Sexuality and physical intimacy in long-term care

Occupational Therapy in Health Care
Peter A Lichtenberg

Abstract

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 semistructured interview and decision tree is presented to assist therapists in making careful and informed decisions and thereby balancing the needs for protection with the needs for autonomy.

References

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Citations

Feb 18, 2016·Gerontology & Geriatrics Education·Feliciano VillarRodrigo Serrat
Oct 9, 2015·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Michael BauerDeirdre Fetherstonhaugh
Aug 3, 2016·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Maggie L Syme, Debora Steele
Mar 13, 2018·Journal of the American Geriatrics Society·Montserrat CeldránTeresa Martínez
Dec 24, 2017·Scandinavian Journal of Occupational Therapy·Kristina Areskoug-Josefsson, Sofi Fristedt
Jun 22, 2018·Journal of Homosexuality·Feliciano VillarM Teresa Martínez
Dec 27, 2018·Journal of Nursing Management·Michael BauerDeirdre Fetherstonhaugh
Oct 28, 2019·International Psychogeriatrics·Feliciano VillarTeresa Martínez
Jun 23, 2020·Australasian Journal on Ageing·Rosanne Freak-Poli, Sue Malta
Oct 6, 2016·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Maggie L SymeGayle Doll
Nov 19, 2017·Dementia·Tineke Sm RoelofsPetri Jcm Embregts
Nov 24, 2020·Sexuality Research & Social Policy : Journal of NSRC : SR & SP·Rafael Ballester-ArnalMaría Dolores Gil-Llario

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