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Intimacy, sexuality & dementia in long term care

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dankuhn

1. Intimacy is a basic human need, but assessing intimacy and sexuality in people with dementia presents both benefits and risks that must be carefully considered. 2. Factors like autonomy, competence, risk of coercion, medical issues, and perspectives of the person, family, staff and organization all must be weighed. 3. Guidelines from organizations provide tools for staff training and discussion to help build knowledge and skills for appropriately addressing intimacy and sexuality in dementia patients.

Health & Medicine
1 of 20
Intimacy, Sexuality & Dementia Daniel Kuhn, MSW, LCSW Rainbow Hospice & Palliative Care Park Ridge, Illinois [email_address]
[object Object],[object Object],[object Object],[object Object],What Do People with Dementia Need?
Intimacy is a Basic Human Need ,[object Object],[object Object],[object Object]
Levels of Intimacy ,[object Object],[object Object],[object Object]
Benefits & Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Autonomy & Competence ,[object Object],[object Object],[object Object],[object Object]
Assessing Capacity & Risk ,[object Object],[object Object],[object Object],[object Object]
Other Sexual Behaviors ,[object Object],[object Object],[object Object]
Medical Treatment of Hypersexuality ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Weighing Different Perspectives ,[object Object],[object Object],[object Object],[object Object]
 
The Individual’s Perspective ,[object Object],[object Object],[object Object]
Family Perspectives ,[object Object],[object Object],[object Object]
Spouses in the Community ,[object Object],[object Object],[object Object]
Staff Perspectives ,[object Object],[object Object],[object Object]
Taking Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Organizational Perspective ,[object Object],[object Object],[object Object]
Guidelines and Policies ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Building Knowledge & Skills

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Intimacy, sexuality & dementia in long term care

  • 1. Intimacy, Sexuality & Dementia Daniel Kuhn, MSW, LCSW Rainbow Hospice & Palliative Care Park Ridge, Illinois [email_address]
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Editor's Notes

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  3. 2 Benefits may include: Increased self-esteem due to the problems with memory, thinking, language and other skills, many people with dementia lose their self-esteem. Having an intimate partner may increase self-esteem by giving them a sense of purpose. Companionship - there is no substitute for one-to-one contact to reduce fear, boredom, or loneliness. Fewer mood & behavioral challenges when residents are happy or content. Risks may include: Being forced or being taken advantage of someone, especially if someone is unable to say no or fend off someone’s physical or sexual contact. Lack of acceptance or disapproval by staff, family or other residents. Sexually Transmitted Diseases (STDs) can occur if sex is unprotected.
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