Psycho-sexual care for patients with cancer and their partners: a service development

Sexuality is an important issue in cancer care. It is evident from the research literature that health care professionals still avoid discussing sexual issues with patients and their partners (Jenkins 1988, Gamel et al 1993). To identify the educational needs of health care professionals, a multi-disciplinary questionnaire was developed to assess the understanding and requirements within two health-care trusts. From the results, a pilot sexuality study day was developed which was based on the needs identified. The day included education about sexuality, the impact of cancer and its treatments, how to assess and discuss sexual concerns and the effects of crises on relationships. It also allowed open discussion about difficult or embarrassing situations, communication strategies and appropriate referral services. Evaluation of the day was positive with regard to the knowledge gained and implications for clinical practice. It is hoped that these study days can improve the awareness and understanding of health care professionals but it is only through ongoing education and support that the sexual health of patients with cancer and their partners can be truly integrated into whole-patient care.