#UroOncInCharge - Thursday 25th February 2021 8:15pm (GMT Standard Time) #UroOncInCharge - Sexual Function ... whose role?

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Hosted by WeNurses using #UroOncInCharge

This chat is guest hosted by @shiv_smith @Michelle_Barts @UroOncDan

Patients regularly feedback that healthcare professionals have not discussed their sex lives. Do you discuss sexual function? If not, why not? When caring for patients and assessing their activities of daily living sexual health should be considered and an assessment completed1.

In prostate cancer we suppress Testosterone therefore impacting libido2, we offer treatment to combat this for males yet for females undergoing bladder cancer surgery cystectomy, we shy away from discussing perhaps as there are not many products to offer women. Yet we know these individuals will have their vaginas removed at the time of the pelvic exenteration this will cause vaginal shorting and contraction of the vault, notwithstanding, dryness. They can also leak lymphatic fluid (chylous leak) for women this usually leaks from the vaginal vault, which is very upsetting, for males this usually causes ascites which can be painful, yet clearly does not leak like waters breaking. Is their mental health contributing to this lack of libido?3

Talking to patients appropriately regarding their care needs should be at the forefront of nurse’s jobs, especially with regards to our Lesbian,Gay, Bisexual, Transgender (LGBTQ) communities4. To be able to remove the sigma of sex, penis, vagina, cum, lube, anal sex, oral sex can be difficult and embarrassing for us, just think how the patient you just catheterised feels or that cancer patient who just had surgery or perhaps the patient with Crohn’s disease who now has a stoma, how are they coping with biographical disruption? Could that catheterised patient perhaps catheterise intermittently? Would you raise these questions if you were the patient? If we do not take the lead, then no one will mention that there is a problem. Generally, it can be easily solved and there are always senior professionals and team who will take over from you.

    

References

1 Karani, S. and McLuskey, J. (2020) Facilitators and barriers for nurses in providing sexual education to myocardial-infarction patients: A qualitative systematic review. Intensive and Critical CareNursing 58: 102802.

2 Collier, T., Smith, S., Greenwood, M. and Ng,K. (2020) Living with Advanced Hormone-Sensitive Prostate Cancer and Treatment with Abiraterone and Androgen Deprivation Therapy: The Patient, Nursing andPhysician Perspective. (2020) Oncology and Therapy. Available online at: https://www.bing.com/search?q=Collier%2C+T.%2C+Smith%2C+S.%2C+Greenwood%2C+M.+and+Ng%2C+K.+(2020)+Living+with+Advanced+Hormone-Sensitive+Prostate+Cancer+and+Treatment+with+Abiraterone+and+Androgen+Deprivation+Therapy%3A+The+Patient%2C+Nursing+and+Physician+Perspective.+(2020)+Oncology+and+Therapy.&cvid=10039f9f2852435b81c7c1f0a0a88714&pglt=547&FORM=ANNTA1&PC=HCTS

3 Dahlen, H. (2019) Female Sexual Dysfunction: Assessment and Treatment. Urologic Nursing 39 (1):39-46.

4 Heyworth, B., Gilliver, A., Ralph, S., Hewitt,P. and Mackereth, P. (2016) Prostate cancer awareness survey to proud postcards. Sexual and Relationship Therapy. 31 (4): 462-472.

Please see #UKONS study day (sexual health and cancer for further patient experiences.


Proposed Questions 

Question 1: Do you feel confident to discuss sexual function?

Question 2: Did you have training at nursing school to discuss sexual function?

Question 3: Do you feel you need more training to discuss sexual function?

Question 4: Do you feel able to discuss concerns with LGBTQ patients?

Question 5: Have you had LGBTQ training?

Question 6: What do you think would help you to be confident to discuss sexual health?


Uro-onc Clinical Nurse Specialist (CNS) team

Michelle Greenwood graduated from City University in 2008and worked on a solid oncology ward at St Bart’s until 2010, moving into district nursing for 6 months after that. Then Michelle moved into a research sister role for urology oncology for 3 years followed by 7 months working in anOcular Melanoma CNS role. In 2014 Michelle moved into the Uro-Onc CNS role taking over from Wendy Ansell, the first Macmillan Uro-Onc CNS in England. Within this role is an attached lead cancer Teenage, Young Adult (TYA) CNS role, as the germ cell practice incorporates 19 to 25 year olds, who may have additional care needs. Holds numerous courses including Physical Assessment and Clinical Reasoning and is due to start her MSc.

Shievon Smith graduated from London Southbank University 2002. Worked 6/12 on infection control ward at Whipps Cross Hospital then moved to Accident and Emergency on a staff nurse development programme late 2002.Gained her ‘E’ grade, then spent 2 years working for the Royal College ofNursing as an Assistant Officer at London region, then went back to A&E. In2013 changed career to Urology then Uro-oncology in 2014. Graduated from The Royal Marsden school (UEA) in 2017 with a BSc (Hons) in Cancer Care. Joined StBart’s to care of metastatic Uro-Onc patients later that same year.

