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Nursing care of gay men with HIV malignancy

  • Independent Researcher


Written in 1996, considering the needs of palliative care for gay men with HIV related malignancy.
... In the ®eld of lesbian, gay and bisexual politics however, there are examples of political struggles which demonstrate the ways in which health care provision has discriminated against those who are in same sex relationships. In response, disciplines such as accident and emergency (Becknell, 1994;Toresen, 1995), midwifery (Stewart, 1999;Wilton, 1996Wilton, , 1999Zeidenstein, 1990), oncology (Mullineaux and French, 1996;Otts and Eilers, 1997;Palmer, 1996), community nursing (Price et al., 1996;Roberts and Sorensen, 1995), adolescent care (Kreiss and Patterson, 1997;Nelson, 1997), mental health nursing (Haslam and McFarlane, 1998;Robertson, 1998;Smith, 1992) and gerontological nursing (Brower, 1995;Pope, 1997;Wojciechowski, 1998) are now making attempts to address the problems associated with lesbian, gay and bisexual invisibility by undertaking research and policy reviews that speci®cally relate to their health care needs. ...
... In summary, critical care nurses regularly work with members of the gay community at a number of levels; whether it is in terms of direct care, supporting partners or parents, or interacting with other lesbian and gay work colleagues (Eliason, 1996a;Morrisey, 1996). In considering the range of issues which speci®cally relate to same-sex relationships it would be reasonable to speculate that such core concerns of patient care should be discussed within the critical care literature as in other ®elds, for example oncology (Mullineaux and French, 1996;Palmer, 1996), midwifery (Stewart, 1999;Wilton, 1996), mental health nursing (Wells, 1997;Smith, 1992) and gerontology (Brower, 1995;Pope, 1997). The aim of this study was therefore to systematically examine the range and extent to which gay, lesbian and bisexual experiences were contained within the critical care literature. ...
The aim of this paper is to provide an analysis of the extent to which gay, lesbian and bisexual service user experiences are represented within the critical care literature. A survey of five well established critical care journals, covering the period 1988-1998, was conducted in order to reveal the range of themes addressed within them. The findings suggest that these groups are invisible in this field of practice and consequently their particular concerns have remained marginalised. The implications of this absence are far reaching, potentially inhibiting nurses from establishing effective caring relationships with either lesbians, gays or bisexuals and from identifying and developing appropriate interventions for the care of these patients and their families.
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