Kamel Hosam K, Hajjar Ramzi R
Medical College of Wisconsin, and the Zablocki VA Medical Center, Milwaukee, WI 53295, USA.
J Am Med Dir Assoc. 2003 Jul-Aug;4(4):203-6. doi: 10.1097/01.JAM.0000073961.02891.33.
Everyone, regardless of age, needs love, touch, companionship, and intimacy. The 1.6 million elderly in the 20,000 U.S. nursing homes are not an exception. The literature indicates that nursing home residents continue to have an interest in sexual activity regardless of age. Sexuality, however, is frequently overlooked by physicians and staff working with nursing home residents. Many staff members have only a vague understanding of the sexual needs of the elderly. This results in a perception of residents' sexual interests as behavioral problems rather than expressions of need for love and intimacy. Inappropriate sexual behaviors in the nursing home can create an intense burden for nursing home staff. This article discusses ways to dealing with inappropriate sexual behaviors in long-term care settings and the ethical issues involved.
每个人，无论年龄大小，都需要爱、抚摸、陪伴和亲密关系。美国2万所养老院中的160万老年人也不例外。文献表明，养老院居民无论年龄大小，对性活动仍有兴趣。然而，性取向常常被照顾养老院居民的医生和工作人员忽视。许多工作人员对老年人的性需求只有模糊的认识。这导致将居民的性兴趣视为行为问题，而不是对爱和亲密关系需求的表达。养老院中不适当的性行为会给养老院工作人员带来沉重负担。本文讨论了在长期护理环境中处理不适当性行为的方法以及所涉及的伦理问题。
