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When the Topic Turns to Sex: CASE SCENARIOS IN SEXUAL COUNSELING AND CARDIOVASCULAR DISEASE. | LitMetric

When the Topic Turns to Sex: CASE SCENARIOS IN SEXUAL COUNSELING AND CARDIOVASCULAR DISEASE.

J Cardiopulm Rehabil Prev

School of Nursing (Dr Steinke, and Dusenbury), Wichita State University, Wichita, Kansas; and Department of Cardiology, Copenhagen University Hospital, Bispebjerg Hospital, and The Heart Centre, Copenhagen University Hospital (Ms Johansen), Rigshospitalet, Copenhagen, Denmark.

Published: December 2017

AI Article Synopsis

  • * Health care providers are encouraged to initiate discussions on sexual activity, despite some feeling hesitant due to lack of knowledge, confidence, or time constraints.
  • * The review provides evidence-based approaches and case scenarios to help providers tailor sexual counseling based on individual cardiac conditions like angina, heart failure, and myocardial infarction.

Article Abstract

Patients with cardiovascular disease and their partners frequently have concerns about sexual intimacy, and sexual counseling is needed across health care settings to ensure that patients receive information to safely resume sexual activity. The purpose of this review is to provide practical, evidence-based approaches to enable health care providers to discuss sexual counseling, illustrated by several case scenarios. Evidence shows that patients expect health care providers to initiate sexual activity discussions, although providers may be hesitant and often rely on patients to ask questions. Although some providers cite lack of knowledge or confidence in their ability to provide sexual counseling, others mention time pressures in the clinical setting. Although such barriers exist, sexual counseling can be individualized to the cardiac condition of a patient with a few select questions. The representative examples of patients with angina pectoris, myocardial infarction, coronary artery bypass surgery, heart failure, and implantable cardioverter defibrillator are used to illustrate key points and provide a model for sexual counseling in practice.

Download full-text PDF

Source
http://dx.doi.org/10.1097/HCR.0000000000000155DOI Listing

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