Daniel Richardson graduated from University of Hertfordshire with a Psychology BSc in 2013. Then changed direction into nursing graduating from City University in 2017. Began his career at The Royal Marsden on a private male ward caring for surgical patients for urology and GI, caring for patients post bladder and prostate surgery, including pelvic exenterations. June 2020 joined the St Bart’s team to transition from surgical to metastatic Uro-Onc patient centred care, in a CNS training post.





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 #UroOncInCharge transcript

 
@shiv_smith
25 February 2021 20:16
@WeNurses @Michelle_Barts @UroOncDan I’m online ???????? #UroOncInCharge
@WeNurses
25 February 2021 20:16
@DeanJPSC @Michelle_Barts @UroOncDan @shiv_smith Hi Dean, you might need to unlock so others can see your fab tweets ???? #UroOncInCharge
@UroOncDan
25 February 2021 20:16
@WeNurses @Michelle_Barts @shiv_smith Let’s talk about sex, baby! ???? #UroOncInCharge
@WeNurses
25 February 2021 20:17
@AgencyNurse ?????? #UroOncIncharge
@WeNurses
25 February 2021 20:17
RT @UroOncDan: @WeNurses @Michelle_Barts @shiv_smith Let’s talk about sex, baby! ???? #UroOncInCharge
@WeNurses
25 February 2021 20:19
Question 1: Do you feel confident to discuss sexual function? #UroOncInCharge https://t.co/Nd0C8X93WZ
@WeNurses
25 February 2021 20:19
@suecollins2 @Michelle_Barts @UroOncDan @shiv_smith ???????? evening Sue thanks for joining #UroOncInCharge
@UroOncDan
25 February 2021 20:19
RT @WeNurses: Question 1: Do you feel confident to discuss sexual function? #UroOncInCharge https://t.co/Nd0C8X93WZ
@DeanJPSC
25 February 2021 20:20
@WeNurses @UroOncDan Absolutely and regularly do in my day to day clinics. Sometimes eludes to a greater clinical insight too. #UroOncInCharge
@shiv_smith
25 February 2021 20:21
RT @UroOncDan: @WeNurses @Michelle_Barts @shiv_smith Let’s talk about sex, baby! ???? #UroOncInCharge
@AgencyNurse
25 February 2021 20:21
I have noticed that over the years sexuality has been slowly removed from so much assessment paperwork ... yet it's so important ... yes am happy to discuss sexual function but also realise the taboos that still surround it #UroOncInCharge https://twitter.com/WeNurses/status/1365033649637384197
@shiv_smith
25 February 2021 20:21
RT @WeNurses: Question 1: Do you feel confident to discuss sexual function? #UroOncInCharge https://t.co/Nd0C8X93WZ
@alimully
25 February 2021 20:21
@WeNurses Not as much as I feel confident discussing other aspects of care. Probably because I don't do it enough #urooncincharge
@WeNurses
25 February 2021 20:22
#UroOncInCharge thanks for joining @lekgrover you just need to add the hashtag https://twitter.com/lekgrover/status/1365034277478535173
@AgencyNurse
25 February 2021 20:23
Hello and welcome :) #UroOncInCharge https://twitter.com/lekgrover/status/1365034277478535173
@alimully
25 February 2021 20:23
Just realised the # looks so much better with capitals #UroOncInCharge vs #urooncincharge https://twitter.com/WeNurses/status/1365007438097874964
@WeNurses
25 February 2021 20:23
Please remember to add the #UroOncInCharge so we can reply to your fab tweets https://twitter.com/vewilliamsna/status/1365034201570029573
@AgencyNurse
25 February 2021 20:23
I think that this often gets forgotten but so important to realise #UroOncInCharge https://twitter.com/VEWilliamsNA/status/1365034201570029573
@UroOncDan
25 February 2021 20:24
@lekgrover @WeNurses @suecollins2 @Michelle_Barts @shiv_smith It’s amazing to have you here! Thanks for joining #UroOncInCharge
@WeNurses
25 February 2021 20:24
@DeanJPSC @UroOncDan How do you open conversation? #UroOncInCharge
@WeNurses
25 February 2021 20:25
@AgencyNurse Yes Tree that’s correct & we are unclear of the reasons why. Tick boxes not completed maybe? Doesn’t help our patients if we are not prompted to ask #UroOncInCharge
@WeNurses
25 February 2021 20:25
@VEWilliamsNA That’s great! #UroOncinCharge
@AgencyNurse
25 February 2021 20:25
@Tamsyn_C @WeNurses Hi there Tamsyn .. simply click on the hashtag #UroOncInCharge and you should see the tweets ... change the view to 'latest' to see all of the tweets as they come in
@lekgrover
25 February 2021 20:25
@WeNurses @suecollins2 @Michelle_Barts @UroOncDan @shiv_smith #UroOncInCharge this is how many people may feel when they start talking about sexuality with patients, clumsy but once you get going it’s ??
@UroOncDan
25 February 2021 20:25
@alimully @WeNurses It’s all about practice I guess. The more you talk about it, the more confident you become. #UroOncInCharge
