Emerging and Ethical Issues of Sexual Expression and Sexual Determination in Long Term Care

Abstract

There are significant differences in the attitudes and desires of Baby Boomers and the Silent Generation which cause practical and ethical dilemmas for professionals working in long-term-care. The Boomers who launched the sexual revolution during the 1960s are now into their 60s and 70s and continue to push sexual boundaries and long-term care is no exception. Baby Boomers have different expectations of life in nursing homes that is different than previous generations. In addition to Boomers, it is important for residents of all ages to preserve their sexual identities. The assumption that residents in long term care or those with dementia no longer have the desire for sexual activity or the capacity to make these decisions focuses on negative aspects of aging. To view the process of aging with a focus on emergent strengths, resilience and diversity, older adults must not only have the right but the freedom to engage in sexual activity in a fulfilling way. This presentation will discuss the assessment models that can determine cognition and capability for sexual decision making. The presenters will focus on how to ensure the rights of aging and medically impaired residents to fulfill their sexual needs and/or relationships. Finally, presenters will use real life ethical and case scenarios to engage participants and facilitate learning regarding these issues.