Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Older Adult Sexuality     and Complications of DementiaPresenter: Lorie Eber, JD, Gerontologist, NASM CertifiedPersonal Tr...
*The “Ick FactorWhat is your reactionto people older thanyou having sex?
*Common Depictions of  Sexual Expression
*Uncommon Depictions of Sexual Expression
*What are Your Attitudes    About Sexuality?
*AARP Sex Surveys     Adults 45+1999/2004/2009
1999    *Are Older People         Interested in Sex?• 2/3 of those with partners are extremely or very satisfied with sex ...
2004       * How Important is       Sexual Expression?  •83% disagreed with: “Sex is only for  younger people.”  •60%: sex...
2009        * Men are from Mars,        Women are from Venus •Men think about sex more often •Men see it as more important...
* First Comprehensive       National Survey2007
*Does Sexual Activity*       Decrease with Age?       * Sex with at least one partner in       the last year•Ages 57-64   ...
*Why Does Sexual        Activity Decrease?•Health is a more important than age•½ reported at least one sexual problem
*What’s Going On Now?      Internet survey of 14-94 year-olds:•   Increasing sexual repertories•   Sexual smorgasbord•   A...
*Watch Out: The Baby Boomers are Coming
*Homosexual LifestyleGays and lesbians 65 years+        Currently        3 million        By 2030         4 million
*Sexually Transmitted      Diseases
*STDs Rising FastNIH report  25% of HIV/AIDS cases in US   are in 50+ age group  50+ age group has the fastest   growing...
*Why?                          Delay in Lack of    Failure to                         treatment   sex         use         ...
*Survey of Long-Term-  Care Facility Residents 90%:sexual thoughts or fantasies Up to 20%: exhibited sexual  behavior
*What Interferes with      Sexual Expression? Absence of a partnerSexual Performance Problems Chronic Illness and Disab...
*POP QUIZWhat percentage of people with  dementia exhibit sexually   inappropriate behavior?                     A.   60% ...
*Attitudes of Assisted           Living Owners•“Acceptable behaviors”: holding hands,kissing and caressing•“Unacceptable b...
*Reactions of    Assisted Living Staff*Embarrassment*Confusion*Ridicule*Shock*Horror*Uncertainty*Disgust
*SEXUALITY IS A       BASIC HUMAN NEED•Does not disappear as we age•Continues to be an important part of life•Critical to ...
*Care Facilities:               A Balancing Act•Permit and encourage residents’ sexualexpression, but•Duty to keep residen...
*Many Complications•Families may feel that residents’ sexualexpression is “inappropriate”•Staff members have their own pre...
*Sexuality and         DementiaOne out of every two people haveAlzheimer’s by age 85
*One Husband’s Solution“I got into bed with her and loved her upand I got rid of all of my depression.”
*Sandra Day O’Connor  “Behavioral changes are  symptoms of the disease.”
*Barry PetersenWith wife Jan                “New American Family”
*Something to Think                About…•Can a person suffering from cognitiveimpairment consent to sexual expression?•Wh...
*Questions•Who should be assessed?•Who should make the assessment?•What criteria should apply?•Should a diagnosis of “mild...
*Tips to Assess Ability to             Consent Talk to the confused person Determine if s/he appreciates risks Examine ...
*Thank You!
Upcoming SlideShare
Loading in …5
×

