Table of Contents

 

 

 

 

Acknowledgments

xi

SECTION I

HUMAN SEXUALITY IN THE CONTEXT OF CANCER

1

Chapter 1

Introduction: Why is Sexuality Important in the Context of Cancer?

3

 

Cancer and Sexuality

4

 

Stages of Illness

5

 

Conclusion

5

 

References

5

Chapter 2

a Primer in Human Sexual Functioning

7

 

Sexual Anatomy

7

 

Hormonal Influences

9

 

Sex and the Brain

10

 

The Sexual Response Cycle

10

 

Human Sexual Behavior

15

 

Conclusion

17

 

References

17

Chapter 3

Sexual Health Assessment

19

 

Sexual Assessment by Nurses

19

 

Communicating About Sex

20

 

How to Conduct a Sexual History

21

 

Sexual Assessment Models

24

 

Conclusion

27

 

References

28

SECTION II

HOW CANCER IMPACTS SEXUALITY

31

Chapter 4

Breast Cancer

33

 

The Effect of Breast Cancer on Sexuality

33

 

Treatment of Breast Cancer

34

 

Body Image

37

 

Nursing Interventions in the Care of Women with Breast Cancer

39

 

Case Study

44

 

Conclusion

45

 

References

45

Chapter 5

Prostate Cancer

49

 

The Effect of Prostate Cancer on Sexuality

49

 

Treatment of Prostate Cancer

50

 

Nursing Interventions in the Care of Men with Prostate Cancer

62

 

Case Study

66

 

Conclusion

66

 

References

61

Chapter 6

Gynecologic Cancer

73

 

The Effect of Gynecologic Cancer on Sexuality

73

 

Treatment of Gynecologic Cancer

74

 

Nursing Interventions in the Care of Women with Gynecologic Cancer

78

 

Body Image and Integrity

82

 

Case Study

83

 

Conclusion

83

 

References

83

Chapter 7

Testicular Cancer

87

 

The Effect of Testicular Cancer on Sexuality

87

 

Treatment of Testicular Cancer

87

 

Nursing Interventions in the Care of Men with Testicular Cancer

91

 

Case Study

92

 

Conclusion

94

 

References

94

Chapter 8

Colorectal Cancer

97

 

The Effect of Colorectal Cancer on Sexuality

97

 

Treatment of Colorectal Cancer

98

 

Body Image Issues

99

 

Nursing Interventions in the Care of Individuals with Colorectal Cancer

100

 

Case Study

102

 

Conclusion

104

 

References

104

Chapter 9

Hematologic Cancer

107

 

The Effect of Hematologic Cancer on Sexuality

107

 

Treatment of Hematologic Cancer

108

 

Nursing Interventions in the Care of Individuals with Hematologic Cancer

110

 

Case Study

112

 

Conclusion

112

 

References

112

Chapter 10

Cancer of the Head, Neck, and Brain

115

 

The Effect of Head and Neck Cancer on Sexuality

115

 

Treatment-Related Side Effects

116

 

Nursing Interventions in the Care of Individuals with Head and Neck Cancer

117

 

Case Study

119

 

The Effect of Brain Cancer on Sexuality

120

 

Nursing Interventions in the Care of Individuals with Brain Cancer

120

 

Case Study

121

 

Conclusion

122

 

References

122

Chapter 11

Cancer of the Bladder

125

 

The Effect of Bladder Cancer on Sexuality

125

 

Treatment-Related Side Effects

126

 

Nursing Interventions in the Care of Individuals with Bladder Cancer

126

 

Case Study

130

 

Conclusion

130

 

References

130

Chapter 12

Cancer of the Penis

133

 

The Effect of Penile Cancer on Sexuality

133

 

Treatment-Related Side Effects

134

 

Case Study

136

 

Conclusion

136

 

References

136

SECTION III

THE IMPACT OF CANCER ON THE INDIVIDUAL AND FAMILY

139

Chapter 13

the Adolescent with Cancer

141

 

Psychosexual Changes of Adolescence

141

 

Adolescents with Cancer

143

 

Counseling Adolescents with Cancer

146

 

Case Study

152

 

Conclusion

152

 

References

153

Chapter 14

the Adult with Cancer

155

 

Psychosexual Challenges of Cancer in Young Adulthood

155

 

Fertility Issues

156

 

Psychosexual Challenges of Cancer in Mid-Adulthood

159

 

Case Study

161

 

Conclusion

162

 

References

163

Chapter 15

the Older Adult with Cancer

165

 

Psychosexual Challenges of Cancer in Older Adulthood

165

 

Cancer in the Older Adult

167

 

Case Study

170

 

Conclusion

171

 

References

171

Chapter 16

the Terminally Ill

173

 

Communicating About Sexuality with the Terminally Ill

173

 

Sexual Functioning at the End of Life

174

 

Case Study

179

 

Conclusion

179

 

References

179

Chapter 17

the Effect of the Cancer Experience on Couples

181

 

Prostate Cancer

181

 

Breast Cancer

184

 

Other Cancers

185

 

Counseling for Couples

185

 

Case Study

187

 

Conclusion

187

 

References

188

Chapter 18

Gay and Lesbian Patients

191

 

Societal Attitudes

191

 

Disclosure of Same-Sex Attraction or Relationship

192

 

Healthcare Risks Related to Homosexuality

193

 

Encouraging Inclusivity

195

 

Case Study

199

 

Conclusion

199

 

References

199

SECTION IV

TREATMENT MODALITIES AND SEXUAL FUNCTIONING

201

Chapter 19

Surgery

203

 

Breast Cancer

203

 

Prostate Cancer

205

 

Gynecologic Cancer

206

 

Colon Cancer

207

 

Testicular Cancer

207

 

Counseling of the Postsurgical Patient

208

 

Conclusion

209

 

References

210

Chapter 20

Chemotherapy

213

 

Chemotherapy and Sexual Side Effects

213

 

Breast Cancer

214

 

Prostate Cancer

216

 

Gynecologic Cancer

216

 

Testicular Cancer

217

 

Hematologic Cancer

217

 

Counseling of Patients Receiving Chemotherapy

218

 

Conclusion

219

 

References

219

Chapter 21

Radiation Therapy

223

 

Breast Cancer

223

 

Prostate Cancer

224

 

Gynecologic Cancer

224

 

Testicular Cancer

225

 

Hematologic Cancer

226

 

Counseling for Patients Undergoing Radiation Therapy

226

 

Conclusion

227

 

References

227

SECTION V

TOOLS FOR HEALTHCARE PROVIDERS

231

Chapter 22

Sexuality Counseling

233

 

Identification of Sexual Problems

233

 

The New View of Women’s and Men’s Sexual Problems

235

 

Information Sharing

237

 

Referral for Specialized Counseling

239

 

Conclusion

240

 

References

240

Chapter 23

Research in Sexuality

241

 

Quality-of-Life Measures

241

 

Sexual Function Questionnaires

242

 

Measuring Partner/Relationship Status

244

 

Qualitative Studies of Sexual Functioning

244

 

Challenges in Research on Sexual Issues

244

 

Conclusion

245

 

References

245

Chapter 24

Resources

247

 

Websites

247

 

Journals

247

 

Books

249

 

Textbooks

249

Appendix A

Exercises to Help Couples

253

Appendix B

Solutions to Case Studies

257

 

Index

271