Transcript Maintaining Joyful Moments: Keeping Sexuality Visible in

Maintaining Joyful Moments:
Keeping Sexuality Visible in
People with Dementia
Verna Pangman RN MEd MN
Marilyn Seguire RN BScN MN
Overview
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Introduction
Definition of sexuality
-Invisibility
- Visibility
Sexuality and Dementia
Social Model-Person Centered Perspective
Caring for people with dementia
Case studies/group work
Problem Solving Process
Conclusion
What are my beliefs, attitudes, assumptions
about sexuality?
What do I believe is the formal care giver’s
role with regard to sexuality needs of adults?
What is my attitude about various expressions
of sexuality?
Definition of Sexuality
Natural aspect of life
Central to self concept
Includes all qualities that make us who we are
(Kamel,2001; Wallace, 2003; Low et al, 2005)
World Health Organization (1975)
Definition of Sexual Health
The integration of the somatic, emotional,
intellectual and social aspects of a sexual
being, in ways that are positive, enriching and
that enhance personality, community and love.
Sexuality and Aging
Invisibility (Patriarchial perspective)
Health professionals’ attitudes:
*negative
Society
*Old and sexless
(Miller,2004; Wallace,2003)
Sexuality and Aging
Visibility (Feminist perspective)
Health Professionals
*openness
Society
*mutual understanding
(Low et al, 2005; Pangman & Seguire, 2000)
Sexuality and Dementia
Challenges
What is the appropriate sexual expression for
someone with dementia?
Can residents with dementia be consenting as
sexually involved participants?
As care givers are we supportive or
judgmental regarding sex related behaviors of
individuals with dementia?
How do we deal with sexuality issues
manifested by inappropriate behaviors?
Caring for Individuals with Dementia
Addressing Sexuality Needs
What is “normal behavior”?
What is “inappropriate behavior”?
Social Model of Person Centered
Perspective
- Biography: Life experiences
- Health status:Physiological, Psychological,
Spiritual changes
- Self Concept: Self Esteem
Nursing Practice
■ Exploring own beliefs and values of
sexuality
■ Assessing clients skillfully
■ Dealing with behaviors in non-judgmental
manner
■ Identifying issues of consent, capacity,
competence
■ Reviewing ethical issues of choice, dignity,
health & well-being, confidentiality,
accountability
Case studies
Group work
Problem Solving Process
1. Gather the facts
-known and unknown
2. Search for meaning in behaviors
3. Determine whose problem it is?
4. How does the behavior affect others?
5. What is the desired outcome?
6. Identify possible interventions
-risks and benefits of each
7. Evaluate the interventions
Conclusion
How do we increase the visibility of the issues
of sexuality of adults with Alzheimer’s
Disease?
What is your role as care givers to facilitate
the aspects of sexuality of adults with
Alzheimer’s Disease?
What policy issues might need to be
addressed in you facility to assist with
addressing issues of sexuality?