Sexual Incidents in an Extended Care Unit for Aged Men

Abstract

A survey was conducted among the nursing staff of a 400-bed extended-care unit for aged men by questionnaire to find out what patient behaviors were identified as sexual by the staff and how they reacted to these behaviors. Three types of behavior were identified as sexual and as "causing problems": sex talk (e.g., using foul language); sexual acts (e.g., touching or grabbing, exposing genitalia); and implied sexual behavior (e.g., openly reading pornographic magazines). As many as 25 per cent of the residents were thought to create such incidents. Acceptable sexual behavior identified by the staff were limited to hugging and kissing on the cheek, although their answers implied that residents could need more intimate touching and affection. The survey raised questions about the nature and causes of different types of sexual behavior in the institutionalized elderly and about the roles nursing staff, physicians, and administrators can play in recognizing individual needs while safeguarding both the residents and the staff from the consequences of unacceptable incidents.

Management of inappropriate sexual behaviors in dementia: a literature review

“…Several authors have developed classifications of inappropriate sexual behaviors. Inappropriate sexual behaviors have been divided into three types (Szasz, 1983). …”

Addressing Sexuality in Dementia: A Challenge for Healthcare Providers

“…Inappropriate Sexual Behaviour (ISB): ISB is one of the challenging neuropsychiatric behaviours in dementia, with reported frequency of 2.2% to 25% [13,14]. The neurobiological basis of this inappropriate comportment is still vaguely understood and may reflect a prevailing behaviour associated with the dementia or may occur in relative isolation [15].…”

The Complex Nature of Inappropriate Sexual Behaviors in Patients with Dementia: Can We Put it into a Frame?

“…A review of the literature indicates that there are no published studies on their use in elderly patients with ISB [38]. However, valproic acid and its derivatives may be helpful in treating these behaviors by their mood stabilizing, antiandrogenic and antiprogestin effects [33].…”