You don't have to be a SEXpert to validate your patients' feelings around their sexuality!

1st take home point from #hapc21's session on "Setting SEXpectations with Patients and Families." @SexANDDeathPos @PalCareErin @CaitlynMooreNP @PCMagicMo
Remember: sex is more than intercourse. #hapc21 Image
The circles of sexuality. #hapc21 Image
A deeper dive into sexual identity. Remember that this is fluid and can change during the course of serious illness (e.g. a patient can reconsider what "manhood" is). Also, it's important to use affirming pronouns and language. #hapc21 Image
Interesting concept under sensuality: skin hunger. Skin hunger refers to our need for physical touch. #hapc21 Image
It's important to validate different levels of skin hunger. Offering patients a hug with arms outstretched can make them feel uncomfortable/forced as opposed to offering with arms down. We need to be trauma informed in our touch. #hapc21 Image
Here's an example of how we can support patients' sexuality.

If you take away one question to ask patients, this is it: How has your illness impacted your sexuality? #hapc21 Image
Final sex-positive thoughts! #hapc21 Image
And don't miss these electronic resources for sexuality in specific diagnoses. #hapc21 ImageImage

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More from @Top_Gundersen

18 Feb
Time for a master class in pruritus! #hapc21 Image
Thanks to pruritus presenters @AMehtaMD, @mlmcpherson, Eric Prommer, Mellar Davis, Kathryn Walker. #hapc21
Pruritus definition: Note that chronic pruritus is itching that lasts 6 weeks or longer (this is different than chronic pain). #hapc21 Image
Read 14 tweets
18 Feb
Next talk at #hapc21! Controlling the dyspnea-anxiety cycle. Image
Remember that dyspnea is very common. Not just in COPD but in other diagnoses, and not just in hospice patients but in the ICU and other settings as well. #hapc21 ImageImage
The complicated and vicious cycle of breathlessness. #hapc21 Image
Read 13 tweets
18 Feb
Diving into a difficult topic at #hapc21. Dr. Horowitz is starting with his mother, who had dementia and was considering voluntarily stopping eating and drinking (VSED). Image
Key points about the key clinical considerations around VSED: note that life should be unacceptable and IRREVERSIBLY difficult. This can't be an impulsive decision. #hapc21. Image
Psychiatric considerations are important too. There is an important difference between the wish to die vs. the wish to "not live like this" when considering VSED. #hapc21 Image
Read 10 tweets
18 Feb
#hapc21 day #2's plenary is starting! Thank you @questmd @RonitElk @palliator for sharing your wisdom. Image
.@questmd shares her story. #hapc21 Image
Thank you @questmd for such a heartfelt reflection. Such a complex story of oppression, mistrust, compassion, and hope. #hapc21. ImageImage
Read 9 tweets

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