@WeNurses
25 February 2021 20:26
@alimully Yet the more you ask the easier it gets Ali #UroOncInCharge
@UroOncDan
25 February 2021 20:26
@VEWilliamsNA @WeNurses Did you find that your confidence grew the more you talked about it? #UroOncInCharge
@WeNurses
25 February 2021 20:26
RT @AgencyNurse: @Tamsyn_C @WeNurses Hi there Tamsyn .. simply click on the hashtag #UroOncInCharge and you should see the tweets ... chang…
@DeanJPSC
25 February 2021 20:26
@WeNurses @UroOncDan For me it’s very dependent on the context, gender identity and general discussion. Tend to open the path gently with general related questions and will bring it up as part of the conversation where appropriate in a respectful but confident manner. #UroOncInCharge
@AgencyNurse
25 February 2021 20:27
@WeNurses I think the paperwork is an important prompt ... and can also be a good reason to raise the topic #UroOncInCharge
@WeNurses
25 February 2021 20:27
@AgencyNurse @Tamsyn_C We can see you but it’s best with the hashtag #UroOncInCharge
@WeNurses
25 February 2021 20:27
RT @alimully: Just realised the # looks so much better with capitals #UroOncInCharge vs #urooncincharge
@WeNurses
25 February 2021 20:27
#UroOncInCharge https://twitter.com/wlfvanessa/status/1365034694648209409
@KarenJu62258050
25 February 2021 20:28
RT @WeNurses: Please remember to add the #UroOncInCharge so we can reply to your fab tweets
@alimully
25 February 2021 20:28
@UroOncDan @WeNurses Yes totally agree, and definitely am improving in it. I find a lot of pts brush it off when mentioned at outset but then because you have asked initially find it easier to come back and ask questions later #UroOncInCharge
@AgencyNurse
25 February 2021 20:28
RT @lekgrover: @WeNurses @suecollins2 @Michelle_Barts @UroOncDan @shiv_smith #UroOncInCharge this is how many people may feel when they sta…
@WeNurses
25 February 2021 20:28
RT @lekgrover: @WeNurses @suecollins2 @Michelle_Barts @UroOncDan @shiv_smith #UroOncInCharge this is how many people may feel when they sta…
@AgencyNurse
25 February 2021 20:28
@alimully LOL yes indeed #UroOncInCharge
@WeNurses
25 February 2021 20:29
@lekgrover @suecollins2 @Michelle_Barts @UroOncDan @shiv_smith How do people refer to you Lorraine? #UroOncInCharge
@WeNurses
25 February 2021 20:30
RT @UroOncDan: @VEWilliamsNA @WeNurses Did you find that your confidence grew the more you talked about it? #UroOncInCharge
@alimully
25 February 2021 20:30
@AgencyNurse @WeNurses Most HNA systems in cancer ask about it , which is helpful as it is often a tick box it can stop the embarrassment factor for both professional and pt #UroOncInCharge
@WeNurses
25 February 2021 20:30
@DeanJPSC @UroOncDan Great tips #UroOncInCharge
@WeNurses
25 February 2021 20:30
RT @AgencyNurse: @WeNurses I think the paperwork is an important prompt ... and can also be a good reason to raise the topic #UroOncInCharge
@AgencyNurse
25 February 2021 20:30
Thats good to hear #UroOncInCharge https://twitter.com/alimully/status/1365036369383460870
@WeNurses
25 February 2021 20:30
@SamTalksSex @Michelle_Barts @UroOncDan @shiv_smith Hey buddy ???? #UroOncInCharge
@UroOncDan
25 February 2021 20:31
@alimully @WeNurses I completely agree, I’ve experienced the exact same in practice. We start the conversation and eventually the patient will feel relaxed enough to talk about it. #UroOncInCharge
@WeNurses
25 February 2021 20:32
@alimully @AgencyNurse I think you just have to bust it out especially if the treatments will impact the patient. Sometimes by acknowledgingits embarrassing helps #UroOncInCharge
@AgencyNurse
25 February 2021 20:32
Fab tip #UroOncInCharge https://twitter.com/WeNurses/status/1365036877351387147
@WeNurses
25 February 2021 20:33
Question 2: Did you have training at nursing school to discuss sexual function? #UroOncInCharge https://t.co/5Li4zNcpN2
@SamTalksSex
25 February 2021 20:33
@WeNurses @Michelle_Barts @UroOncDan @shiv_smith I'm so happy to see this conversation Shiv, it's brilliant ?? #UroOncInCharge
@UroOncDan
25 February 2021 20:34
RT @WeNurses: Question 2: Did you have training at nursing school to discuss sexual function? #UroOncInCharge https://t.co/5Li4zNcpN2
@DeanJPSC
25 February 2021 20:34
@WeNurses It was briefly covered as roper Logan and tierney ‘ADL’ but sadly no real insight or training. Something that develops over time perhaps. #UroOncInCharge
@wlfvanessa
25 February 2021 20:34
@WeNurses I can't really remember. I don't think I had any training on that regard in work training also. #WeNurses #UroOncInCharge
@WeNurses
25 February 2021 20:35
