Tabak Nili, Shemesh-Kigli Ronit
Nursing Department, School of Health Professions, Faculty of Medicine, Tel-Aviv University, Israel.
Nurs Forum. 2006 Oct-Dec;41(4):158-66. doi: 10.1111/j.1744-6198.2006.00054.x.
The issue of sexual relations in nursing homes between patients with Alzheimer-related dementia is in ward practice largely characterized by confusion and ignorance. Staff are seriously conflicted on how to respond and almost totally untrained on the subject. Patients are being mistreated and humiliated. Central to this state of affairs is insufficient awareness of the ethical and human rights elements in nursing care. Two case studies illustrate the practical dilemmas nurses must solve. A decision-making process is set out to reach an ethical and practical conclusion. Recommendations for action by nurses, the nursing profession, nursing home owners, and policy-makers are given.
在养老院中，患有阿尔茨海默病相关痴呆症的患者之间发生性关系的问题，在病房实践中很大程度上表现为混乱和无知。工作人员在如何应对这一问题上严重存在分歧，并且几乎完全没有接受过这方面的培训。患者正在遭受虐待和羞辱。造成这种状况的核心原因是对护理中伦理和人权要素的认识不足。两个案例研究说明了护士必须解决的实际困境。文中列出了一个决策过程，以得出符合伦理和实际的结论。并给出了护士、护理行业、养老院业主和政策制定者的行动建议。
