Sexual Health
Sexual health remains an often-overlooked facet of care within the post-acute and long-term care (PALTC) setting. Yet, for many older adults, sexual well-being and intimacy play a pivotal role in overall quality of life, self-esteem, and emotional health. Recognizing, respecting, and facilitating conversations about this sensitive topic ensures that PALTC residents have their holistic needs addressed.
Pertinent Factors for PALTC Providers
- Physiological Changes: Age-associated hormonal shifts, vascular changes, and coexisting medical conditions can influence sexual function and desire. Additionally, medications, such as certain antihypertensives or antidepressants, might contribute to sexual dysfunction.
- Psychosocial Implications: Issues of self-worth, loneliness, loss of a partner, or cognitive impairments can significantly impact sexual health.
- Ethical Concerns: Especially in cases of cognitive impairment or dementia, ensuring consent and autonomy while preventing potential abuse becomes paramount.
Strategies for Comprehensive Care
- Open Dialogue: Create a non-judgmental space where residents can voice concerns or queries about their sexual health, ensuring confidentiality and respect.
- Medical Interventions: Address reversible causes of sexual dysfunction, considering medication adjustments or prescribing therapies after evaluating potential risks.
- Emotional and Psychological Support: Provide counseling sessions, especially after significant life changes like the loss of a partner, to address grief and rediscover intimacy in safe ways.