What are the key findings? The categories were inductively identified, although the process was guided by prior research on sexual expression in LTC. Policies and procedures are needed, and must be usable across long-term care settings.
Notably, one DON who felt sexual expression was being addressed well in her facility mentioned excellent behavioural health staff as a major part of that process. Studying ombudsmen also gave the researchers a unique opportunity to cover a broad range of facility types in multiple regions of the country using maximum variation sampling Patton, Occupational therapy is a safe place for addressing sexuality, allowing the patient to express fears and concerns, and offer assistance with problem-solving. Traditional paper—pencil assessments for sexual consent are not recommended. Older adults fear that physicians will dismiss their concerns as psychosomatic. There are a number of hindrances for older adults in long-term care who wish to express their sexuality. An often untouched subject in the nursing home industry is the concept of sexual expression. If they are not incapacitated at the moment of the sex act, they have a right to have sex. A home could admit someone and not know until his parole officer comes looking for him. Nobody knew what to do with him. There are well-established methods for developing this type of resource, which have been rolled out internationally e. For instance, one DON mentioned: This leads to the initiation of cases for ombudsmen. They do not even feel that it is even possible because of where they live and the restrictions they perceive to exist. Adding to these losses is the perception that the freedom, choice, and privacy to conduct sexual expression in nursing homes. A common situation is a facility that has a resident who likes to masturbate either in their room or in public and the staff walk in on the person while he or she is in the act. A working group could then pilot and disseminate their findings, which is a potentially fundable initiative. Questions were developed based on research literature and consultation with experts in LTC and consent capacity co-authors names blinded , and prompts were identified to use as needed see Appendix 1. The need for touch does not diminish with age, however, older adults often have fewer opportunities for human touch; they may live alone or isolated in institutions with other older adults. From the text to coding: What are some of the ways you are able to express your sexual interests or sexual satisfaction? A thematic analysis was performed on the interview transcripts. One DON captured this by stating: Ombudsmen were mentioned as a recommended resource for patient advocacy in complex situations e. The sample size was also a potential limitation, as only 20 individuals participated; however, 30 interviews were originally planned and reducing the number was based on discontinuing after achieving saturation. What are the key findings? American Medical Directors Association.
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Nursing home staff throw and racially abuse elderly patient - Daily Mail
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