Sexuality & Aging: A Focus on Lesbian, Gay, Bisexual & Transgender (LGBT) Needs in Palliative & End of Life Care
PURPOSE OF REVIEW:
Sex
and sexuality are core components of the human experience. Many older adults
and people with terminal illness still consider sexuality important in their
lives. The palliative care experiences of lesbian, gay, bisexual, and
transgender (LGBT) persons are unique in a number of important ways with regard
to sexuality and sexual expression.
RECENT FINDINGS:
To
date, there has been relatively limited scholarly research on sexual health
needs of people in palliative care and near end of life, and an even greater
paucity of data specifically about sexual minorities. Forms of sexual
expression may change with advancing age and illness. Physical intimacy and
emotional connection may take on greater roles compared with more traditional
concepts of sexual activity. Several recent studies have examined sexual health
in palliative care and a few have examined LGBT cohorts. Advances in public
policy, including the recent US Supreme Court decision regarding marriage
equality, have continued to shape the cultural landscape for LGBT people. This
article reviews recent literature with considerations for future research.
SUMMARY:
Sexuality
and intimacy remain important for many people facing terminal illness. LGBT
people face unique challenges with regard to sexuality during palliative care.
Clinicians should work to avoid heteronormative stereotypes and focus on goals
of care to enhance quality of life for all patients.
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