Clinical Perspectives on Elderly Sexuality by Jennifer L. Hillman

By Jennifer L. Hillman

Throughout my medical education and perform, i've been stunned via the variety of instances that sexual concerns have emerged as an without notice relevant characteristic in my paintings with older adults. i will vividly be mindful my very own inner response on listening to one in every of my aged woman sufferers inform me that she was once date raped many years after the dying of her aged husband-when she used to be sixty eight years outdated. i will be able to see in my imagination the blood splattered at the ground of an inpatient unit from an aged guy who smashed his arm via a window, livid that his antidepressant drugs made it very unlikely to climax via masturbation. On a miles much less dramatic yet both very important be aware, i believe concerning the aged amputee who instructed me softly approximately his fears of resuming sexual intercourse together with his spouse of 25 years. I additionally take into consideration the aged girl whose lack of ability to take herself purchasing to discover trendy, cozy outfits to slot over her hunched shoulders and massive breasts helped precipitate a major melancholy. In sum, I realized early on that aged sexuality isn't just approximately what number instances per week somebody makes love. it truly is my desire that sharing those reviews and introducing the similar theories, learn, and interventions will help different clinicians in facing those usually demanding and clinically challenges. with no my sufferers, this article wouldn't have been possible.

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Many patients admit relief when they learn that some of the very stereotypes that they had ascribed to were false. Others realize for the first time that it is acceptable to discuss intimate sexual issues and concerns with their health care provider. This 35-item knowledge subtest of the ASKAS can be administered as a self-report paper-and-pencil test, or as a clinician-administered interview. This assessment instrument employs nonscientific language, and is suitable for elderly patients who have acquired less than a high school education.

8. Sexuality is typically a lifelong need. TRUE. Masters and Johnson (1966) were among the first researchers to point out that older adults have as much interest in and need for sexual contact as their younger counterparts. Even 28 Chapter 2 though an older person can no longer produce offspring, the underlying biological urge to engage in sexual (and sensual) activity does not appear to diminish significantly with age. In the classic study by Bretschneider and McCoy (1988), healthy elderly men and women were found to engage in sexual activity well into their 90s and even past their 100th birthday.

FALSE. Unless an older adult is under a physician's orders to limit his or her physical activity, sexual activity can be actively pursed by older adults without fear of life-threatening exertion. Among healthy older adults, sexual activity can provide some of the benefits of cardiovascular exercise. There also is evidence that sexual activity in older persons has beneficial physical effects on the participants. Increased blood flow to the genital area can provide an older women with increased vaginal lubrication and can provide an older man with more sustained erections in future sexual relations.

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