Part one of this article highlighted a lack of research that investigated patients' perceptions of the need for recreational activity while undergoing rehabilitation following stroke. This article investigates whether patients perceive a need for recreation while undergoing stroke rehabilitation in an acute hospital setting. Data were collected using individual interviews and analysed using constant comparison. Participants explained how they had come to be in their current condition and described the ‘purgatory’ of having a stroke. They talked about the ‘lifelines’ that may help them recover sufficiently, one of which was recreation. Many of the findings from this study were congruent with those from other studies. However, this article highlighted a desperation that participants felt to undertake more activity and a desire to incorporate recreation into the rehabilitative milieu.
A review of the literature relating to the psychosocial barriers to sexual intimacy in older people reveals wide-ranging influences on people aged 75-85 years. These influences include: a lack of positive social policy, a lack of research, partner availability, negative media portrayals, psychological factors, relationship factors, and difficulties in interactions with health professionals. Stereotypical attitudes about sexual intimacy and older people remain a cultural norm. A high value is placed on a gold standard of sexual performance, which can reinforce negative esteem and set unrealistic expectations and measures for older people. This article focuses on the majority of the older population who do not require residential care. It examines major influences emerging from a review of the literature from 1995 to 2013, which informs a working definition for sexual intimacy in people over the age of 75 years. The article concludes with key recommendations for nurses working with older adults.
This article explores the interrelated aspects of incontinence and sexuality in older age. It describes the physiological changes that may have an effect on sexual function and the genitourinary system as people age. The enduring importance of sexual intimacy is discussed. Treatments for incontinence and to improve sexual function are explored. The authors conclude that nurses, particularly those involved in continence management, have a role in ensuring sensitive assessment and access to treatment, which can support many older people to maintain fulfilling sexual activity.
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