Sex in Nursing Homes: A Survey of Nursing Home Policies Governing Resident Sexual Activity

“Behind Closed Doors with open minds?”: A qualitative study exploring nursing home staff’s narratives towards their roles and duties within the context of sexuality in dementia

“…human rights based approach to dementia practice, there is an increased need to establish clear and concise guidelines and a policy in care homes in relation to sexual expression that would actively involve residents with dementia and their families in decision making (Lester, Kohen, Stefanacci and Feuerman, 2016;World Health Organisation, 2015). Although this study makes an important contribution to the evidence base on sexuality and dementia, there are some methodological issues that should be considered when interpreting the results.…”

“…For example, in more hospitalised environments and in nursing homes where there is relatively less privacy and a more medicalised/pharmacological approach to dementia care, there may be a different approach to the management of ISB dementia related behaviours (Joller et al, 2013). Lester, Kohen, Stefanacci and Feuerman (2016) found that the rates of policies related to sexual activity in nursing homes were low and the policies and restrictions were not uniform.…”

Staff's reactions towards partnered sexual expressions involving people with dementia living in long‐term care facilities

“…Sexual desire and situations regarding sexual activities are not uncommon among people living in long-term care facilities (LTCF), as professionals working in these settings acknowledge (Bauer et al, 2013;Doll, 2013;Lester, Kohen, Stefanacci, & Feuerman, 2016). Despite so, older people living in LTCF have to face many barriers that hinder their sexual expressions (Simpson, Brown Wilson, Brown, Dickinson, & Horne, 2017;Villar, Celdr an, Fab a, & Serrat, 2014a).…”

“…Studies have shown that knowledge concerning sexuality issues is very limited among LTCF staff (Chen, Jones, & Osborne, 2017;Mahieu, Van Elssen, & Gastmans, 2011) and that they themselves acknowledge the existence of a training gap (Villar, Celdr an, Fab a, & Serrat, 2017). Similarly, few institutions have formal policy guidelines focused on residents' sexuality (Doll, 2013;Lester et al, 2016;Shuttleworth, Russell, Weerakoon, & Dune, 2010). This situation may account for the wide diversity of LTCF staff's attitudes and reactions towards specific sexual expressions (Cook, Schouten, Henrickson, & Mcdonald, 2017).…”

Idosos LGBT que Vivem em Instituições de Cuidados: Desafios e Barreiras para a Manutenção dos Direitos Sexuais

“…Esta expresión sexual por parte de los residentes, además de no ser un elemento infrecuente dentro de las residencias (Doll, 2013), constituye un derecho que se mantiene en la vejez y que en absoluto prescribe al entrar a vivir en una institución. Los profesionales deberían apoyar este derecho y poner en marcha medidas específicas para garantizarlo, dentro del necesario respeto que también merecen aquellos residentes que prefieren no expresarse sexualmente (Kontos, Grigorovich, Kontos, & Miller, 2016;Lester, Kohen, Stefanacci, & Feuerman, 2016).…”