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Sexual history taking: a dying skill?
Nwanneka N Sargant1, Natasha Smallwood, Fiona Finlay
11 Department of Pediatrics, Royal United Hospital , Bath, United Kingdom .
Journal of Palliative Medicine
|May 15, 2014
Summary
Healthcare providers did not discuss sexual health with adolescents who have life-limiting illnesses. This study highlights the need to include sexual health in routine palliative care assessments for these young patients.
Area of Science:
- Adolescent medicine
- Palliative care
- Sexual health
Background:
- Adolescents, including those with life-limiting illnesses, are sexually active.
- Healthcare professionals should address sexual health, including sexually transmitted diseases and contraception.
- Previous research on this specific topic is lacking.
Purpose of the Study:
- To determine if pediatricians discussed sexual health with adolescents experiencing life-limiting illnesses.
- To review medical consultations for discussions on sexual history.
Main Methods:
- Retrospective review of clinical notes for 25 adolescents (aged 12-18) with life-limiting conditions.
- Analysis of handwritten and typed records from a UK District General Hospital community team.
- Focus on identifying any instances of sexual history taking.
Main Results:
- No sexual history was taken by any healthcare professional from any adolescent patient.
- This occurred despite multiple clinic attendances for the patients studied.
Conclusions:
- Sexual health is a fundamental human right, yet it is often overlooked in adolescents with life-limiting illnesses.
- Clinicians may find it challenging to address sexual health concerns in this population.
- Integrating sexual health into routine palliative assessments is crucial for holistic care.
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