September 17, 2014

Ageing and sexuality

These resources are available for loan to members of AANSW - if you would like to reserve them please email the Library on

Gen silent : a documentary film about LGBT aging
written and directed by Stu Maddux
Gay, Lesbian, Bisexual and Transgender older people who fought the first battles for equality now face so much fear of discrimination, bullying and abuse in the care setting that many are hiding their lives to survive. Thousands are dying earlier than their straight counterparts because they are isolated and afraid to ask for help. But a growing number of people are fighting to keep their elders from being silenced.
Gen Silent was filmed in the Boston area over a one year period. During that time, director Stu Maddux followed six LGBT seniors through their decision to either stay open about their sexuality or hide it so that they can survive in the long-term health care system.[7][8] In the documentary a gay man named Lawrence Johnson searches for a nursing home where he and his partner can be open about their relationship while still receiving quality care.[9] It also follows a transgender senior by the name of KrysAnne. She searches for people to care for her because she is estranged from her family. The story of an LGBT couple named Sheri and Lois is told, including how they spent their lives fighting for LGBT rights. While Sheri states that she refuses to hide her sexuality, Lois states that she will if that is what it would take to protect her in the health care system. Mel and his partner are the final couple followed in the documentary. Mel’s partner gets sick and he finds care from a welcoming agency where he feels comfortable and safe to speak openly for the first time about his sexuality and their thirty-nine year relationship together.

Sexuality & long-term care : understanding and supporting the needs of older adults
by Gayle Appel Doll ; foreword by Peggy Brick.
Responding to the sexual desires of older adults in residential environments is widely recognized as a challenge by care staff, administrators, and family members.
This book  takes a person-centered approach to resident sexuality in long-term care. It is a training tool which represents sexual expression as a significant part of personality, explains why it is important to honor longings for intimacy, and provides strategies for teaching staff how to effectively, respectfully, and compassionately acknowledge those needs. It will enlighten anyone who believes sexuality vanishes with age and offers solutions for navigating this highly charged issue.
Long-term care administrators, nurses, social workers, counselors, direct care staff, ombudsmen, and others devoted to enhancing the quality of life in nursing homes will find answers to pressing questions surrounding sexuality, including
•What is normal sexual expression in old age?
•How does dementia affect sexuality?
•What triggers inappropriate behaviors, and how can they be addressed and prevented?
•What constitutes consent and/or competence?
•How can lack of privacy be minimized in long-term care environments?
•What concerns do LGBT residents bring to a long-term care community?
•How can residents be protected from sexually transmitted diseases?
•What do policies regarding sexual expression convey about a community's commitment to resident quality of life?

Valuable tools for staff training are included, such as reproducible handouts and group learning activities that encourage staff and managers to explore attitudes and biases about resident sexuality and to help organizations develop policies related to this fundamental need. Important take-away points are highlighted and sidebars offer effective solutions to common dilemmas surrounding sexuality in long-term care settings.

No comments: