Sex and intimacy in long term care facilities

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The purpose of this White Paper is to provide a context for approaching the challenge of evaluating the capacity for consent for sexual activity by persons with dementia residing in long term care LTC facilities. This area of LTC practice is still poorly understood and inadequately researched. Consensus around standard of care on this issue is limited at best.

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Sexual desire does not disappear with age. Professionals play a key role as advocates for the rights of nursing home residents to express their sexuality. For many older Americans, entering a long-term care facility means giving up their independence, their homes, their livelihood, and many of their favorite possessions.

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Social relationships are critically important to older adults residing in assisted living. This assumption plays out among the multiple layers of care. Direct care staff have the most contact with residents.

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Pia Kontos does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment. Republish our articles for free, online or in print, under Creative Commons licence. Or they have weird sex. Or they have dangerous sex, in need of containment.

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Laci J. Cornelison, Gayle M. Purpose: This study investigates sexual expression management in long-term care settings based on cases requiring intervention from ombudsmen.

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Adults have the right to make choices about significant aspects of their life in a facility. Certainly, these rights include the right to enjoy social and human relationships, including sexual intimacy. But should, and can, long-term care facilities condone or even facilitate sexual intimacy between their residents?

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Sexuality and sexual needs in older adults remains a neglected area of clinical intervention, particularly so in long term care settings. Because older adults in medical rehabilitation and long term care beds present with significant frailties, and often significant neurocognitive disorders it makes it difficult for occupational therapists and other staff to evaluate the capacity of an older adult resident to participate in sexual relationships. The current paper reviews the current literature on sexuality and aging, examines some of the clinical practices and guidelines regarding sexual expression in long term care and presents two case examples. A semi-structured interview and decision tree is presented to assist therapists in making careful and informed decisions and thereby balancing needs for protection with needs for autonomy.

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Sex among residents in nursing homes and other long-term care facilities is still a taboo subject. Yet it happens. A lot!

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The subject who is truly loyal to the Chief Magistrate will neither advise nor submit to arbitrary measures. Their relationship came as a relief to their families, though staff would phone their children to let them know what was going on between the pair. For a while, they assumed she was depressed, as she whiled away the hours watching cat videos online in her housecoat.

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