1. A survey of over 2,000 women with breast cancer found that 88% reported negative changes to their sexual wellbeing, including decreased feelings of desirability, intimacy, sexual arousal and pleasure.
2. Factors like tiredness, vaginal dryness, hot flushes and feeling unattractive were found to affect sexual wellbeing in over 50% of respondents. Cancer also disrupted sexuality for 78% of intimate partners surveyed.
3. Renegotiating sexuality involved redefining sex beyond penetration, exploring non-coital practices, embracing intimacy, and open communication between partners. Couples found success by focusing on closeness rather than performance.
Running Head BACK PAIN1BACK PAIN7Back.docxhealdkathaleen
Running Head: BACK PAIN 1
BACK PAIN 7
Back pain in elderly patients
Abdullah Albahrani
California State University-Long Beach
1/17/20
Introduction
Mrs. Al Bahrani is my seventy-five years old grandmother who has born and brought up in Muscat, Sultanate of Oman. She freely agreed to by my interviewee in this life review interview. This is a rare opportunity offered to me to reflect and know her legacy. I have always had much respect for her, discerning the details of her life will help me become a better person, be more compassionate and conscientious nurse. After spending like a long time with Mrs. Al Bahrani, I got the chance to know her better. She lives in her own house that is located near my house. With the knowledge I have acquired throughout this semester, we were able to have engaging communication. The semi-structured interview took place in my grandmother’s room. We started by having a cup of coffee and our conversation lasted for about two hours, with such a soul near you, time can really fly! I can confidently say that talking to the old and wise is very rewarding, it increases the connection between the parties and helps understand one another. The life review interview illuminates different concept of legacy. For my grandmother, her legacy has been her family and big love she shares with other people.
Summary of the interview
As a teen, I lived with both parents and they loved me so much. During my childhood, I involved myself in manual jobs and walked four miles on a scaring path to school every day. She had intense passion in learning and her favorite subject in school was drawing. I was almost likely to have a younger brother, unfortunately my mother has a still birth during her second pregnancy. My parents never got any other child and this made her life revolved around her parents and the few neighbors. The family did not have much wealth at their disposal and this meant that toys were uncommon. Despite this, I loved to play hide-and-seek and make-it believe games. During her elementary schools, my parents decided to relocate to rural land to practice agriculture. I had to join a new school and at this new place, I had hard time trying to adjust and this affected her studies.
After completing my high school, I had hope of becoming a nurse. I wanted to help her community fight killer diseases, she owned it to her people because they were seemingly nice to her. In my teenage year, I met a young and promising man who swept me off her feet. We as lovebirds had passion in dancing and this made us have many dates. Sometimes thereafter, we got engaged and invested more time together. My fiancé’ taught her how to drive, unfortunately, he had narcolepsy and this made it unsafe for him to be on the road.
My alarm for back pain went off after giving birth to my daughter. One night I woke up and realized I was in agony. It was my back, I tried to move, I tried lying still, I also tried to sit, every posture hurt. I r ...
Negotiating personal networks: lesbian, gay, bisexual and trans older people’s networks of support towards the end of life by Kathryn Almack - a presentation at the BSA Death, Dying and Bereavement Study Group Conference in November 2014.