We have to raise the questions our patients are likely not too. I suppose it would depend on what encounter you are having, is that your point Vanessa? Or fear of the discussion #UroOncInCharge https://twitter.com/wlfvanessa/status/1365034694648209409
@sim_aware
25 February 2021 20:35
@WeNurses We do simulations with "teens" and parents. Does the learner remove the parents and then can they find out the teen is sexually active as well as in need of birth control. #UroOncInCharge #WeNurses #SimTribe
@AgencyNurse
25 February 2021 20:36
Nope not really - though i do recall being told sexuality was an important part of Roper et als model and we had to ask about it .... it led to many an assessment form being filled out with "like to wear jewellery" #UroOncInCharge https://twitter.com/WeNurses/status/1365037228838293507
@WeNurses
25 February 2021 20:36
#UroOncInCharge https://twitter.com/lekgrover/status/1365036944124739587
@WeNurses
25 February 2021 20:36
RT @AgencyNurse: Fab tip #UroOncInCharge
@DeanJPSC
25 February 2021 20:37
@WeNurses This is true although I’m on the benign side so it’s coming from a different perspective although there is a lot of overlap with my onco colleagues and patients which is great for joined up care. #UroOncInCharge
@Michelle_Barts
25 February 2021 20:37
RT @AgencyNurse: @WeNurses I think the paperwork is an important prompt ... and can also be a good reason to raise the topic #UroOncInCharge
@WeNurses
25 February 2021 20:37
@DeanJPSC Same #UroOncInCharge
@AgencyNurse
25 February 2021 20:37
@sim_aware @WeNurses wow that sounds like a great way to learn #UroOncInCharge
@michell90853984
25 February 2021 20:37
RT @WeNurses: Question 2: Did you have training at nursing school to discuss sexual function? #UroOncInCharge https://t.co/5Li4zNcpN2
@UroOncDan
25 February 2021 20:37
@wlfvanessa @WeNurses Me neither. It’s a shame because it’s such an important part of our role. #UroOncInCharge
@Michelle_Barts
25 February 2021 20:37
RT @WeNurses: Question 1: Do you feel confident to discuss sexual function? #UroOncInCharge https://t.co/Nd0C8X93WZ
@Mushtag01
25 February 2021 20:37
@WeNurses Yes and if you are not the STARTER model is a great initiative discussed in this great article. https://journals.rcni.com/mental-health-practice/cpd/using-the-starter-model-to-talk-about-sex-in-mental-health-nursing-practice-mhp.2020.e1457/print/abs #UroOncInCharge #WeNurses
@WeNurses
25 February 2021 20:38
RT @AgencyNurse: @sim_aware @WeNurses wow that sounds like a great way to learn #UroOncInCharge
@SamTalksSex
25 February 2021 20:38
@WeNurses I'm a former nurse and as one of the ADL we used to ignore it having no idea what we needed to ask. Is it included in the training curriculum now? #UroOncInCharge
@UroOncDan
25 February 2021 20:38
@sim_aware @WeNurses That sounds awesome! #UroOncInCharge
@Tamsyn_C
25 February 2021 20:38
I think we may have discussed briefly how sex lives are an important part of someone’s life but not the actual training on how to talk about it or approach a conversation about it #UroOncInCharge
@sim_aware
25 February 2021 20:39
@AgencyNurse @WeNurses Can be a TON to unpack in the debrief but great topic to hit on cultural sensitivity as well. #UroOncInCharge #SimTribe
@WeNurses
25 February 2021 20:39
#UroOncInCharge https://twitter.com/michell90853984/status/1365038273488445445
@AgencyNurse
25 February 2021 20:39
@SamTalksSex @WeNurses I have had a similar experience ... perhaps @WeStudentNurse can shed some light on whether things have improved ?? #UroOncInCharge
@WeNurses
25 February 2021 20:39
@michell90853984 That’s good news! Thanks for joining in ???? #UroOncInCharge
@WeNurses
25 February 2021 20:39
RT @UroOncDan: @wlfvanessa @WeNurses Me neither. It’s a shame because it’s such an important part of our role. #UroOncInCharge
@Michelle_Barts
25 February 2021 20:40
@UroOncDan @alimully @WeNurses Is it likely to be because historically as a society we believe it’s impolite to discuss personal matters such as sexual habits/behaviour/problems so we all feel a bit guarded? #UroOncInCharge
@AgencyNurse
25 February 2021 20:40
@sim_aware @WeNurses yes i can imagine ... but really fab to unpick and learn about it in a safe way #UroOncInCharge
@WeNurses
25 February 2021 20:40
@Mushtag01 This is excellent ???? Thanks for sharing I’ll read later ?? #UroOncinCharge
@WeNurses
25 February 2021 20:40
RT @UroOncDan: @sim_aware @WeNurses That sounds awesome! #UroOncInCharge
@AgencyNurse
25 February 2021 20:41
#UroOncInCharge https://twitter.com/lekgrover/status/1365039111971758088
