Clinical Case Studies in Long-Term Care Psychiatry Navigating Common Mental Health Challenges in Geriatric Care
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Case 43 - “I Like the Way She Laughs”
Sexuality in Long-Term Care
Published online by Cambridge University Press: 31 October 2024
Book contents
- Clinical Case Studies in Long-Term Care Psychiatry
- Clinical Case Studies in Long-Term Care Psychiatry
- Copyright page
- Contents
- Preface
- Section 1 Neurocognitive Disorders
- Case 2 “I Think I Hit My Head”
- Case 3 “It’s like She’s a Different Person”
- Case 4 “I Am Tired All the Time”
- Case 5 “I Am Okay”
- Case 6 “Leave Me Alone”
- Case 7 “I Am Fine”
- Case 8 “Those Children Are Cute”
- Case 9 “Those Terrible Men Have Left”
- Case 10 “I Saw the Heavenly Gates”
- Case 11 “Leave Me Alone”
- Section 2 Mood Disorders
- Case 13 “My Mom Looks Like a Zombie!”
- Case 14 “My Soul Is in England”
- Case 15 “I Feel Terrible”
- Case 16 “I Don’t Care”
- Case 17 “I Feel Very Lonely”
- Case 18 “I Don’t Feel Right”
- Case 19 “I Am Feeling Great”
- Case 20 “I Am Staying Here Illegally”
- Section 3 Psychotic Disorders
- Case 22 “He Just Won’t Get Up”
- Case 23 “My Body Is Being Taken over by a Fungus!”
- Case 24 “This Is Humiliating”
- Case 25 “I Want to Go Home”
- Case 26 “I Am a Worrier”
- Case 27 “Get out of My House”
- Section 4 Anxiety and Related Disorders
- Case 29 “My Vision Has Been Worsening in the Last Two Weeks”
- Case 30 “I Am Not Addicted to Valium”
- Case 31 “Of Course, I Worry about Him”
- Case 32 “Bombs Are Falling! Run, Run!”
- Section 5 Substance Abuse Disorders
- Section 6 Personality Disorders
- Case 35 “I Cannot Wait to Get out of This Miserable Place”
- Section 7 Miscellaneous Neuropsychiatric Disorders Affecting Patients in Long-Term Care
- Case 37 “Everyone Is Just So Good to Me!”
- Case 38 “Why Do They Say I Have Dementia?”
- Case 39 “I Hate That Guy … I Can’t Get Any Sleep!”
- Case 40 “Just One Kiss”
- Case 41 “I Don’t Feel Well”
- Case 42 “I Like Food”
- Case 43 “I Like the Way She Laughs”
- Case 44 “This Is So Hard”
- Index
- References
Summary
Older adults retain the need for physical and emotional intimacy far into their later years despite the presence of cognitive impairment. The capacity to consent to sexual activity is possible for residents that can correctly recognize a potential partner, express interest in sexual activity, communicate needs and wants either verbally or nonverbally, and communicate lack of desire for sexual contact. The involvement of families in discussions of romantic relationships in the long-term care setting can be challenging but it is improved by the education and experience of providers and staff. Federal regulations regarding long-term care facilities indicate that residents have the right to engage in consensual sexual activity if they have the capacity to consent to sexual activity.
- Type
- Chapter
- Information
- Clinical Case Studies in Long-Term Care PsychiatryNavigating Common Mental Health Challenges in Geriatric Care, pp. 216 - 219Publisher: Cambridge University PressPrint publication year: 2024
References
References
American Bar Association Commission on Law and Aging/American Psychological Association. (2008). Assessment of Older Adults with Diminished Capacity: A Handbook for Psychologists. www.apa.org/pi/aging/programs/assessment/capacity-psychologist-handbook.pdfGoogle Scholar
Further Reading
Esmail, S., & Concannon, B. (2022). Approaches to determine and manage sexual consent abilities for people with cognitive disabilities: Systematic review. Interactive Journal of Medical Research, 11 (1). https://doi.org/10.2196/28137CrossRefGoogle ScholarPubMed
Jackson, S. E., Firth, J., Veronese, N., Stubbs, B., Koyanagi, A., Yang, L., & Smith, L. (2019). Decline in sexuality and wellbeing in older adults: A population-based study. Journal of Affective Disorders, 245, 912–917.CrossRefGoogle ScholarPubMed
Lichtenberg, P. A. (2014). Sexuality and physical intimacy in long-term care: Sexuality, long-term care, capacity assessment. Occupational Therapy in Health Care, 28 (1), 42. https://doi.org/10.3109/07380577.2013.865858CrossRefGoogle Scholar
Smith, L., Yang, L., Veronese, N., Soysal, P., Stubbs, B., & Jackson, S. E. (2019). Sexual activity is associated with greater enjoyment of life in older adults. Sexual Medicine, 7 (1), 11–18.CrossRefGoogle ScholarPubMed
Srinivasan, S., Glover, J., Tampi, R. R., Tampi, D. J., & Sewell, D. D. (2019). Sexuality and the older adult. Current Psychiatry Reports, 21, 1–9.CrossRefGoogle ScholarPubMed