Sex, Chemo & Rock N Roll, Penny Daugherty, RN, MS, OCN, ONN-CGPennyDaughertyRNMSOC
This presentation is designed to provide a multifaceted patient centered approach to sexuality issues in the nursing care of chemotherapy/radiation therapy patients via the following:
- A comprehensive overview of sexuality & sexual self-image
- Exploration of issues related to sexual side-effects of treatment and effective methodology for assessment and intervention
- Provision of therapeutic strategies for the clinician to employ in the care of patients experiencing sexual dysfunction
- Formulation of successful therapeutic patient/clinician dialogue
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Running Head BACK PAIN1BACK PAIN7Back.docxhealdkathaleen
Running Head: BACK PAIN 1
BACK PAIN 7
Back pain in elderly patients
Abdullah Albahrani
California State University-Long Beach
1/17/20
Introduction
Mrs. Al Bahrani is my seventy-five years old grandmother who has born and brought up in Muscat, Sultanate of Oman. She freely agreed to by my interviewee in this life review interview. This is a rare opportunity offered to me to reflect and know her legacy. I have always had much respect for her, discerning the details of her life will help me become a better person, be more compassionate and conscientious nurse. After spending like a long time with Mrs. Al Bahrani, I got the chance to know her better. She lives in her own house that is located near my house. With the knowledge I have acquired throughout this semester, we were able to have engaging communication. The semi-structured interview took place in my grandmother’s room. We started by having a cup of coffee and our conversation lasted for about two hours, with such a soul near you, time can really fly! I can confidently say that talking to the old and wise is very rewarding, it increases the connection between the parties and helps understand one another. The life review interview illuminates different concept of legacy. For my grandmother, her legacy has been her family and big love she shares with other people.
Summary of the interview
As a teen, I lived with both parents and they loved me so much. During my childhood, I involved myself in manual jobs and walked four miles on a scaring path to school every day. She had intense passion in learning and her favorite subject in school was drawing. I was almost likely to have a younger brother, unfortunately my mother has a still birth during her second pregnancy. My parents never got any other child and this made her life revolved around her parents and the few neighbors. The family did not have much wealth at their disposal and this meant that toys were uncommon. Despite this, I loved to play hide-and-seek and make-it believe games. During her elementary schools, my parents decided to relocate to rural land to practice agriculture. I had to join a new school and at this new place, I had hard time trying to adjust and this affected her studies.
After completing my high school, I had hope of becoming a nurse. I wanted to help her community fight killer diseases, she owned it to her people because they were seemingly nice to her. In my teenage year, I met a young and promising man who swept me off her feet. We as lovebirds had passion in dancing and this made us have many dates. Sometimes thereafter, we got engaged and invested more time together. My fiancé’ taught her how to drive, unfortunately, he had narcolepsy and this made it unsafe for him to be on the road.
My alarm for back pain went off after giving birth to my daughter. One night I woke up and realized I was in agony. It was my back, I tried to move, I tried lying still, I also tried to sit, every posture hurt. I r ...
Negotiating personal networks: lesbian, gay, bisexual and trans older people’s networks of support towards the end of life by Kathryn Almack - a presentation at the BSA Death, Dying and Bereavement Study Group Conference in November 2014.
Sex, Chemo & Rock N Roll, Penny Daugherty, RN, MS, OCN, ONN-CGPennyDaughertyRNMSOC
This presentation is designed to provide a multifaceted patient centered approach to sexuality issues in the nursing care of chemotherapy/radiation therapy patients via the following:
- A comprehensive overview of sexuality & sexual self-image
- Exploration of issues related to sexual side-effects of treatment and effective methodology for assessment and intervention
- Provision of therapeutic strategies for the clinician to employ in the care of patients experiencing sexual dysfunction
- Formulation of successful therapeutic patient/clinician dialogue