@WeNurses
25 February 2021 20:41
This in fabulous!!! Your patients will thank you!! ???? #UroOncInCharge https://twitter.com/marsha_mendy/status/1365038616804753415
@DeanJPSC
25 February 2021 20:41
@Michelle_Barts @UroOncDan @alimully @WeNurses That’s a great point, especially with older generations but I find for me it’s in how a person is approached, more so for me female patients. #UroOncInCharge
@WeNurses
25 February 2021 20:41
RT @AgencyNurse: @sim_aware @WeNurses yes i can imagine ... but really fab to unpick and learn about it in a safe way #UroOncInCharge
@WeNurses
25 February 2021 20:42
#UroOncInCharge https://t.co/kdjIf3qfS4
@UroOncDan
25 February 2021 20:42
@Michelle_Barts @alimully @WeNurses I agree. Especially the older generation, and that in turn will make us feel reserved and anxious to talk about it. #UroOncInCharge
@UroOncDan
25 February 2021 20:42
@Michelle_Barts @alimully @WeNurses Snap, Dean ?? #UroOncInCharge
@WeNurses
25 February 2021 20:43
@lekgrover Yes & #UKONSstudyday had #PatientExperience stories you can look on @UKONSmember website #UroOncInCharge
@DeanJPSC
25 February 2021 20:44
@UroOncDan @Michelle_Barts @alimully @WeNurses I see quite a few female patients with benign LUTS and developing a specialist interest in this, especially post menopausal LUTS. #UroOncInCharge
@WeNurses
25 February 2021 20:45
Question 3: Do you feel you need more training to discuss sexual function? #UroOncInCharge https://t.co/tkaYCkXov2
@Michelle_Barts
25 February 2021 20:45
@DeanJPSC @UroOncDan @alimully @WeNurses It’s funny though how we all don’t mind asking about people’s bowel and bladder habits - also quite taboo subjects in general conversation! #UroOncInCharge
@DeanJPSC
25 February 2021 20:45
@UroOncDan @Michelle_Barts @alimully @WeNurses I think ultimately it’s more so about respect and openness. Showing context and reasoning in your assessment. #UroOncInCharge
@AgencyNurse
25 February 2021 20:45
RT @WeNurses: Question 3: Do you feel you need more training to discuss sexual function? #UroOncInCharge https://t.co/tkaYCkXov2
@Tamsyn_C
25 February 2021 20:45
I think age is a barrier, however it shouldn’t. Most nurses in training are 18-21 they themselves are still learning about sexuality and what it means so finding the courage to ask older people about sex life is hard and therefore are unlikely to ask for training #UroOncInCharge
@WeNurses
25 February 2021 20:46
@Michelle_Barts @DeanJPSC @UroOncDan @alimully Do you think it’s harder for women with less products on offer #UroOncInCharge
@Michelle_Barts
25 February 2021 20:46
RT @WeNurses: Question 3: Do you feel you need more training to discuss sexual function? #UroOncInCharge https://t.co/tkaYCkXov2
@UroOncDan
25 February 2021 20:46
@DeanJPSC @Michelle_Barts @alimully @WeNurses Couldn’t have said it any better ???? #UroOncInCharge
@DeanJPSC
25 February 2021 20:46
@WeNurses Any training and sharing of other practitioners experience is always welcome #UroOncInCharge
@WeNurses
25 February 2021 20:46
RT @UroOncDan: @DeanJPSC @Michelle_Barts @alimully @WeNurses Couldn’t have said it any better ???? #UroOncInCharge
@WeNurses
25 February 2021 20:46
RT @DeanJPSC: @WeNurses Any training and sharing of other practitioners experience is always welcome #UroOncInCharge
@Tamsyn_C
25 February 2021 20:47
Perhaps nurse training needs to focus on breaking down age barriers #UroOncInCharge
@UroOncDan
25 February 2021 20:47
@Marsha_Mendy @WeNurses Thanks for joining Marsha! It’s great you feel confident and in time with practice and experience you’ll be able to start the conversation ?? #UroOncInCharge
@Michelle_Barts
25 February 2021 20:48
RT @DeanJPSC: @WeNurses Any training and sharing of other practitioners experience is always welcome #UroOncInCharge
@WeNurses
25 February 2021 20:48
@Tamsyn_C We regularly see elderly patients with young children #UroOncInCharge
@WeNurses
25 February 2021 20:48
RT @Tamsyn_C: Perhaps nurse training needs to focus on breaking down age barriers #UroOncInCharge
@AgencyNurse
25 February 2021 20:49
Gosh yes ... i definitely feel that more training would be useful #UroOncInCharge https://twitter.com/WeNurses/status/1365040125315592195
@WeNurses
25 February 2021 20:49
@Tamsyn_C Absolutely! #UroOncInCharge
@sim_aware
25 February 2021 20:49
@Tamsyn_C Our faculty often get questions from trainees following simulations. If given an opportunity for psychological safety, they take advantage. Some faculty have the reflect on why they are asking now vs in an appointment to have them connect with their inner patient #UroOncInCharge
