Reference no: EM133756807

Question

Rafe is a 38-year-old male who recently married a 28-year-old fashion designer. They both arrive for preoperative education as Rafe will be having a permanent end colostomy. Rafe was just diagnosed with rectal cancer involving the anal sphincter and is scheduled to have an abdominoperineal resection (APR) after he undergoes chemotherapy and radiation. They were on their honeymoon when Rafe noticed blood in his stool. He went to the doctor when he got home from the honeymoon and was diagnosed with rectal cancer. Rafe is a model for the same design company his wife works for and they met at a fashion show. You have introduced yourself and found out that Rafe likes to learn by many different methods such as reading, videos, talking, and doing. Both Rafe and his wife are college graduates. You have explained to Rafe and his wife what a colostomy is and have shown them the ostomy pouching systems. You have reviewed the restrictions after surgery and have now arrived at the sexuality portion of your education. How might you introduce the topic of sexuality? Discuss the patient's support system.