Objectives • Discuss prevailing perceptions about sexuality and older adults as well as the capacity of elders with dementia to consent Sexuality in Long-Term Care to sexual activity • Open Your Mind (And Close the Door, Please) Examine the challenges faced by long-term care providers in facilitating safe sexual expression among residents and for managing inappropriate sexual expression • Consider ways to preserve residents’ rights to intimacy and sexuality while complying with regulatory requirements Kathleen Weissberg, OTD, OTR/L Education Director -- Select Rehabilitation
[email protected] Definitions Definitions • Sexuality • Sexual expression o A part of personality that encompasses o Kissing, fondling, masturbation, oral sex, sexual beliefs, attitudes, values, behavior, intercourse, touching, hugging and knowledge • Expressions • Intimacy o Sending flowers, providing comfort and warmth, dressing up, expressing joy, maintaining beauty o Interpersonal relationship between two and physical experience, flirtation, affection, people who may or may not be engaging passing compliments, proximity and physical in sexual activity contact 1 Domains of Sexuality By the Numbers … • 45% of older men and 8% of older women Biological think of sex at least once a day (Fisher, 2010) • 28% of men aged 66-71 living in the community report having intercourse at least once a week (Marsiglio & Donnelly, 1991) • 60% of men and 43% of women ages 80-91 Psychological Cultural remain sexually active (Starr & Weiner, 1981) Physical Changes in Women