000 02777nam a22003377a 4500
999 _c8785
_d8785
005 20250625151705.0
008 240716s2022 -nz|| |||| 00| 0 eng d
040 _aAFVC
100 _aSchouten, Vanessa
_99513
245 _aIntimacy for older adults in long-term care :
_ba need, a right, a privilege—or a kind of care?
_cVanessa Schouten, Mark Henrickson, Catherine M. Cook, Sandra McDonald and Nilo Atefi
260 _bBMJ,
_c2022
500 _aJournal of Medical Ethics, 2022, 48: 723 - 727
520 _aackground To investigate attitudes of staff, residents and family members in long-term care towards sex and intimacy among older adults, specifically the extent to which they conceptualise sex and intimacy as a need, a right, a privilege or as a component of overall well-being. Methods The present study was a part of a two-arm mixed-methods cross-sectional study using a concurrent triangulation design. A validated survey tool was developed; 433 staff surveys were collected from 35 facilities across the country. Interviews were conducted with 75 staff, residents and family members. Results It was common for staff, residents and family members to talk about intimacy and sexuality in terms of rights and needs. As well as using the language of needs and rights, it was common for participants to use terms related to well-being, such as fun, happiness or being miserable. One participant in particular (a staff member) described receiving intimate touch as a ‘kind of care’—a particularly useful way of framing the conversation. Conclusion While staff, residents and family frequently used the familiar language of needs and rights to discuss access to intimate touch, they also used the language of well-being and care. Reframing the conversation in this way serves a useful purpose: it shifts the focus from simply meeting minimum obligations to a salutogenic approach—one that focuses on caring for the whole person in order to improve overall well-being and quality of life. (Authors' abstract). Record #8785
650 _aATTITUDES
_970
650 _aETHICS
_95807
650 4 _9325
_aINTERPERSONAL RELATIONSHIPS
650 4 _aLANGUAGE
_96503
650 0 _aOLDER PEOPLE
_9414
650 4 _aRESIDENTIAL CARE
_9500
650 4 _aSEXUALITY
_9537
650 4 _aWELLBEING
_96275
651 4 _aNEW ZEALAND
_92588
700 _aHenrickson, Mark
_96794
700 _aCook, Catherine
_99512
700 _aMcDonald, Sandra
_99514
700 _aAtefi, Narges (Nilo)
_99515
773 0 _tJournal of Medical Ethics, 2022, 48: 723 - 727
830 _aJournal of Medical Ethics
_913168
856 _zDOI: 10.1136/medethics-2020-107171
_uhttps://doi.org/10.1136/medethics-2020-107171
942 _2ddc
_cARTICLE
_hnews128