24x7e-marketing,24x7emarketing,offers search engine marketing, search engine submission, trade leads submission,internet marketing, website marketing, search engine submission, search engine promotion, web promotion, web marketing, sem services from mumbai, india,DOMAIN NAME REGISTRATION,WEB HOSTING,WEBSITE DESIGN,WEB PROMOTION,WEBSITE MAINTENANCE,E-COMMERCE SERVICES,PAYMENT GATEWAY,Data List and Email Marketing,Corporate PowerPoint Presentation, 3D WALK THROUGH,CATALOGS & BROCHURES DESIGN,FLASH PRESENTATION ,FLASH BANNER
Website Designing Mumbai, Website design, Search Engine Optimization, Shopping Systems, Online Payments, Domain Registration, Website Hosting, Multimedia presentations, Corporate presentations, Project Outsourcing, Project Outsourcing India, Website Designing, Web Marketing, Website Submission,
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. WWoommeenn’’ss sseexxuuaall wweellllbbeeiinngg iinn tthhee
ccoonntteexxtt ooff ccaanncceerr
RReenneeggoottiiaattiinngg sseexx oouuttssiiddee tthhee ccooiittaall
iimmppeerraattiivvee
Jane Ussher and Janette Perz
Centre for Health Research
School of Medicine
University of Western Sydney
2. Survey ooff wwoommeenn wwiitthh bbrreeaasstt ccaanncceerr
N = 2220 surveyed (BCNA membership):
1956 (88%) reported changes in sexual wellbeing:
Decreases in:
feeling desirable 73%
intimacy 60%
frequency of sex 78%
sexual arousal 74%
sexual pleasure 64%
satisfaction with sex 62%
energy for sex 76%
interest in sex 71%
Ussher, Perz & Gilbert (2012)
3. Factors tthhaatt aaffffeecctteedd sseexxuuaall wweellll--bbeeiinngg ((NN == 11995566))
%
Tiredness 71.0
Vaginal dryness 63.3
Hot flushes 51.2
Feeling unattractive 50.8
Weight gain 48.8
Difficulty being aroused 45.8
Feeling uncomfortable
exposing body 44.0
Medication effects 39.0
Loss of confidence 38.4
Depression/anxiety 37.8
Change in breast 37.6
Orgasm difficulty 35.9
Loss of sensation 35.8
%
Reduced nipple sensation 35.4
Pain during intercourse 33.4
Anxiety about sex 28.6
Early menopause 28.1
Appearance changes
(eg. hair loss) 27.0
Pain in upper body 26.9
Relationship changes 22.8
Fear 21.4
Loss of identity 17.0
Anger 16.3
Lymphedema 16.3
Guilt 12.6
Feelings of shame 10.2
4. Horrible!! I’m 28 and have been m arried for 9 months
and have had sex probably 4 times in that time. I used to
enjoy it very much and now have no physical pleasure
from it and barely ever do it. This has impacted on my
identity as a woman and as a wife, has made me consider
my partner having an affair because I am not able to
satisfy him sexually
Ann, 29, breast cancer, hetero
Devastating. A complete shock, no one tells you
that it ruins your sex life
Gina, 61, secondary breast cancer, hetero
5. SSeexxuuaalliittyy aanndd ccaanncceerr ccaarreerrss
N = 156 carers (55 men, 101 women) - intimate
partner of person with cancer
122 (78%) - cancer negatively impacted upon their
sexuality and their sexual relationship
Lower desire; frequency; satisfaction
Overall impact:
• 76% ‘non-reproductive’ sites
• 84% ‘reproductive’ sites
ARC Linkage Project: Gendered experience of cancer carers; CIs: Ussher, Butow; PIs: Wain, Batt, Sundquist.
Partnership: UWS, USyd, CCNSW, Westmead Hospital
6. Breast
20%
Prostate
7%
Colorectal/Digestiv
e
15%
Gynaecological
7%
Multiple-non
sexual
Haematological
13%
Pancreatic
Brain
4%
Respiratory
6%
Other
11%
9%
Multiple-sexual
4%
2%
Mesotheioma
2%
8. Changes ttoo sseexxuuaalliittyy aaccrroossss ccaanncceerr ttyyppeess
Disruptions to sexuality
decreased sexual desire and satisfaction
repositioning of sex as a low priority
sexual and bodily pain
fatigue
body image concerns (including, scarring, weight changes, and hair
loss)
Impact on sexual identity
erectile difficulties (men)
Survey: 942 PWC, 193 partners; Interviews: 44 pwc; 39 partners
ARC Linkage Project: CIs: Ussher, Perz, Gilbert; PIs: Wain, Hobbs, Kirsten, Mason, Batt, Sundquist
Partnership: UWS, CCNSW, NBCF, Westmead and Nepean Hospitals
9. AAbbsseennccee ooff ddeessiirree
I’d rather do the washing but when it does happen,
it’s pleasurable and no pain
Mindy 49, pwc, breast, hetero
The biggest effect is the instant menopause which
means loss of passion
Ursula, 47, pwc, ovarian, hetero
10. Sex positioned aass sseeccoonnddaarryy ttoo ssuurrvviivvaall
My focus was very strongly on survival. I didn’t want
to die (...) sex really didn’t matter
Nelly, 57, pwc, lymphoma, hetero
I think other things sort of took over a bit more
Lara, 26, partner, leukaemia, hetero
Sex is probably the last thing on your mind at first
Ruby, 49, pwc, ovarian, hetero
11. LLoossss ooff iiddeennttiittyy aanndd iinnaaddeeqquuaaccyy
It's not the same person that you were (...) you lose your
identity, I think. That's very depressing some days.
