Transcript Ch 9, Sexuality and the Elderly

MNA
Mosby’s Long Term Care Assistant
Chapter 9
Sexuality
The Resident
Viewed as a whole
person
With physical and safety
needs,
love and belonging
needs,
self esteem and self
actualization needs.
Sex and Sexuality
Sex is a physical act
Sexuality is the physical,
emotional, social, cultural and
spiritual factors that effect
your feeling about yourself.
Sex and Sexuality
Reproductive organs
change with age
Arousal takes longer
in both men and
woman
Sexuality, sex, love
and affection is still
important
Terms
Heterosexual
Attracted to members of the opposite sex
homosexual
Attracted to members of the same sex
Bisexual
Attracted to members of both opposite sexes
Transvestite
Dress and behave like members of the
opposite sex
Transsexual
Believe they are members of the opposite
sex
Transgender
Usually undergo sexual re-assignment
Terms
Menopause
Time when a woman stops having a
menstrual cycle
Testosterone
Male sex hormone. Decreases with age
Estrogen
female sex hormone. Decreases with age
Progesterone
female sex hormone. Decreases with age
Illness, injury and surgery
Affect sexual
function
May cause fear,
anger,
depression
Follow care plan
Impotence – ED
Inability of male
to have an
erection.
There are drugs
available to treat
impotence
Sexuality and the Older Person
Have already
experienced
many losses
•Friends
•Spouse
•Appearance
•Health
Meeting Sexual Needs
Allow grooming measures
Allow choice in clothing
Provide privacy
Accept sexual relationships
Allow privacy with family, friends
Knock before entering
Allow married couples to room
together
Allow relationships to develop if
desired by both parties
Follow Care Plan
Sexually Aggressive Resident
Causes:
Nervous system
disorders
Confusion
Dementia
Drug side effects
Fever
Poor vision
Sexually Aggressive Resident
Causes:
Sometimes the
male resident is
trying to prove he
is attractive and
can still perform
Ask the resident not to touch you
Tell the resident you will not do
what he wants
Tell the resident the behavior
makes you uncomfortable
Ask the resident not to behave
that way
Provide privacy and safety
Discuss with nurse
Sexually Behavior
Just because a
male resident
is rubbing
himself if does
not mean he is
trying to
arouse himself.
It could be:
A urinary tract infection
A reproductive disorder
Wet or soiled depends
Pain or discomfort
Questions?