Metzger Eran
Assistant professor of psychiatry at Harvard Medical School in Boston, and director of psychiatry at Hebrew SeniorLife and a member of the Department of Psychiatry at Beth Israel Deaconess Medical Center.
AMA J Ethics. 2017 Jul 1;19(7):640-648. doi: 10.1001/journalofethics.2017.19.7.ecas1-1707.
A case is presented in which the staff of a long-term care facility discovers that the husband of a resident with dementia is engaged in sexual activity with her. The case illustrates a dilemma for long-term care facilities that create a home-like environment with a goal of maximizing residents' autonomy while ensuring their safety. An approach to assessing capacity to consent to intimate sexual activity is described, followed by guidelines that nursing homes can implement to support residents who wish to engage in sexual activity. Recommendations are also offered for supporting long-term care staff and family members of residents who are interested in intimate sexual activity.
本文介绍了一个案例，一家长期护理机构的工作人员发现一名患有痴呆症的居民的丈夫与其发生了性行为。该案例说明了长期护理机构面临的一个困境，即要营造一个像家一样的环境，目标是在确保居民安全的同时最大程度地提高他们的自主权。文中描述了一种评估同意进行亲密性行为能力的方法，随后给出了养老院可以实施的指导方针，以支持那些希望进行性行为的居民。还提供了一些建议，以支持对亲密性行为感兴趣的长期护理机构工作人员和居民家属。
