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Bender and Christina Barmon do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment. Republish our articles for free, online or in print, under Creative Commons licence.

Love is in the air for millions today, but probably not so much for seniors in assisted living facilities. And it may not be for lack of desire. Over two million American adults are in this position, living in assisted living or in skilled nursing facilities. Need for long-term care services increases with age, and recent estimates suggest that the majority of older Americans will utilize long-term care services at some point in their lives.

Interested in the sexual lives of older adults, we studied life in assisted living facilities and found their rules and practices make it difficult for seniors to develop romantic relationships. Adults of all ages have the capacity for and interest in romance, intimacy and sexuality.

It might appear that older adults, especially the oldest old, are less interested in sex and less sexually active than younger adults, but sexual behavior and desire involve more than how often people have sex. Multiple social and health barriers can limit opportunities to pursue sexual relationships. For example, limited access to healthy partners because of living arrangements and imbalanced sex ratio diminishes opportunities as we age.

Although assisted living aims to be an environment in which older adults maintain autonomy, independence and control, these goals do not necessarily extend to sexuality. As the baby boomer generation — a generation that came of age during the sexual revolution — ages and more older adults utilize assisted living, it will be important to create specific policies and training regarding sexuality. This holds true for following generations , too.

We wanted to know more about opportunities for and barriers to sexual expression in this emerging environment. In order to do this, we conducted interviews and focus groups with staff and administrators in six assisted living facilities in a large southeastern city.

Although limited to one city, our findings provide insight into the the challenges of resident sexuality for assisted living facilities across the country. It includes people 65 and beyond. Living status, health concerns, desire and other factors vary widely across this spectrum. Younger groups of older adults are more likely to be married or partnered, live independently and have more active lifestyles than older cohorts, which facilitates access to sex and intimacy.

At one end of the spectrum is the lonely, frail, cognitively impaired older adult who has no interest in or capacity for pursuing a relationship. On the other end are the frisky, swinging singles who are at risk of STDs. But in reality, sexuality in later life is much more complicated than stereotypes.

As people age, factors change. Because of these and other changes, an increasing number of older adults are choosing intermediate care settings, such as assisted living, which is the fastest-growing segment of long-term care for older adults.

Assisted living differs from skilled nursing facilities because they are intended to provide minimal to moderate levels of help with everyday tasks in a homelike environment that emphasizes choice and control for the residents. Most of our respondents recognized the need for sexual expression and the desire of residents to have intimate relationships. Yet the day-to-day reality restricted opportunities for intimacy. This happened in two broad ways — surveillance of resident behavior and justification for limiting sexual freedom.

Surveillance was subtle and nuanced in ways that limited sexual expression. This act sometimes resulted in staff walking in on residents in the middle of a different act in what should have been a private space. Thus residents, even in the privacy of their rooms, had limited opportunity to engage in sexual behavior. Another way that staff controlled behavior was more overt and purposeful.

We found that in public spaces, such as dining and activity rooms, staff felt they had a responsibility to maintain decorum and keep the peace. As a result they actively discouraged and limited contact between people who might appear interested in pursuing a relationship.

Staff and administrators in this study cited various reasons why they limited sexual freedoms in assisted living, including safety, family concern and consent. Policies exist at the state level that hold facilities accountable for resident safety. Yet there was incredible variability in how these policies were interpreted and applied within and across facilities.

People who work in assisted living have to think about the needs of all residents in the facility and justify limitations as for the good of the whole. Also of concern to administrators and staff was the health and cognitive ability of residents and how to assess the ability of residents to fully consent to sexual activity. Ethics around sexuality and dementia are still emerging and facilities tend to err on the side of protection.

At least one nursing home has been successful at creating and implementing a policy that supports sexual freedom, which could serve as a model for assisted living and other long-term care settings.

Policies and training should address and accommodate the diversity of sexual needs and desires or older adults. Additionally, as the number of older adults with dementia in assisted living increases, staff and administrators will need to prepare for the ethical dilemmas regarding sex and dementia.

Policies and trainings on sexuality, aging and dementia have the potential to both protect the autonomy and independence of older adults in assisted living and prevent staff and administrators from acting according to stereotypes rather than the true needs of older adults. While more research is needed, we believe that all adults, regardless of age or living arrangements, should be able pursue love and intimacy.

Love makes as many — Manchester, Manchester. Celebrating 50 years of computer science — e, Surrey. Challenges and opportunities in the Anthropocene — York, York. Available editions United Kingdom.

