑息治疗提供者社区，他们实践我们所谓的性积极姑息治疗。
