British journal of nursing (Mark Allen Publishing)
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Being a sexual being and having sexual feelings is a part of what it is to be a human being--there are no age limits to enjoying a healthy sex life and having the ability to love and be loved. There are many misconceptions surrounding sexuality and in general these misconceptions become even more problematic as the older person and sexuality are discussed. This article aims to consider misconceptions that nurses may have about sex and sexuality concerning older people. ⋯ Nurses need to demonstrate empathy and understanding if the patient is to disclose intimate feelings concerning his/her sexual health. Information is offered that may help nurses to ensure that a truly holistic approach to care is provided to older patients. Finally, recommendations are suggested in order to act in the patient's best interests.
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Review Case Reports
Integration of critical care and palliative care at end of life.
End-of-life care in the critical care environment suffers from a lack of clarity and uncertainty. Critical care nurses may often feel torn between wanting to do everything possible to sustain a patient's life and wanting to do what is in the patient's best interests. ⋯ Futility, conflict and resources all factor in such decisions. Nurses must ensure the transition from cure to comfort does not emphasize a dichotomy between palliative care and critical care but instead focuses on the provision of the best possible end-of-life care.