The return of hall monitors? Sexuality Baby boomers Assisted living technology Millennials Gerontology. Found this article useful? Then we did it in this position. Baby Boomer women are challenging ideas around what it means to grow old. Love makes as many — Manchester, Manchester Celebrating 50 years of computer science — e, Surrey Challenges and opportunities in the Anthropocene — York, York More events.

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Elders and Sex: Is it Ok for Elderly in Nursing Homes to Have Sex? - www.revelation-movie.com

As the baby boomer generation — a generation that came of age during the sexual revolution — ages and more older adults utilize assisted living, it will be important to create specific policies and training regarding sexuality. This holds true for following generations , too. We wanted to know more about opportunities for and barriers to sexual expression in this emerging environment. In order to do this, we conducted interviews and focus groups with staff and administrators in six assisted living facilities in a large southeastern city.

Although limited to one city, our findings provide insight into the the challenges of resident sexuality for assisted living facilities across the country.

It includes people 65 and beyond. Living status, health concerns, desire and other factors vary widely across this spectrum. Younger groups of older adults are more likely to be married or partnered, live independently and have more active lifestyles than older cohorts, which facilitates access to sex and intimacy.

At one end of the spectrum is the lonely, frail, cognitively impaired older adult who has no interest in or capacity for pursuing a relationship. On the other end are the frisky, swinging singles who are at risk of STDs. But in reality, sexuality in later life is much more complicated than stereotypes.

As people age, factors change. Because of these and other changes, an increasing number of older adults are choosing intermediate care settings, such as assisted living, which is the fastest-growing segment of long-term care for older adults. Assisted living differs from skilled nursing facilities because they are intended to provide minimal to moderate levels of help with everyday tasks in a homelike environment that emphasizes choice and control for the residents.

Most of our respondents recognized the need for sexual expression and the desire of residents to have intimate relationships. Yet the day-to-day reality restricted opportunities for intimacy. This happened in two broad ways — surveillance of resident behavior and justification for limiting sexual freedom. Surveillance was subtle and nuanced in ways that limited sexual expression. This act sometimes resulted in staff walking in on residents in the middle of a different act in what should have been a private space.

Thus residents, even in the privacy of their rooms, had limited opportunity to engage in sexual behavior. Another way that staff controlled behavior was more overt and purposeful. We found that in public spaces, such as dining and activity rooms, staff felt they had a responsibility to maintain decorum and keep the peace.

As a result they actively discouraged and limited contact between people who might appear interested in pursuing a relationship. Staff and administrators in this study cited various reasons why they limited sexual freedoms in assisted living, including safety, family concern and consent. Policies exist at the state level that hold facilities accountable for resident safety. Yet there was incredible variability in how these policies were interpreted and applied within and across facilities.

People who work in assisted living have to think about the needs of all residents in the facility and justify limitations as for the good of the whole. Also of concern to administrators and staff was the health and cognitive ability of residents and how to assess the ability of residents to fully consent to sexual activity.

Ethics around sexuality and dementia are still emerging and facilities tend to err on the side of protection. But elder advocates, physicians and nursing home experts say that there is no national standard of best practices for how nursing homes should accommodate residents who are sexually active. The policies that do exist are archaic, regressive and even ageist, and do not acknowledge that nursing home residents could happily have consensual sex with each other.

One exception is the Hebrew Home at Riverdale in the Bronx, which is cited by many as the leader in progressive policies on sex. Daniel Reingold, the CEO of Riverspring Health, which operates the Hebrew Home, said they developed the policy in after realizing that residents were having sex and the home had no plan for dealing with it. Reingold says many of his colleagues in the nursing home community are reluctant to adopt policies because of liability, and also just plain nervousness around sex.

The question of whether the elderly should be having sex is most troubling when it comes to dementia. But experts and elderly advocates say people with dementia are capable of consenting to sex, that they are able to express that consent, and that sex and touch can be good for them, which makes it difficult to know when it is appropriate to set limits.

If they are not incapacitated at the moment of the sex act, they have a right to have sex. Nursing homes must establish policies, and must be comfortable talking about sex with residents and their families, advocates said.

By Eliza Gray April 23, Sign Up for Our Newsletters Sign up to receive the top stories you need to know now on politics, health, money and more.

Many seniors enjoy healthy sex lives well into older age. medical causes may be ruled out (or treated) with a physical exam conducted by a skilled geriatric practitioner. “My mom seems to have a problem sometimes. I get asked questions about seniors having sex. than why STDs are spreading is what needs to be done to slow or stop the progression. Expressions of sexuality in long-term care have encompassed a broad homes, intimate relationships and sexual feelings are often experienced. Elders in nursing homes often face challenges such as lack of partner.