My Home Life, counsellor and supervisor in private practice, Norwich, England.
Loughton, Essex, England.
Nurs Older People. 2020 Nov 24;32(6):33-42. doi: 10.7748/nop.2020.e1207. Epub 2020 Nov 4.
While sexuality is integral to being human and supporting sexual expression is fundamental to delivering person-centred care, many nurses find this area challenging. This is particularly true when working with people living with a dementia, irrespective of their age. However, it can be especially challenging in older adults. This article aims to support nurses in their work with individuals and couples living with a dementia. After briefly defining the term 'sexuality' and acknowledging the effects of the most common types of dementia, the article discusses the importance of person-centred conversations. It details a new person-centred paradigm that can assist nurses to learn about people's sexuality and sexual wishes. Through enhanced understanding and increased objectivity, nurses can be better equipped to support people to continue living fulfilled sexual lives according to their choices and priorities. The article concludes by summarising the legal and professional context and nursing responsibilities involved in addressing sexuality with people living with a dementia, specifically when mental capacity becomes an issue.
虽然性是人类的固有特征，支持性表达是提供以患者为中心的护理的基础，但许多护士发现这个领域具有挑战性。这在与患有痴呆症的人（无论其年龄大小）一起工作时尤其如此。然而，在老年人中，这可能尤其具有挑战性。本文旨在为护士在与患有痴呆症的个人和夫妇一起工作时提供支持。在简要定义“性”一词并承认最常见类型的痴呆症的影响后，本文讨论了以患者为中心的对话的重要性。它详细介绍了一种新的以患者为中心的范式，可以帮助护士了解人们的性和性愿望。通过增强理解和提高客观性，护士可以更好地支持人们根据自己的选择和优先事项继续过上充实的性生活。文章最后总结了与患有痴呆症的人解决性问题所涉及的法律和专业背景以及护士的责任，特别是当涉及到精神能力问题时。
