By Jennifer L. Hillman
Throughout my medical education and perform, i've been stunned by means of the variety of occasions that sexual concerns have emerged as an all at once crucial characteristic in my paintings with older adults. i will be able to vividly bear in mind my very own inner response on listening to one in every of my aged girl 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 previous. i will be able to see in my imagination the blood splattered at the flooring of an inpatient unit from an aged guy who smashed his arm via a window, livid that his antidepressant drugs made it most unlikely to climax via masturbation. On a far much less dramatic yet both vital word, i feel 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 procuring to discover trendy, cozy outfits to slot over her hunched shoulders and big breasts helped precipitate a major melancholy. In sum, I realized early on that aged sexuality isn't just approximately what number occasions every week an individual makes love. it's my wish that sharing those reports and introducing the comparable theories, learn, and interventions will support different clinicians in facing those usually hard and clinically challenges. with no my sufferers, this article should not have been possible.
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Chapter 2 30 INTAKE ASSESSMENT Although many elderly patients, like their younger counterparts, seem to reveal important aspects of their sex life only after they have been in treatment for an extended period of time, most information about an older person's sex life can be gathered effectively during the initial intake interview. It is important that clinicians place value on this information, and recognize that obtaining such information represents much more than just finding about how many times a week their patient has sex with the significant other.
Knowledge of Elderly Sexuality 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 35 T/FIDK Barbiturates, tranquilizers, and alcohol may lower the sexual arousal levels of aged persons and interfere with sexual responsiveness. T/FIDK Sexual disinterest in aged persons may be a reflection of a psychological state of depression. T/FIDK There is a decrease in frequency of sexual activity with older age in males. T/FIDK There is a greater decrease in male sexuality with age than there is in female sexuality.
As gathering such medication information is already a prerequisite for a thorough geriatric intake, no additional time will be lost during an interview with an elderly patient who may (or may not) initially discuss concerns about changes in their sexual functioning. Because older adults typically take a large number of prescription and over-the-counter medications and because they may present with a decline in mental status, it may be difficult to get a proper assessment of daily medication intake.
Clinical Perspectives on Elderly Sexuality by Jennifer L. Hillman