Sexuality and sexual dysfunctions in older people: a forgotten problem

2020 ◽  
Vol 26 (3) ◽  
pp. 173-182
Author(s):  
Philip Slack ◽  
Victor M. Aziz
Keyword(s):  
Sexual Functioning ◽  
Elderly Population ◽  
Long Term Care ◽  
The Elderly ◽  
Sexual Dysfunctions ◽  
Physiological Changes ◽  
Term Care ◽  
Sexual Side Effects ◽  
Sexual Disinhibition

SUMMARYThis article considers sexuality in older adults and the associated stereotypes and stigmas that lead to this area being underappreciated. Normal physiological changes in ageing are discussed and how they can cause sexual dysfunction. The elderly population has a higher burden of comorbid physical illness and this review considers evidence on the interplay between physical health and sexual health. Mental illness is also strongly linked with sexual functioning and is discussed, as is the evidence on psychotropics and sexual side-effects. Attitudes on sexuality in long-term care settings are highlighted and approaches to managing sexual disinhibition are included.

The Graying of America: Implications for Health Professionals

2005 ◽  
Vol 6 (4) ◽  
pp. 178-184 ◽  
Author(s):  
James D. Wright
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Professionals ◽  
Elderly Population ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Demographic Projections ◽  
Care Industry

Demographic projections confirm a dramatic increase in the size of America’s elderly population over the next several decades. The elderly now comprise 13% of the population; by 2045, they will comprise 22%. As the elderly population grows, so too will the elderly poor, the elderly homeless, and the elderly uninsured. The implications of the so-called graying of America for the health care system, particularly the long-term care industry, are staggering.

scholarly journals The Subtle and Silent Issue in Older Adult Care

2021 ◽  
Vol 11 (S1) ◽  
Author(s):  
Sarah Fu
Keyword(s):  
Older Adult ◽  
Elderly Population ◽  
Long Term Care ◽  
The Elderly ◽  
Care Homes ◽  
Medical Community ◽  
Adult Care ◽  
Term Care ◽  
Poor Treatment

The treatment of elders in the community and ageism in our society has been an issue often underlooked. However, since the onset of the COVID-19 pandemic, poor treatment of elders in the community and long term care homes has been brought to light. During the beginning of the pandemic, long term care homes in Canada accounted for around 80% of all COVID-19 related mortalities [1]. This situation is due to an amalgamation of factors leading towards the ultimate neglect of the elderly population, including the governance of long term care homes in Canada, the stigma against the elderly population, and the commonly misconceived clinical picture of a ‘frail’ senior by the medical community.

scholarly journals Improving Prediction of Risk of Admission to Long-Term Care or Mortality Among Home Care Users With IDD

2018 ◽  
Vol 21 (4) ◽  
pp. 303-306
Author(s):  
Hélène Ouellette-Kuntz ◽  
Elizabeth Stankiewicz ◽  
Michael McIsaac ◽  
Lynn Martin
Keyword(s):  
Home Care ◽  
Elderly Population ◽  
Long Term Care ◽  
Frailty Index ◽  
The Elderly ◽  
Assessment Instrument ◽  
P Value ◽  
Term Care ◽  
Age Related

BackgroundFrailty is an established predictor of admission into long-term care (LTC) and mortality in the elderly population. Assessment of frailty among adults with intellectual and developmental disabilities (IDD) using a generic frailty marker may not be as predictive, as some lifelong disabilities associated with IDD may be interpreted as a sign of frailty. This study set out to determine if adding the Home Care-Intellectual and Devel-opmental Disabilities Frailty Index (HC-IDD Frailty Index), developed for use in home care users with IDD, to a basic list of predictors (age, sex, rural status, and the Johns Hopkins Frailty Marker) increases the ability to predict admission to long-term care or death within one year.MethodsA retrospective cohort study was conducted using Residential Assessment Instrument for Home Care (RAI-HC) data for adult home care users with IDD who had a home care as-sessment between January 1, 2010 and December 31, 2013 (N = 6,169).ResultsThe HC-IDD Frailty Index was found to significantly improve prediction of transitions into LTC or death by explaining an additional 5.95% of the variance in such transitions among home care users with IDD (p value < .0001).ConclusionsWe recommend the use of the HC-IDD Frailty Index in care planning and in further research related to the effectiveness of interventions to reduce or delay adverse age-related outcomes among adults with IDD.

The Geriatric Patient and Long-term Care: An Opportunity and Challenge for Pharmacy

1988 ◽  
Vol 1 (3) ◽  
pp. 156-160
Author(s):  
Martin D. Higbee
Keyword(s):  
Health Care ◽  
Adverse Drug Reactions ◽  
Health Care Professionals ◽  
Elderly Population ◽  
Long Term Care ◽  
The Elderly ◽  
Educational Background ◽  
Drug Reactions ◽  
Term Care

A significant interest in the elderly population has occurred over the last decade as evidenced by the increase in journals, journal articles, books, and research regarding the aged patient. This explosion of data concerning the elderly is essential since our educational background in disease process and therapy is generally learned from the young adult perspective. Additionally, the elderly patient represents a high-risk patient to health care professionals for a variety of reasons: (1) the elderly person has in many cases multiple chronic diseases; (2) has complicated, multiple drug regimens; (3) has an increased incidence of adverse drug reactions compared to younger adults; (4) exhibits atypical presenting symptoms of disease and adverse drug reactions; (5) is at risk for iatrogenic disease; and (6) is neglected generally due to negative stereotypical attitudes held by health care professionals. The elderly population, however, represents an opportunity for pharmacy services due to the increasing numbers of elderly, the opportunity to provide new, nontraditional, and innovative services, as well as the emergence of new practice areas of health care delivery for our elderly. Additionally, there is a need to enhance educational experiences in long-term care and conduct geriatric and gerontologic research in these settings.

Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

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