@DeanJPSC
25 February 2021 20:49
@WeNurses @Michelle_Barts @UroOncDan @alimully I feel so but I have a prostate so I’m instantly biased. There has been a huge drive in ED in men which is fantastic, however we have a long way to go to highlight sexuality and sexual dysfunction in females I think. #UroOncInCharge
@Michelle_Barts
25 February 2021 20:49
@WeNurses It definitely needs to be incorporated into training and development - breaking down barriers #UroOncInCharge
@WeNurses
25 February 2021 20:49
RT @AgencyNurse: Gosh yes ... i definitely feel that more training would be useful #UroOncInCharge
@WeNurses
25 February 2021 20:49
RT @Michelle_Barts: @WeNurses It definitely needs to be incorporated into training and development - breaking down barriers #UroOncInCharge
@WeNurses
25 February 2021 20:50
@AgencyNurse There’s some great online learning with @ProstateUK @HEE_TEL #UroOncInCharge
@DeanJPSC
25 February 2021 20:50
RT @WeNurses: @AgencyNurse There’s some great online learning with @ProstateUK @HEE_TEL #UroOncInCharge
@UroOncDan
25 February 2021 20:51
RT @WeNurses: Question 3: Do you feel you need more training to discuss sexual function? #UroOncInCharge https://t.co/tkaYCkXov2
@AgencyNurse
25 February 2021 20:51
Great to hear #UroOncInCharge https://twitter.com/WeNurses/status/1365041513638592517
@Michelle_Barts
25 February 2021 20:51
RT @WeNurses: @Tamsyn_C We regularly see elderly patients with young children #UroOncInCharge
@shiv_smith
25 February 2021 20:51
@SamTalksSex @WeNurses @Michelle_Barts @UroOncDan Sam can you tell us about products for ladies? ?? #UroOncInCharge
@wlfvanessa
25 February 2021 20:51
@WeNurses I completely agree that the question should come from us, the question just doesn't normally fit in with the type of problem my patients are in hospital for. #WeNurses #UroOncInCharge
@shiv_smith
25 February 2021 20:52
RT @lekgrover: @WeNurses @suecollins2 @Michelle_Barts @UroOncDan @shiv_smith #UroOncInCharge this is how many people may feel when they sta…
@sim_aware
25 February 2021 20:52
@WeNurses We try hard to bring up sensitive topics when onboarding new teammates for various areas of the system but often find this an area that is lacking. Need the feedback from newer teammates to understand and prioritize need. #UroOncInCharge #SimTribe
@shiv_smith
25 February 2021 20:52
@wlfvanessa @WeNurses Totally #urooncincharge
@shiv_smith
25 February 2021 20:52
RT @AgencyNurse: Great to hear #UroOncInCharge
@shiv_smith
25 February 2021 20:52
RT @WeNurses: @AgencyNurse There’s some great online learning with @ProstateUK @HEE_TEL #UroOncInCharge
@shiv_smith
25 February 2021 20:53
RT @Michelle_Barts: @WeNurses It definitely needs to be incorporated into training and development - breaking down barriers #UroOncInCharge
@shiv_smith
25 February 2021 20:53
RT @WeNurses: @Tamsyn_C We regularly see elderly patients with young children #UroOncInCharge
@shiv_smith
25 February 2021 20:53
RT @Tamsyn_C: Perhaps nurse training needs to focus on breaking down age barriers #UroOncInCharge
@shiv_smith
25 February 2021 20:53
RT @DeanJPSC: @WeNurses Any training and sharing of other practitioners experience is always welcome #UroOncInCharge
@shiv_smith
25 February 2021 20:53
@Michelle_Barts @DeanJPSC @UroOncDan @alimully @WeNurses Completely agree, thoughts @SamTalksSex @lekgrover #UroOncInCharge
@shiv_smith
25 February 2021 20:53
RT @WeNurses: Question 3: Do you feel you need more training to discuss sexual function? #UroOncInCharge https://t.co/tkaYCkXov2
@shiv_smith
25 February 2021 20:54
RT @WeNurses: @lekgrover Yes & #UKONSstudyday had #PatientExperience stories you can look on @UKONSmember website #UroOncInCharge
@DeanJPSC
25 February 2021 20:54
@lekgrover @WeNurses @Michelle_Barts @UroOncDan @alimully This sits so importantly for me, sometimes it is broaching the subject and then actually just listening and seeing where it leads. #UroOncInCharge
@wlfvanessa
25 February 2021 20:54
@WeNurses I think it so, it is an important subject and people might not be up to date with the information available. #WeNurses #UroOncInCharge
@SamTalksSex
25 February 2021 20:55
@WeNurses @Michelle_Barts @DeanJPSC @UroOncDan @alimully What products are being offered? @Theyescompany water based and VM are on prescription but not all GPs will prescribe them. #UroOncInCharge
@WeNurses
25 February 2021 20:55
@lekgrover @Michelle_Barts @DeanJPSC @UroOncDan @alimully Yes so important. Do you have any website you recommend? ?? #UroOncinCharge
@UroOncDan