Older adult sexuality and complications of dementia

1,704 views

Published on

Older adult sexuality and the complications presented by dementia

  • Be the first to comment

Older adult sexuality and complications of dementia

  1. 1. Older Adult Sexuality and Complications of DementiaPresenter: Lorie Eber, JD, Gerontologist, NASM CertifiedPersonal Trainer, Senior Fitness Specialist Educator/Public Speaker on Healthy Living, Healthy Aging, Aging-in-Place and Elder Care Instructor of Gerontology, Coastline Community College Website: AgingBeatsTheAlternative.com
  2. 2. *The “Ick FactorWhat is your reactionto people older thanyou having sex?
  3. 3. *Common Depictions of Sexual Expression
  4. 4. *Uncommon Depictions of Sexual Expression
  5. 5. *What are Your Attitudes About Sexuality?
  6. 6. *AARP Sex Surveys Adults 45+1999/2004/2009
  7. 7. 1999 *Are Older People Interested in Sex?• 2/3 of those with partners are extremely or very satisfied with sex lives• 1/4 of those age 75+ who had partners reported sexual intercourse once a week
  8. 8. 2004 * How Important is Sexual Expression? •83% disagreed with: “Sex is only for younger people.” •60%: sexual activity is a crucial part of a good relationship.
  9. 9. 2009 * Men are from Mars, Women are from Venus •Men think about sex more often •Men see it as more important to quality of life •Men are 2xs as likely to admit to sexual activity outside of marriage
  10. 10. * First Comprehensive National Survey2007
  11. 11. *Does Sexual Activity* Decrease with Age? * Sex with at least one partner in the last year•Ages 57-64 73%•Ages 65-74 53%•Ages 75-85 23%
  12. 12. *Why Does Sexual Activity Decrease?•Health is a more important than age•½ reported at least one sexual problem
  13. 13. *What’s Going On Now? Internet survey of 14-94 year-olds:• Increasing sexual repertories• Sexual smorgasbord• Adults 60+ are sexually active; adventuresome• Adults 40+ have lowest rate of condom use2010
  14. 14. *Watch Out: The Baby Boomers are Coming
  15. 15. *Homosexual LifestyleGays and lesbians 65 years+ Currently 3 million By 2030  4 million
  16. 16. *Sexually Transmitted Diseases
  17. 17. *STDs Rising FastNIH report 25% of HIV/AIDS cases in US are in 50+ age group 50+ age group has the fastest growing HIV/AIDS incidence rate
  18. 18. *Why? Delay in Lack of Failure to treatment sex use due toeducation condoms stigma
  19. 19. *Survey of Long-Term- Care Facility Residents 90%:sexual thoughts or fantasies Up to 20%: exhibited sexual behavior
  20. 20. *What Interferes with Sexual Expression? Absence of a partnerSexual Performance Problems Chronic Illness and Disability Adverse Effects of Medications Feelings of Unattractiveness Lack of Privacy Grief and Depression
  21. 21. *POP QUIZWhat percentage of people with dementia exhibit sexually inappropriate behavior? A. 60% B. 20% C. 10% D. 7%
  22. 22. *Attitudes of Assisted Living Owners•“Acceptable behaviors”: holding hands,kissing and caressing•“Unacceptable behaviors”: anythingelse
  23. 23. *Reactions of Assisted Living Staff*Embarrassment*Confusion*Ridicule*Shock*Horror*Uncertainty*Disgust
  24. 24. *SEXUALITY IS A BASIC HUMAN NEED•Does not disappear as we age•Continues to be an important part of life•Critical to physical and psychologicalhealth and well-being
  25. 25. *Care Facilities: A Balancing Act•Permit and encourage residents’ sexualexpression, but•Duty to keep residents safe from unwantedadvances by other residents, and•Duty to protect residents from inappropriatepublic displays of sexuality
  26. 26. *Many Complications•Families may feel that residents’ sexualexpression is “inappropriate”•Staff members have their own prejudicesabout residents’ sexuality•Dementia complicates issues of consent•Facilities don’t have written policies onsexual expression•Licensing agencies don’t have writtenregulations on sexual expression
  27. 27. *Sexuality and DementiaOne out of every two people haveAlzheimer’s by age 85
  28. 28. *One Husband’s Solution“I got into bed with her and loved her upand I got rid of all of my depression.”
  29. 29. *Sandra Day O’Connor “Behavioral changes are symptoms of the disease.”
  30. 30. *Barry PetersenWith wife Jan “New American Family”
  31. 31. *Something to Think About…•Can a person suffering from cognitiveimpairment consent to sexual expression?•Who should assess capacity to consent?•How do you assess capacity to consent?
  32. 32. *Questions•Who should be assessed?•Who should make the assessment?•What criteria should apply?•Should a diagnosis of “mild cognitiveimpairment” preclude all sexual expression?•What if the resident has given a power ofattorney or is conserved?
  33. 33. *Tips to Assess Ability to Consent Talk to the confused person Determine if s/he appreciates risks Examine person’s behavior
  34. 34. *Thank You!

×