| 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 |
67 |
| 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 |
1 |
| 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 |
| Web Sites |
247 |
| Journals |
247 |
| Books |
249 |
| Textbooks |
249 |
| Appendix A. Exercises to Help Couples |
253 |
| Appendix B. Solutions to Case Studies |
257 |
| Index |
271 |