[INTIMACY AND SEXUALITY IN PATIENTS DYING OF CANCER OR COPING WITH INCURABLE ADVANCED CANCER IN THE LIGHT OF END OF...

A neglected issue in treatment and research is the sexuality of patients dying of cancer, or with incurable advanced cancer. Information is lacking about changes in patients' sexual and intimate life, distress caused by these changes and their interest in discussion.

The study was conducted through qualitative research based on interviews - analyzed by the constant comparison method. Interviews were held with 35 patients dying of cancer or with incurable cancer.

A great variety of findings appeared among interviewees. Some reported absence of essential change in their sexual and intimate life, while many others reported fading of their sexuality, with or without satisfying intimate life. The changes caused various forms of distress. We also found heterogeneity in masturbation habits. A majority of the interviewees mentioned, that raising the issue is important and one third expressed a need to receive sexual consultation.

The connection between two topics perceived as taboo - sex and death, may challenge the palliative team. The team should initiate discussion of the issue as an integral part of the professional intervention related to the process of departure from this world Issues on intimate and sexual life may be relevant for the dying patient. The palliative team has an important role in answering complex needs related to sexuality at the end of life.

Patients may have different needs related to their intimate and sexual life. Some wish to talk about changes in their sexual function and even to receive treatment, while for others there is no such desire.