Find answers to your questions, engage with others on topics, and make new things possible.

Join the discussion: Questions for us? Comments? Thoughts? Leave a reply!

All posts are moderated and require approval by brainXchange before they become visible. If you wish to make a post, please note that the user name you enter will appear publically with your post. You may choose a name that will protect your privacy. Your email address will only be seen by brainXchange staff.  You may receive email alerts for new posts through the 'Subscribe to forum' link.

 
Exploring Issues about Sexuality & Dementia: Assessing and Mitigating Risk event discussion continued
 
Reply to post
Lori Schindel Martin, RN, PhD, - (10/7/2016 9:25:09 AM)
RE:Personal Directive
The question you ask is an important one about the use of a prior Personal Directive about sexual behaviour and its validity once the person is no longer considered competent to make decisions. The document would no longer be valid, and cannot be used as the single piece of evidence to support a relationship that may be developing between two residents in facility-based care. However, this does not mean that the relationship should be forbidden or prevented. Rather, a prudent clinical team would use this prior Personal Directive as just one piece of a total package of assessment information to be considered when figuring out with the resident/family and clinical team the status and parameters of a current developing relationship between two residents. The full assessment must include an account of the Personal Directive + Family conversation to document their understanding/belief/values from questions listed in the slide deck + Clinical Condition and cognitive assessment + additional SDOS documentation about the frequency, intensity and duration of the sexual behaviors + the current personal account of the resident using the questions posted in the slide deck + organization policy and practice guidelines + long-term care home act and regulations as RELEVANT to the current case + consultation with a local ethicist/clinical expert + team conversation = final decision-making and care plan development --> then evaluate and refine the plan of care. This is a complex behavioral phenomenon that requires equally complex assessment practices and care plan development. (Lori Schindel Martin, RN, PhD, October 4, 2016 @ 1320 hrs). 

Slides and recording from event.
This forum is moderated. It needs to be reviewed by forum moderator before it’s published.
 
   
 
Post:
 Security code

LATEST POSTS

COPE LTC Study: Care pathway for Older Persons with depressive disorders in Long Term Care | 3/8/2022
PE LTC Study: Care pathway for Older Persons with dEpressive disorders in Long Ter...

Strengthening Support for People Living with Rare or Young Onset Dementia | 2/15/2022
Strengthening Support for People Living with Rare or Young Onset Dementia ARE YOU: Living wi...

Help improve dementia care in Nova Scotia! | 2/14/2022
Help improve dementia care in Nova Scotia! We are currently recruiting individuals to participat...

​Caring and caregiving for a person living with dementia | 1/17/2022
A free online public event, January 25, 2022, from 5:30 p.m. to 7:30 p.m. ET During Alzheimer&rs...

Opportunity for female informal caregivers | 11/25/2021
Recruitment-Poster-Caregivers-for-individuals-with-early-onset-dementia

LATEST THREADS

COPE LTC Study: Care pathway for Older Persons with depressive disorders in Long Term Care | 3/8/2022
PE LTC Study: Care pathway for Older Persons with dEpressive disorders in Long Ter...

Strengthening Support for People Living with Rare or Young Onset Dementia | 2/15/2022
Strengthening Support for People Living with Rare or Young Onset Dementia ARE YOU: Living wi...

Help improve dementia care in Nova Scotia! | 2/14/2022
Help improve dementia care in Nova Scotia! We are currently recruiting individuals to participat...

​Caring and caregiving for a person living with dementia | 1/17/2022
A free online public event, January 25, 2022, from 5:30 p.m. to 7:30 p.m. ET During Alzheimer&rs...

Opportunity for female informal caregivers | 11/25/2021
Recruitment-Poster-Caregivers-for-individuals-with-early-onset-dementia