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Proactive Sexual Health Discussion — SCE Palliative Medicine MCQ

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HardPsychological & PsychiatricProactive Sexual Health DiscussionSCE Palliative Medicine

A woman with advanced motor neurone disease asks whether breathlessness, non-invasive ventilation and communication difficulty mean that intimacy should stop. What is the best initial response?

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Correct answer: BExplore her priorities and barriers, then offer tailored advice or referral

Illness can affect sexual function, body image, roles, closeness and practical communication. The clinician should give permission to discuss the concern, clarify the patient’s priorities, assess modifiable symptom and equipment barriers, and offer information or specialist input if wanted. Capacity and consent remain with the patient; neither avoidance nor automatic referral replaces an individual conversation.

Reference: NICE NG42: Motor neurone disease—assessment and management: https://www.nice.org.uk/guidance/ng42/chapter/Recommendations