25 February 2021 20:55
@WeNurses Yes, especially if you’re in a role where you are meeting patients who may have or develop sexual dysfunction. Although really it is important for all nurses! #UroOncInCharge
@kch888
25 February 2021 20:55
RT @WeNurses: @AgencyNurse There’s some great online learning with @ProstateUK @HEE_TEL #UroOncInCharge
@WeNurses
25 February 2021 20:56
@wlfvanessa Thanks for clarifying. Yes agree as we wouldn’t want to just ask nosey questions totally needs to be appropriate #UroOncInCharge
@WeNurses
25 February 2021 20:56
RT @shiv_smith: @SamTalksSex @WeNurses @Michelle_Barts @UroOncDan Sam can you tell us about products for ladies? ?? #UroOncInCharge
@WeNurses
25 February 2021 20:57
RT @AgencyNurse: Great to hear #UroOncInCharge
@AgencyNurse
25 February 2021 20:57
@UroOncDan @WeNurses agree think we should all be aware and ask questions .. part of making every contact count #UroOncInCharge
@Tamsyn_C
25 February 2021 20:57
Another fact is not just nurse training but getting the message out to patients it’s ok to talk about sexuality. If you know the patient has had a leaflet/info about how sex life matters and we are hear to help the nurse in turn will feel more confident to ask #UroOncInCharge
@SamTalksSex
25 February 2021 20:57
@DeanJPSC @WeNurses @Michelle_Barts @UroOncDan @alimully Female pleasure is often overlooked compared to male pleasure and function plus sex is so much more than penetration #UroOncInCharge
@WeNurses
25 February 2021 20:57
@lekgrover @Michelle_Barts @suecollins2 @UroOncDan @shiv_smith Yes please, then everyone an read your comments after the chat via WeNurses website #UroOncInCharge
@AgencyNurse
25 February 2021 20:58
A really good point #UroOncInCharge https://twitter.com/Tamsyn_C/status/1365043227758374917
@WeNurses
25 February 2021 20:58
@SamTalksSex @Michelle_Barts @DeanJPSC @UroOncDan @alimully @Theyescompany Are those expensive then? #UroOncInCharge
@DeanJPSC
25 February 2021 20:58
@SamTalksSex @WeNurses @Michelle_Barts @UroOncDan @alimully Absolutely agree, feel we’re are steeped in historic attitudes. #UroOncInCharge
@WeNurses
25 February 2021 21:00
Question 4: Do you feel able to discuss concerns with LGBTQ patients? #UroOncinCharge https://t.co/bT78W1bJ9q
@UroOncDan
25 February 2021 21:00
RT @WeNurses: Question 4: Do you feel able to discuss concerns with LGBTQ patients? #UroOncinCharge https://t.co/bT78W1bJ9q
@AgencyNurse
25 February 2021 21:00
RT @WeNurses: Question 4: Do you feel able to discuss concerns with LGBTQ patients? #UroOncinCharge https://t.co/bT78W1bJ9q
@shiv_smith
25 February 2021 21:00
@Michelle_Barts @lekgrover @WeNurses @suecollins2 @UroOncDan D’oh!! Again?? #urooncincharge
@shiv_smith
25 February 2021 21:01
RT @WeNurses: Question 4: Do you feel able to discuss concerns with LGBTQ patients? #UroOncinCharge https://t.co/bT78W1bJ9q
@DeanJPSC
25 February 2021 21:02
@WeNurses Yes but important not make assumptions which rings true for everyone regardless of sexual attraction preference. #UroOncInCharge
@SamTalksSex
25 February 2021 21:02
@shiv_smith @WeNurses @Michelle_Barts @UroOncDan Our health brochure we created with @MTWnhs has slim vibrators, clitoral stimulators, YES, pelvic floor exercises and our silicone dilators which can all help vaginal tightness, vaginal dryness, atrophy and decreased sexual sensation and make sex more pleasurable #UroOncInCharge
@wlfvanessa
25 February 2021 21:02
@WeNurses I have never been in that position. I have worked in a surgical ward where they would perform gender reassignment surgery, and there were specialist nurses who would come and give all this advice, for example. #WeNurses #UroOncInCharge
@shiv_smith
25 February 2021 21:02
@WeNurses I do as I think I’m super honest & open. I wear my @LTTcancer & @RainbowNHSBadge pin to show you can tell me anything. I don’t ask Qs for the sake of it & when I ask I explain why #UroOncInCharge
@shiv_smith
25 February 2021 21:02
RT @WeNurses: @SamTalksSex @Michelle_Barts @DeanJPSC @UroOncDan @alimully @Theyescompany Are those expensive then? #UroOncInCharge
@shiv_smith
25 February 2021 21:02
RT @AgencyNurse: A really good point #UroOncInCharge
@sim_aware
25 February 2021 21:02
@DeanJPSC @SamTalksSex @WeNurses @Michelle_Barts @UroOncDan @alimully We had a trainee ask how to address female pleasure when there are so many ways that is can be found. I was proud of the faculty for offering that "it is ok to experiment". That advice would be a TON to many when coming from a clinician #UroOncInCharge #SimTribe
@DeanJPSC
25 February 2021 21:03
