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Sexuality and the institutionalized elderly.

J R McCartney, H Izeman, D Rogers

    Journal of the American Geriatrics Society
    |April 1, 1987
    PubMed
    Summary
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    Sexuality remains important for residents in skilled nursing facilities, even with staff discomfort. Programmatic interventions are needed for staff, residents, and families to address these issues.

    Area of Science:

    • Gerontology
    • Healthcare Management
    • Social Sciences

    Background:

    • Sexuality is a fundamental aspect of human identity and well-being throughout life.
    • Skilled nursing facilities (SNFs) often face challenges in addressing residents' sexual expression due to staff attitudes.
    • Continued sexual interests in older adults can be misconstrued as problematic behaviors.

    Observation:

    • Staff in SNFs frequently experience discomfort when confronted with residents' sexuality.
    • Negative staff attitudes and beliefs can create barriers to open communication and appropriate care.
    • Two case studies highlight the impact of staff reactions on residents' sexual expression.

    Findings:

    • Sexuality remains an integral part of self-image and coping mechanisms for individuals, regardless of age or setting.

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  • Discomfort among SNF staff regarding resident sexuality is a significant issue requiring attention.
  • A lack of understanding and training contributes to the challenges in managing sexual expression in SNFs.

    • Implications:

    • There is a critical need for programmatic interventions to educate SNF staff on sexuality and aging.
    • Interventions should involve residents and their families to foster a more supportive environment.
    • Addressing staff attitudes is crucial for promoting resident dignity and quality of life in SNFs.