دورية أكاديمية
Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: 'Living until You Don't'
| العنوان: | Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: 'Living until You Don't' |
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| المؤلفون: | Cook C, Henrickson M, Schouten V |
| بيانات النشر: | MDPI (Basel, Switzerland) |
| سنة النشر: | 2023 |
| المجموعة: | Massey University: Massey Research Online |
| مصطلحات موضوعية: | aged residential care, person-centred care, sexual expression, social citizenship, social death, Humans, Aged, Homes for the Aged, Palliative Care, Sexual Behavior, Sexual Partners, Sexuality |
| جغرافية الموضوع: | Switzerland |
| الوصف: | Copyright: © 2022 by the authors. ; Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents’ expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents’ expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents’ intimate reciprocity. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | 13080- |
| اللغة: | English |
| تدمد: | 1661-7827 1660-4601 |
| العلاقة: | Int J Environ Res Public Health; ijerph192013080; https://www.ncbi.nlm.nih.gov/pubmed/36293660Test; Cook C, Henrickson M, Schouten V. (2022). Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: "Living until You Don't". Int J Environ Res Public Health. 19. 20. (pp. 13080-).; http://hdl.handle.net/10179/19955Test; Massey_Dark; journal-article |
| DOI: | 10.3390/ijerph192013080 |
| الإتاحة: | https://doi.org/10.3390/ijerph192013080Test http://hdl.handle.net/10179/19955Test https://www.ncbi.nlm.nih.gov/pubmed/36293660Test |
| حقوق: | CC BY ; https://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.BA961710 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 16617827 16604601 |
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| DOI: | 10.3390/ijerph192013080 |