@shiv_smith @WeNurses @LTTcancer @RainbowNHSBadge Absolutely context is everything and demonstrates respect, credibility and integrity #UroOncInCharge
@Michelle_Barts
25 February 2021 21:03
RT @WeNurses: Question 4: Do you feel able to discuss concerns with LGBTQ patients? #UroOncinCharge https://t.co/bT78W1bJ9q
@shiv_smith
25 February 2021 21:04
@Tamsyn_C I give leaflets to all my patients going for onco-fertility life changing treatments. The same for those starting androgen blockades #UroOncInCharge
@sim_aware
25 February 2021 21:05
@WeNurses We just started a transgender clinic in our urology department. This has been the first time we have discussed how we should be writing scenarios for specific situations. LGBTQ patients are in curriculum but not specific concerns of the community. #UroOncInCharge #SimTribe
@AgencyNurse
25 February 2021 21:05
@WeNurses yes absolutely, but also know my limitations and how to admit to these and signpost to others when needed #UroOncInCharge
@SamTalksSex
25 February 2021 21:06
@WeNurses @Michelle_Barts @DeanJPSC @UroOncDan @alimully @Theyescompany No, but some CCGs won't fund them but happy for poor products which irritate and cause thrush to be prescribed. They are available OTC so they assume people can buy them. I can't get them on prescription in West Kent but friends in other areas can #UroOncInCharge
@shiv_smith
25 February 2021 21:06
@sim_aware @DeanJPSC @SamTalksSex @WeNurses @Michelle_Barts @UroOncDan @alimully Absolutely Sam even for males just kissing & cuddling or mutual masterbation can be enough to satisfy sex drive #UroOncInCharge
@UroOncDan
25 February 2021 21:06
@ShedidthatSTL83 @WeNurses ???????????? Yes!!! #UroOncInCharge
@AgencyNurse
25 February 2021 21:07
really good to hear #UroOncInCharge https://twitter.com/sim_aware/status/1365045292458864640
@WeNurses
25 February 2021 21:07
RT @UroOncDan: @ShedidthatSTL83 @WeNurses ???????????? Yes!!! #UroOncInCharge
@WeNurses
25 February 2021 21:08
@ShedidthatSTL83 Completely???? #UroOncInCharge #LoveIsLove
@WeNurses
25 February 2021 21:08
@sim_aware Excellent!! #UroOncInCharge
@SamTalksSex
25 February 2021 21:09
@shiv_smith @sim_aware @DeanJPSC @WeNurses @Michelle_Barts @UroOncDan @alimully The focus on PIV or anal penetration means that people give up instead of exploring new ways to enjoy pleasurable sex and remain intimate. Not everyone enjoys sex in this way too ??#UroOncInCharge
@lekgrover
25 February 2021 21:09
@shiv_smith @Michelle_Barts @WeNurses @suecollins2 @UroOncDan Apologies, I’m getting too carried away with enthusiasm & lack of space to #UroOncInCharge
@shiv_smith
25 February 2021 21:10
There’s fabulous online learning with @LTTcancer @UKONSmember has just added @DrAllyCat #LGBTQ session via UKONS website & our @BAUNnurses session should be on BAUN website #UroOncInCharge
@WeNurses
25 February 2021 21:11
Question 5: Have you had LGBTQ training? #UroOncinCharge
@UroOncDan
25 February 2021 21:12
RT @WeNurses: Question 5: Have you had LGBTQ training? #UroOncinCharge
@AgencyNurse
25 February 2021 21:12
No I haven't #UroOncInCharge https://twitter.com/WeNurses/status/1365046822843133952
@WeNurses
25 February 2021 21:12
RT @AgencyNurse: really good to hear #UroOncInCharge
@WeNurses
25 February 2021 21:12
RT @AgencyNurse: No I haven't #UroOncInCharge
@lekgrover
25 February 2021 21:13
@SamTalksSex @shiv_smith @sim_aware @DeanJPSC @WeNurses @Michelle_Barts @UroOncDan @alimully As a sex therapist I often discuss sensate focus exercises. They can help rekindle intimacy and take the focus off performance #UroOncInCharge
@Michelle_Barts
25 February 2021 21:13
RT @WeNurses: Question 5: Have you had LGBTQ training? #UroOncinCharge
@WeNurses
25 February 2021 21:13
@AgencyNurse ?? #UroOncInCharge
@DeanJPSC
25 February 2021 21:13
@WeNurses Not formally no but I have some experience in this arena #UroOncInCharge
@WeNurses
25 February 2021 21:13
RT @DeanJPSC: @WeNurses Not formally no but I have some experience in this arena #UroOncInCharge
@wlfvanessa
25 February 2021 21:14
@WeNurses No, only a general insight in equality at work training. #WeNurses #UroOncInCharge
@AgencyNurse
25 February 2021 21:14
@WeNurses clinically based in elderly care ... so many more taboos exist ... slowly getting there #UroOncInCharge
@WeNurses
25 February 2021 21:15
Times run away so last question & massive thank you for all your input this evening ???? Question 6: What do you think would help you to be confident to discuss sexual health? #UroOncInCharge




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