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40 Cards in this Set

  • Front
  • Back

Major relational components

Commitment


Affective intimacy


Cognitive intimacy


Physical intimacy


Interdependence

Older people may be concerned about changes in Sexual intimacy and physical intimacy of direct Sexual relations but social relationships, intellectual interactions, supportive love, and physical nonsexual intimacy are ________

Equally important and rewarding

Sexuality (central aspect of being human) includes

- sex, gender identities and roles, Sexual orientation, emotional closeness, pleasure, intimacy, sexual intercourse, and reproduction


-the core of sexuality is a process of communication

Sexual expression

Engaging in desired sexual and intimate activities (ex, expression of passion, affection)

Sex

Is not solely about the act of sexual intercourse, but encompasses a range of sexual feelings and behaviors

Masturbation

Invokes stimulation of the genital organs for Sexual self-pleasure

Old age is ________ as a period devoid of sexuality, sensuality and intimacy

Tought of

_____________ which consider sexual activity in older age as abnormal, perverted, or disgusting

Societal attitudes

Older people seen as less physically attractive and sexual appealing due to changes associated with ___________

Primary aging

Sexuality in older people shifts it's focus from procreation to ____________, ______________, ___________, and _________

Companionship


Physical nearness


Intimate communication


Pleasure - seeking

Aging itself does not lead to sex - related problems, while ________, and __________ may lead to sex - related barriers

Medical and/or psychological problems


Absence of partner(s)

Sexual health

A state of physical, emotional, mental, and social well-being relayed to sexuality (WHO 2004)


Individually defined and sexual behavior has the capacity to enhance self an others

Many men and women engage in vaginal sex, oral sex, and masturbation well into their 80s and 90s. Significant gender differences as older women are more likely to be limited but the ___________ and older men are more likely to be limited by ____________.

Availability of a partner


Physical health and erectile dysfunction

Sex with a partner was reported by _____ of people ages 57-64, ______ of people ages 64-75, and _____ of people ages 75-85.

73%


53%


26%

Sexual active participants reported that they had sex _______ times a month or more

2-3

_______ at all ages were less likely to be sexual active

Women

People in excellent or very good health were _______ as likely to be sexually active

Twice

Half of people having sex reported at least one related issue:


In men, erections troubles ______, in women, low desire _______, vaginal dryness _______, and inability to have an orgasm _______.

Erectile trouble : 37%


Low desire : 43%


Vaginal dryness : 39%


Inability to have an orgasm : 34%

___________ men used Viagra or other substances to improve sex.

1 out of 7

_______ of women and ______ of men had discussed sex with a doctor since age 50

22% of women


38% of men

Neglected issues in sexuality and aging

Sexuality with or without a partner, diversity in sexual orientation, cross-cultural perspectives, changing relationships, and influence of the Internet and social media on sex/dating


Sexual functioning within the context of chronic conditions, disability, medication use, and sexually transmitted infections


Sexuality in longterm care home, assisted living facilities, hospitals, and other institutional settings


Sexual consent capacity among older adults with cognitive impairment or dementia

Older women's issue in sexuality and aging

Body image


Vaginal dryness


Breast cancer


Abuse

Older men's issue in sexuality

Erectile dysfunction


Prostate cancer


Body image

Sexual dysfunction

Impairment in normal sexual functioning, which can result from many causes, physical and/or psychological

Sexual dysfunction categories

Hypocrite sexual disorders


Orgasmic disorder


Sexual arousal disorder


Sexual pain disorders

Consider impact of chronic conditions

Arthritis


Heart disease


Stroke


Respiratory conditions


Diabetes


Cancers

Sex tips for older adults

Communication openly about sex - related issues


Use a lubricant


Try a new position (avoid other positions, and consider impact of chronic conditions)


Explore and discover (including alternatives to intercourse)


Make love when energy is highest


Get some extra assistance


Defy convention and disregard negative stereotypes


Set the mood


Build up to it by engaging in extended foreplay


Increased genital stimulation

Partner on top position

This position places pressure on females bladder and requires hip abduction but little energy expenditure for her


Partner on bottom (B) can be paralyzed or have limited range of motion. B back may need roll for support, and B must be concerned with pressure on his bladder

Side-lying positions

Partner B need not expand much energy in this position. Both partners may avoid sway back in this position. Either person may have hemiparesis. Person B will not need hip abduction, and pressure on stoma bag may be avoided.


This position can be used if either partner has hemiparesis. If low endurance is a problem, this position can be used. Person A may avoid sway back in this position.

Supported rear position

Partner A needs little hip abduction but good strength. Partner B may find decreased strain on his back. Hip,knee or ankle joint degeneration would preclude this position for either partner

2008 : aged 60 yeas and older, the rates of STIs were: _________ for chlamydia, ________ for men and _______ for women for gonorrhea, and ________ for men and _______ for women for syphilis.

4.2/1000 for chlamydia


4/1000 for men and 0.4/1000 for women for gonorrhea


1.9/1000 for men and 0.9/1000 for women for syphilis

According to a recent online survey conducted by the foundation, _____ of baby boomers with children said they tell their kids to use protection during sex, but _____ admit they don't always practise what they preach.

70%


16%

The number of older Canadians living HIV is increasing, both because older adults....

Are living longer due to improved treatment options


Receive an HIV diagnosis later in life

Individuals aged 50 years and older accounted for ______ of AIDS cases in 2006, and _______ in 2011.

12.2%


19%

Heterosexual contact and sex between men each represented about _____ of cases in 2011 among older Canadians (HIV)

35%

Common myths about sexuality and aging

Masturbation is an immature activity of youngsters and adolescents, not older people.


Sexual prowess and desire wane during climacteric, and menopause is the deaths of a woman's sexuality.


Hysterectomy creates a physical disability that results in the inability to function sexually.


Sex has no role in the lives of older people, except as perversion or remembrance of times past.


Sexual expression in old age is taboo.


Older adults are too old and frail to engage in sex.


The young are considered lusty and virile; older people are considered lecherous.


Sex is unimportant or over when a person is older.


Older people do not wish to discuss their sexuality with professionals.

Aspects of sexuality ________ in its importance in one's life

Fluctuates

Interrelationship of dimensions of sexuality

Seniors and sex

Dating sites for older adults