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Sexual Expression in Long-Term Care Institutions: Are We Ready for the Baby Boomer Generation?
Published online by Cambridge University Press: 06 May 2024
Abstract
Baby boomers were at the forefront of profound social changes in sexual attitudes and many have expressed a desire to remain sexually active throughout their life course. The purpose of this survey study was to assess the perceived preparedness of Ontario’s long-term care (LTC) homes to meet the changing sexuality needs and expectations of LTC residents. We examined sexuality-related attitudes, including in the context of dementia, among 150 LTC administrators. Participants also completed a questionnaire assessing their experiences and perceptions regarding existing and anticipated supports, barriers, and priorities. Most participants demonstrated positive sexual attitudes; however, multiple challenges to meeting residents’ sexuality needs were noted, including assessing capacity to consent, limited privacy, staff training, conflicting attitudes, and a lack of adequate policy and guidelines. Challenges are broad and significant and considerable attention is required to meet the expectations of the next generation of LTC residents, including gender and sexual minority elders.
Résumé
Les baby-boomers ont été au premier plan de profonds changements dans les attitudes sexuelles, et un grand nombre d’entre eux ont exprimé le désir de demeurer sexuellement actifs tout au long de leur vie. Cette étude avait pour objectif d’évaluer l’état de préparation des établissements de soins de longue durée (ESLD) de l’Ontario à répondre aux besoins et attentes des résidents en matière de sexualité. Nous avons examiné les attitudes à l’égard de la sexualité, y compris dans un contexte de démence, parmi 150 administrateurs d’ESLD. Les participants ont aussi rempli un questionnaire visant à évaluer leurs expériences et perceptions concernant les mesures de soutien, les priorités et les obstacles actuels et prévus. La plupart des participants ont affiché des attitudes positives à l’égard de la sexualité, néanmoins l’étude a constaté de multiples défis dans la réponse aux besoins sexuels des résidents. Ces défis comprennent l’évaluation de la capacité de consentement, une intimité restreinte, la formation du personnel, des attitudes contradictoires et l’absence de politiques et de directives adaptées. L’ampleur et l’importance des défis exigent qu’une attention considérable soit portée à cet enjeu afin de répondre aux attentes de la prochaine génération de résidents d’ESLD, y compris celles de personnes âgées issues de minorités de genre et de sexe.
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