Supporting Intimacy in the Rehabilitative, Assisted, and Long-Term Care Settings
In 1987, OBRA Regulations were instituted in long-term care with an emphasis on facilities assisting residents to attain or maintain their “highest level of practicable physical, mental, psychosocial well-being.” In addition, there was an emphasis on resident rights. The resident has the right to a dignified existence and communication with and access to persons and services outside the facility. A nursing facility must protect and promote the rights of each resident. These rights cover the following areas: privacy and respect, medical care and treatment, freedom from abuse and restraint, freedom of association and com...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Sexual Function and the Cancer Patient: Clinical Considerations in the Geriatric Survivor
Sexual health is paramount to the well-being of the geriatric gynecologic oncology cancer survivor and yet often overlooked by providers. Sexual dysfunction in this population originates from baseline normal aging, with concomitant exacerbation from the physical, psychological, and behavioral effects of cancer treatments. Rehabilitation is manifested in a multitude of therapies, including psychological evaluations, physical therapy, behavioral modifications, medical therapies, and sexual pharmacology. Provider and patient recognition of sexual dysfunction can aid in the exploration of treatments to help expedite improvemen...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Sexual Function After Stroke: A Case Report on Rehabilitation Intervention With a Geriatric Survivor
This article describes the case of a 69-year-old, married, Hispanic heterosexual woman who suffered a right cerebral vascular accident. Assessment measures utilized to identify barriers to sexual activity were the Canadian Occupational Performance Measure, Quality of Sexual Function Scale, and the Stroke Impact Scale. Goals were established in collaboration with the client, and interventions addressed a wide range of barriers. This case demonstrates how occupational therapy and the interprofessional team addressed limitations in engagement in sexual activities. Data collected postintervention showed significant changes in ...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
The Challenge of Altered Sexual Function in Stroke Survivors Undergoing Rehabilitation
The occurrence of a stroke brings about an abrupt change in the life situation for the individual and immediate family members. The physical impairments and emotional responses that follow a stroke have profound effects that impact everyday living, interpersonal relationships, intimacy, and sexuality. Numerous studies have shown that individuals report a marked decline in sexual function after a stroke. The focus of this study is on the pathophysiological and emotional factors that contribute to this decline and how these factors are evaluated and managed by health professionals during the phase of early poststroke rehabil...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Female Sexual Function and Aging: Constructs for Understanding Sexual Health and Common Medical Issues
Sexuality is an integrated, unique type of personal expression that includes physiologic and psychological processes inherent in sexual development. A multidimensional construct, human sexuality encompasses a view of oneself as a female and presentation of oneself as a woman, sexual desire, sexual response, and sexual orientation. A woman's sexuality is an important aspect of her health throughout the life span. Through her sexuality, a woman expresses her identity and her need for emotional and physical closeness with others. No 2 women express sexuality in exactly the same way. Sexuality need not be limited by age, attra...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Medical Management of Age-Related Hormonal Changes That Affect Sexual Function
Sexual health contributes to emotional and physical well-being in postmenopausal women. Sexual dysfunction is multifactorial in etiology and is largely underdiagnosed. Genitourinary syndrome of menopause, a new term encompassing a constellation of symptoms, is common, progressive, and treatable. Disorders of sexuality, including hypoactive sexual desire disorder, are also common and clinicians should learn simple evaluation, which can aid in diagnosis and treatment of both genitourinary syndrome of menopause and hypoactive sexual desire disorder. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Physical Therapy Management of Chronic Testicular Pain Impacting Sexual Function: A Case Report
This article describes the successful management of chronic testicular pain that interfered with sleep and sexual function of a 74-year-old man. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Pelvic Floor Muscle Rehabilitation to Improve Sexual Function in Geriatric Men
Conclusion: Efficacy is present for this population, but some conditions are more effectively treated conservatively than others. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Medical Management of Sexual Dysfunction in the Aging Male
As life expectancy improves, men and women are trying to preserve their sexuality into old age. Chronic medical conditions, polypharmacy, and physical constraints can make sexual dysfunction a common complaint in this aging population. This review focuses on common causes of sexual dysfunction in the aging male, and discusses safe and effective medical management strategies. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Cultural Aspects in Sexual Function and Dysfunction in the Geriatric Population: A Review of the Current Literature and Clinical Overview of Clinical Interventions With Efficacy
Sexual function is distinguished by 4 major determinants: biological, psychological, sociocultural, and the interactions of these with each other. Older adults' experience of sexuality not only varies depending on the aging process but also varies depending on sociocultural factors such as cohort effects, social norms, and attitudes. It seems that cultural factors have a more significant impact on sexual interest. The impact of mixed messages, media, and medications are also important factors that affect the sexual function or dysfunction of the elderly. Clinicians are encouraged to have adequate knowledge on elder's sexua...
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Psychosocial Aspects of Sexuality With Aging
This article explores some potential interpersonal variables that can impact sexual satisfaction and function with age. As the numbers of seniors continue to rise, health practitioners will be increasingly called upon to assist these patients with their sexual concerns. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
Preface: Sexual Function and Aging
No abstract available (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - July 1, 2016 Category: Geriatrics Tags: Sex in the Second Half: Vibrant and Healthy Sexual Aging Source Type: research
A Short Battery for Predicting Rehabilitation Success After Hip Fracture Surgery in the Elderly
The study aimed to develop a short evaluation battery predicting successful rehabilitation after hip fracture surgery in elderly patients. One hundred one subjects aged 65 and older sustaining a hip fracture were examined at 3 points: during orthopedic acute care (T1), 3 months (T2), and 6 months postsurgery (T3). Multiple variables were evaluated including medical, demographics, affective, cognitive and daily functions. Significant correlations were found between cognitive and executive functions at T1 and activities of daily living/instrumental activities of daily living functions/occupations at T3. The best predictors f...
Source: Topics in Geriatric Rehabilitation - April 1, 2016 Category: Geriatrics Tags: Thieves Market Source Type: research
Identification of Clinical and Functional Falls Risk Factors Among Low Bone Density Older Women: A Longitudinal Study
Conclusions: The low bone mineral density older women showed high frequency of falls. Hamstring muscle strength and falls history characterized predictors of falls. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2016 Category: Geriatrics Tags: Thieves Market Source Type: research
Optimizing the Coassessment of Gait and Cognitive Functioning
Conclusion: Rather than habitual gait speed, complex measures incorporating gait/balance appear more frequently associated with cognitive abilities and may be more effective in predicting future cognitive decline. (Source: Topics in Geriatric Rehabilitation)
Source: Topics in Geriatric Rehabilitation - April 1, 2016 Category: Geriatrics Tags: Thieves Market Source Type: research