Cassie, 51, pwc, gynaecological, hetero
I used to enjoy it very much and now have no physical
pleasure from it and barely ever do it. This has impacted
on my identity as a woman and as a wife, has made me
consider my partner having an affair because I am not
able to satisfy him sexually
Ann, 28, pwc, breast, hetero
12. BBooddyy iimmaaggee ccoonncceerrnnss
I always cover up my leg during sex. [In a whispering
voice] My God, if he should see that, that would be
horrible. He would, he would lose his erection.
Sandra, 55, pwc, melanoma, hetero
I've put on so much weight. I'm the heaviest I have
ever been since I had children
Carrie 51, pwc, breast, hetero
13. SSeexxuuaall ppaaiinn
It was unbelievably painful, I cannot tell you, it was
unbelievably, it was excruciatingly painful to have
intercourse. I literally couldn’t bear to be touched Irene,
61, pwc, anal, hetero
I experienced a lot of dryness in the vagina, which
causes me to be a little bit worried about the pain
side of it
Henna, 59, pwc, ovarian, hetero
14. CCooiittaall IImmppeerraattiivvee::
FFooccuuss ooff rreesseeaarrcchh oonn ccaanncceerr aanndd sseexxuuaalliittyy
“Sex” = coital sex (penis-vagina penetration)
Coital Imperative (McPhillips et al 1999; Gavey et al, 2000)
Disruptions to coital sex = “sexual dysfunction”
Consequences of coital “failure”:
All forms of intimacy can cease if penetrative sex is not possible
Attempting coital sex – even if it causes pain
Anxiety, feelings of inadequacy in men and women who can’t
perform
15. AAtttteemmppttiinngg ccooiittaall sseexx
I am just trying to think when we started trying to
have sex again, but I even went to the doctor and
said, “It feels like he’s got razor blades strapped to
him”
Sue, 57, breast cancer, hetero
91% of women engaging in coital sex 2 years after
cervical cancer treatment, despite pain and low desire
(Jensen, 2004)
16. SSeexx == iinntteerrccoouurrssee
He doesn't experiment a lot. He won't use toys. His
argument is that you know we can do with our
bodies better than what any toy can do. it’s not so
much variety in sex, it's the terror of playing that is
there
Helen, 64, pwc, kidney, hetero
18. 1. Resisting the coital imperative:
Re-Defining ‘sex’
I deeply reject the idea that sex is all defined in terms
of the cock and what it does, where sex starts when
the guy gets an erection and ends when he’s had an
orgasm and that’s it.
Nina, 48, pwc, breast, poly-sexual
The view that sex is penetrative sexual intercourse,
well, as a lesbian, it’s not, not necessarily. It can be
but it’s often not
Bronwyn, pwc, 50, breast, lesbian
19. Re-Defining ‘sex’
sex is more than just intercourse
Carl, 51, partner, lung, hetero
sex is not just penetration
Clinton, 57, partner, leukaemia, hetero
a couple can have a really strong relationship, an
intimate physical one, without straight sex, like
penetrative sex.
