000			04455nam a22005057a 4500
999			_c6913 _d6913
005			20250625151539.0
008			201124s2020 -nz|| |||| 00| 0 eng d
020			_a978-0-473-54953-4
040			_aAFVC
100			_aHenrickson, Mark _96794
245			_aWhat counts as consent? _bSexuality and ethical deliberation in residential aged care _cMark Henrickson, Catherine Cook, Vanessa Schouten, Sandra McDonald and Narges (Nilo) Atefi
260			_aAuckland, New Zealand : _bMassey University, _c2020
300			_aelectronic document (111 pages) ; PDF file
500			_aFinal project report, 19 November 2020
520			_aThis report is intended as a summary of the three-year Royal Society Marsden Fund-funded project “What counts as consent: Sexuality and ethical deliberation in residential aged care” (MAU-1723). The project was funded for the period March 2018 to February 2021. The aim of the project is to interrogate and inform conceptualisations of consent in the domain of sexuality and intimacy in residential aged care. The project completed and exceeded all recruitment and participation goals. While there is a general consensus that sexuality is an intrinsic part of human identity, intimacy and sexuality in aged care remain misunderstood and contested issues. This is particularly so in respect of older persons living with dementia. Gender and sexually diverse communities constitute a significant invisible and invisibilised minority in residential aged care (RAC), and that invisibility means their intimacy needs remain largely unknown and unacknowledged. There are cultural issues in aged care unique to New Zealand: for instance, while 85 percent of residential aged care facility (RACF) residents identify as European and an estimated 5.5 percent are Mäori, 44 percent of staff identify as other than European, including 10 percent who identify as Mäori, and 10 percent Pasifika. The dominant position in the theoretical literature on the ethics of sex and intimacy is that consent is of fundamental importance. Consent has dominated not just the theoretical discourse but also public and legal discourses about the ethics of sex and therefore carers and staff make decisions based on the management of institutional risk rather than the wellbeing of the resident. Vulnerabilisation of older persons in order to protect them, however well-intended, effectively robs them of possibilities to exercise self-governance, depersonalises them, and increases their social isolation. How sexual consent in particular is conceptualised has significant ethical implications for the growing number of elders in Aotearoa New Zealand who are living with degrees of cognitive decline. The specific contribution of this project is to interpret how aged care stakeholders (residents, families, and staff) make sense of consent, to contribute substantively to ethical theory around consent, sexuality, and intimacy, and to inform practice and policy in aged care environments. The project interrogates and intends to inform conceptualisations of consent in the domain of sexuality and intimacy in residential aged care. Our goals were: (1) to analyse how people are making decisions in practice about sex and intimacy in aged care; and (2) to use this information to inform the literature on ethical theory and discourses on consent and wellbeing. (From the Executive summary). Record #6913
650			_aATTITUDES _970
650			_aCONSENT _94690
650			_aELDER ABUSE _9220
650			_aETHICS _95807
650			_aFAMILIES _9238
650			_aHUMAN RIGHTS _9303
650		4	_9315 _aINSTITUTIONAL CARE
650		4	_9325 _aINTERPERSONAL RELATIONSHIPS
650		0	_aLGBTQIA+ _93453
650		0	_aMĀORI _9357
650		0	_aOLDER PEOPLE _9414
650		4	_aHARMFUL SEXUAL BEHAVIOUR _9532
650		4	_aRESIDENTIAL CARE _9500
650		0	_aSEXUAL ORIENTATION _9536
650			_aSEXUALITY _9537
650		0	_aSEXUALITY EDUCATION _96891
650		4	_aSEXUAL VIOLENCE _9531
650			_aTRAINING _9609
650			_aTRANSGENDER _93315
650		0	_94320 _aWORKFORCE DEVELOPMENT
650		0	_aHŌKAKATANGA _96939
650		0	_aKAUMĀTUA _95537
651		4	_aNEW ZEALAND _92588
700			_aCook, Catherine _99512
700			_aSchouten, Vanessa _99513
700			_aMcDonald, Sandra _99514
700			_aAtefi, Narges (Nilo) _99515
856			_uhttp://hdl.handle.net/10179/15720
942			_2ddc _cREPORT