Aged Care Insite Issue 109 | Oct-Nov 2018 | Page 11

news Sexuality ‘silenced’ after stroke Training and increased awareness key to helping survivors adjust to life after stroke. A ustralian researchers are reminding clinicians to talk with stroke survivors about sexuality. They argue that sexuality remains important to survivors, but they and their partners often don’t have access to adequate support to deal with changes to their relationships, self- identity, gender roles and intimacy. Lead author Dr Margaret McGrath, an occupational therapy researcher from the University of Sydney, said their review shows that sexuality is essentially silenced following stroke. “Issues around post-stroke sexuality and where to seek support are rarely discussed with stroke survivors or their loved ones despite numerous interactions with medical, rehabilitation and counselling staff,” said McGrath. “Sexuality and disability is viewed as a taboo topic so stroke survivors don’t know how to talk about it and health professionals don’t ask the questions.” The study said this lack of dialogue could lead to an increased incidence of anxiety and depression and poorer quality of life outcomes. The researchers pooled data from studies involving more than 650 male and female stroke survivors and their partners. McGrath said men often struggled with an inability to be what they viewed as a “protector” or “provider” for the family, while female stroke survivors lamented a loss of their role as wife, mother or homemaker. “This also impacts partners’ self-identity, particularly when they moved from being an intimate partner to a primary caregiver,” she added. Stroke also had an impact on those who were not in a relationship or whose relationship ended, as they felt less confident and willing to seek out new relationships. One stroke survivor said: “Why should a lady want to go out with me if you can go out with someone who does not have a disability?” McGrath said: “Stroke also impacted the survivor’s relationship with their own body, with many seeing their body as unpredictable or separate from themselves. “Being sexually intimate exacerbates these feelings, leading to heightened levels of anxiety.” She added that these fears and concerns could be addressed through support from health and rehabilitation professionals. ■ Fruitful research Photo: UOW A new study is looking at the potential positive brain health impacts of some summer fruits for people with cognitive impairment. C ould fruits like cherries, berries and plums slow the impacts of cognitive decline? That’s what University of Wollongong (UOW) researchers are hoping to find out. Their study is based on findings that suggest summer fruits like some berries and stone fruits contain compounds that are good for the brain. At the root of their positive effects, research believe, are anthocyanins – the compounds that provide the purple, red and blue pigments in fruits, and are also found in red wine and some vegetables like red cabbage and eggplant. The UOW study will explore whether consumption of anthocyanin-rich fruit juice will result in better outcomes after completion of a six-week memory training program compared to taking just the memory training. Research lead Associate Professor Karen Charlton said it will focus on people with mild cognitive impairment (MCI). “Memory training programs can prevent MCI worsening as well as develop skills to recall information, and there is some evidence that diet can help too,” Charlton said. “It is exciting to be at the forefront of research that may help prevent further memory decline in people with early signs, especially if it’s as easy as including delicious fruits on the daily menu.” The research team will work with a range of fruits, including the queen garnet plum, which has more than double the levels of anthocyanins found in other plums.  ■ agedcareinsite.com.au 9