Introduction: We live in a ‘disabling’ society and there are many barriers to sexual expression and sexual satisfaction for people living with illness and/or disability. Many find it difficult to gain access to potential sexual partners, and some people are also less-able or un-able to self-pleasure themselves. The issue of enhancing sexuality in patients with individual health deficits and disability is complex, especially when they are institutionalised. Ignoring patients’ sexuality and sexual expression can lead to frustration and misunderstandings for both patients and staff. Method: Through the presentation of a case study of an adult male institutionalised with neuromuscular disease, it will be demonstrated how a health care service can legitimately support a patient to address his sexual needs, resulting in positive outcomes for both patient and institution. Particular attention will be paid to the introduction of sex workers on hospital premises, legal issues, staff attitudes and safe sex. Also included are the practical health aspects and emotional landscape of the patient; and maintenance of the patient’s dignity and autonomy. Conclusion: To progress to a more holistic model of health care, sexuality and sexual expression options need to be made a legitimate issue within health care practice. This paper will demonstrate how this can be successfully achieved with the end result leading to improvement in patients’ quality of life.
Conflict of Interest: None disclosed
Financial Support/Funding: None disclosed
Recorded: Sydney, Australia, April 2007
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