This document discusses sexuality, intimacy, relationships, and dementia in older people. It notes that over half of adults aged 65-74 are sexually active, and moving to residential care can provide opportunities for new relationships, though dementia poses additional challenges. Maintaining intimacy is important for health and well-being. When supporting older people and those with dementia, care providers must balance protecting rights and safety with promoting personalized care, intimacy, and relationships while avoiding judgment. Achieving this balance requires education, self-awareness, open communication, and policies grounded in principles like least restriction.
In December 2014, Kevin Haeberle and Jane Groves presented a webinar on the trending topic: the shifting venues in healthcare delivery. They focused on providing insight on how organizations can plan today for tomorrow's healthcare leader in regard to this trend.
Slides from an event held on December 17, 2016 to investigate the potential uses in healthcare for cognitive computing technologies. Janet McDonagh asking specifically which issues affect young people with longterm health conditions, with a view to understanding how cognitive computing could help.
In December 2014, Kevin Haeberle and Jane Groves presented a webinar on the trending topic: the shifting venues in healthcare delivery. They focused on providing insight on how organizations can plan today for tomorrow's healthcare leader in regard to this trend.
Slides from an event held on December 17, 2016 to investigate the potential uses in healthcare for cognitive computing technologies. Janet McDonagh asking specifically which issues affect young people with longterm health conditions, with a view to understanding how cognitive computing could help.
CHI's Lunchtime Learning is open to all researchers, decision-makers, clinicians, patients and members of the public who want to learn more about the theory and practice of meaningful, inclusive, and safe patient and public engagement.
Following this session, attendees should be able to:
Describe the theoretical foundations of the Valuing All Voices framework;
Describe methods used in co-development of the framework; and
Apply the framework to development of a patient engagement strategy for health research and services projects and/or programs.
this presentation was given to a multi-agency audience. It is intended to facilitate systems thinking and the effect of greater social inequality. We talked about individual responses to prejudice. and the congruence of Wellbeing and Disability Equality theory in seeking ethical commitment.
Human sexuality is the way people experience & express themselves sexuality. This involves biological, erotic, physical, emotional, social, or spiritual feelings and behaviors. Physical and emotional aspects of sexuality include bonds between individuals that are expressed through profound feelings or physical manifestations of love, trust, and care. Social aspects deal with the effects of human society on one's sexuality, while spirituality concerns an individual's spiritual connection with others. Sexuality also affects and is affected by cultural, political, legal, philosophical, moral, ethical, and religious aspects of life
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. What we know about older people
• Seniors are sexual
– More than a quarter of
adults aged 75-85 and
over half of adults aged
65-74 are sexually
active (NEJM 2014)
– Moving into residential
care provides
opportunities for new
relationships
– Dementia poses
additional challenges re
sexual behaviours
• Changes in interest
• Consent
• Ways of communicating
needs and desires
• Outsider involvement
• Family dynamics and
norms
• Atypical relationships
• There’s a lot we don’t
know
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3. Legislative & regulatory
considerations
• Nolan Principles 1995
• Professional body ethical frameworks
• The Human Rights Act 1998
• Mental Capacity Act 2005/2007
• Health and Social Care Act 2008
• Equalities Act
• The Care Act 2015
• CQC Fundamental Standards 2015
• Employment Law
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4. Common themes
Treat others fairly, justly, with consideration,
without judgement, discrimination or oppression
and with awareness of own impact and the
influence of local and wider culture and systems
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5. A Balancing Act (Wornell 2015)
Protecting
against neglect
and abuse
Human rights
and
Personalised
care
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Duty of
care to
staff/
students
6. sex… or intimacy?
Intimacy
• A subjective feeling of
connection and value
in relationships
Involves
– Mutuality
– Reciprocity
– Risk
– Negotiation of power
Maslow’s (1954) Hierarchy
of Needs
Self
actualisation
Love, belonging,
esteem ,
aesthetic,
cognitive needs
Physiological & safety
needs
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7. Intimacy, health and wellbeing
• Link between positive
intimate relationships
and health
• Important throughout
life
• Vulnerable to strain &
disruption from
stressful life events &
lifecourse changes
• Intimacy is a never
completed process
• Intimate relationships
seem to be closely
allied to the
development of a
coherent and stable
(mature) identity
9. 5 dimensions of intimacy
Schaeffer and Olsen (1981)
emotional
recreational/fun
intellectual
social roles
physical & sexual
Hierarchy of personal
relationships
• Acquaintance
• Friendship
• Kinship
• Intimate social
relationship
• Sexual relationship
• Intimate sexual
relationship
10. Intimacy
• The creation of
circumstances in
which people can
develop their
potentialities and
express their
diverse qualities
(Giddens 1993)
11. A virtuous circle of intelligent kindness
.Ballatt, J. & Campling, P. (2011). Intelligent Kindness; reforming the culture of health care. RCPsych Publications:
London; P45
Kinship
Kindness
Attentiveness
Attunement
Trust
Therapeutic
Alliance
Better
Outcomes
Enables
Builds
Generates
Produces
Promotes
Directs
Whole process
reinforces conditions
for kinship/kindness
12. Achieving the balance
• Education
• Support challenge,
reflexivity, best interests
decision making
• Build self awareness
• Group supervision
• Peer decision making
(Wilkins 2015)
• Collaboration with families
• Life course mapping
• Communication skills
• Practice
• Establish an open, supportive
culture
• Appraisal and clinical
supervision
• Staff development and support
• Policies & procedures
– Principles based
– Risk mitigation not elimination
– Least harmful option
– MCA aware
– ‘on the balance of probabilities’
decisions
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