Brian, age 71, pwc, prostate cancer, hetero
20. Exploration of non-coital sexual practices
We were like, oh, two puppies playing together, even
though I’m 59 and he’s 74. Um, and even sort of
simulated sex we’d get on top of each other and not
actually have sex but, you know, sort of loving each
other in a sex position
Nelly, 59, pwc, lymphoma, hetero
21. Use of sex aids and toys
Mindy (49, pwc, breast, hetero) - initially bought a vibrator to
“keep all the (vaginal) muscles working”, but she and
her husband also “had a bit of fun with it and now
and again I’d think through the day, ‘Oh, I should go
and do that.’”
Sexual aids are one way of both of us being able to
participate which is important when the partner’s
unable to have an erection.
Edith, 69, partner, advanced melanoma, hetero
22. Non-coital sexual activities - satisfying
and pleasurable
Learning different techniques on how to do hand jobs and,
and just things like that is interesting and fun, and our sex life
is very good.
Ruby, 49, pwc, ovarian, hetero
Our sexual relationship has probably got better since my wife
got sick, because we spend a bit more time in foreplay, to
sidestep the vaginal dryness.
Henk, 63, partner, breast, hetero
23. 2. Resisting the coital imperative:
Embracing intimacy
Well, I guess we sleep together, so that’s a good thing
[chuckles], and cuddle up, and touch, and that sort of thing is
always good.
Henna, 59, pwc, ovarian, hetero
It’s the little things, like he knows if something is not quite
right and he’ll just come and stand next to me and give me a
hug… that makes a difference
Kirsten, 24, pwc, lymphoma, hetero
24. Intimacy closeness and normality
Intimacy = Manifestation of closeness:
“being really very close together”
Charlotte, 66, partner, prostate, hetero
being “part of one another”
Pearl, 64, partner, prostate, hetero
Produces increased closeness in the relationship:
“We’re closer than before the cancer, when it was more
sexual, like more lust”
Russell, 39, partner, breast, hetero
25. 3. Intersubjective nature of renegotiation:
Relationship communication
We tend to be very open communicators in the
bedroom. We’re also probably on the fringe of on
the top echelon of wanting to explore and to try
different things. So we’ll see, we tend to see if it’ll if,
if a) does it work, b) does it feel good, c) if both a and
b work well that’s great. If A and B don’t work well
then we don’t do that one again. We stop.
Vicki, 36, partner, melanoma, lesbian
26. No communication – no renegotiation of
sex
My husband doesn’t hear very well, so the whole
issue of asking for what you want or giving someone
what they want, be it sexually or anything else, he
finds extraordinarily difficult
Helen, 64, pwc, kidney, hetero
27. Positive relationship context
We’ve “always been very close,” and “always hugged
a lot,” which meant that it was not very different
after cancer, other than “maybe you appreciate it
even more.”
Emma, 52, pwc, breast, hetero
He’s been fantastic, never put any pressure on me
Mindy, 49, pwc, breast, hetero
28. Couples who have been successful in maintaining a
sexual relationship might be able to share the
“secrets of their success”, providing guidance for the
development of more successful interventions for
those couples who struggle to maintain sexual
intimacy after … cancer treatment
Beck et al 2009, p.142
29. “Secrets of their success”
Redefining sex: as “not just penetration”
Exploring non-coital sexual practices: masturbation, mutual genital
touching, or oral sex
Embracing intimacy: cuddling, kissing, non-genital touching,
massage, spending time together, caring, or talking.
Using sexual or medical aids: Vibrators, lubricant, dilators,
Relationship communication: Couples talking about sexual
needs and concerns
30. Conclusions
Impact of cancer on sexuality, and strategies of
renegotiation, needs to be acknowledged by
researchers and health professionals working with
people with cancer and their partners
Don’t focus solely on coital sex
Implications for broader analysis of sex and sexuality:
coital sex is not always imperative - can be optional
or negotiable, without loss of pleasure or
satisfaction.
Editor's Notes
These were the factors that affected sexual wellbeing
85% of individuals described these changes as significant
These effects aren’t just experienced by PWC - in a recent ARC funded study on cancer carers, the majority of partners of a PWC said that cancer had impacted upon their sexuality
Others continued to engage in coital sex, even when it was extremely painful –