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Sex and the Nursing Home Resident

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By Stacy Lloyd

nursing-home-residents

A medical ethicist and a team of Australian researchers say nursing homes should not discourage residents from having sex.

Research by the Australian Centre for Evidence Based Aged Care, published in the Journal of Medical Ethics (JME), stated that sexual freedom is considered a fundamental human right by most Western societies.

While laws regarding consent and coercion must be abided, in general, people should be able to engage in sexual behavior whenever, and with whomever, they choose.

Nonetheless sexual relationships are often a no-no for many competent and healthy elderly people in residential aged care facilities, reported the New York Daily News.

Art Caplan, a medical Ethicist at the New York University Langone Medical Center, told Medscape that one of the reasons for this is that nursing homes are set up to give people very little privacy for legal and safety reasons.Nursing-Homes-Residents-Rights-350x350

FoxNews added concerns about “duty of care, anxieties about potential repercussions from relatives and ageism are other reasons nursing home staffs deny privacy or separate potential partners, according to the Australian researchers.”

New York Daily News said that nursing home staffs receive little training on the sex lives of the elderly, focusing primarily on their ability to make decisions and provide consent.

Many simply don’t look at the elderly as mature adults, but as children who must be policed.

For older people with dementia living in residential aged care facilities the issue becomes more complex, wrote the researchers in the JME.

However, the JME article added that even elderly people in the early stages of dementia still enjoy sexual relationships.

Researchers argued that even when a person receives a poor score on a mini mental state test which assesses cognitive impairment, they are often still capable of expressing preferences for a friend or lover, wrote FoxNews.

Intimate relationships can help lessen feelings of loss and loneliness that come with age, Robin Dessel, director of memory care services and sexual rights educator at the Hebrew Home at Riverdale in New York, told ABC News.

The good news is, in response to the topic of geriatric sex, some facilities such as the Hebrew Home are establishing policies to ensure staff support for residents’ rights, wrote AgingWell.com.

“Clinical staff needs to understand that elderly long-term care residents have very real sexual needs that might exceed what staff would consider their clinical needs,” Dessel told AgingWell.com.

Caplan believes this awkward topic of geriatric sex should be discussed by doctors with patients and families as someone prepares to enter a nursing home because, as he stated, sex is a part of old age.

Complete Article HERE!

Off Limits? The Best Sexual Positions for People with Limited Mobility

Aging brings changes to our physical and emotional states. These changes can have both positive and negative affects when it comes to sexual intimacy. While it’s not a given that desire and frequency of sex decrease as we get older, it may be necessary to accommodate the limited mobility many of us experience over time. Painful joints, decreased flexibility, and physical disabilities can all contribute to restricted mobility. Rather than allow limited mobility to get in the way, we’ve provided illustrated positions to help you and your partner continue to be intimate. Remember that not all positions work for every individual or couple. Do what feels best for you and your partner and pay attention to any discomfort. Read on for our suggestions that appropriate for various conditions.

The Best Sexual Positions for People with Limited Mobility

Complete Article HERE!

Men and Affection: Three Practices to Raise Boys Unafraid to Love

Your boys are watching and learning from your examples.

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By Dwayne D Hayes

When I was twenty-one I spent two months living in London with a group of young people from around the world as part of a summer mission project. It was a great opportunity to meet people from various countries and to learn more about the world. I was part of a small team that included men and women from Germany, Finland, South Africa, Jordan, Brazil, and several others countries.

One afternoon Kamal, a young Jordanian, and I went to meet some others in Hyde Park. Along the way, he grabbed my hand as we walked side-by-side. I quickly removed my hand from his grasp and Kamal kindly explained that it was common for Arab men to hold hands as a sign of friendship and affection. But it was a sign of friendship and affection that I was not comfortable with, not mature enough for and, though he repeated this several times over the summer, I always let go of his hand as quickly as possible.

As a boy, I loved to hold my younger brother’s hand. He was my best friend and, though he was 001only eighteen months younger, feeling his soft little hand in mine made me feel good, and protective. That tenderness quickly moved into aggression and we would wrestle, punch, and kick each other. Yes, often in fun. But seldom have we, after our early years, expressed our affection for each other in a physical way (with the exception of a bro-hug).

Now, over twenty years after Kamal reached for my hand, my son is in kindergarten and I love to watch him interact with his male friends. They hug each other, can often be found with hands on each other’s face or in hair, rest their heads on each other when they talk and, yes, even hold hands.

Logan clearly loves his male buddies.

When and why do we stop expressing affection for our male friends? As adults, this extends beyond the physical. I can do “bro hugs” easily but find it difficult to speak if I try to tell a male friend how much I appreciate him.

002For boys as they age there is the pressure to avoid being a “sissy”. Girls, we’re told (and shown) are emotional, weak, and cry. If you’re like a girl you must be gay. And sadly, of course, for many people that is still unacceptable.

It is this pressure that quenches some of the natural physical affection that boys express for each other when they are young and we learn to express our affection violently, through punches, teasing, and other forms of verbal abuse.

It saddens me to think it will happen to my son.

So, what can we do to help our sons express affection for their male friends? The following three practices can help our sons learn to be unafraid about showing affection.

1. Watch our words.

Don’t speak in demeaning terms about girls, crying, homosexuals, or the expression of emotion. Don’t react negatively when our sons share their affection in a physical way.

2.  Demonstrate appropriate physical touch with your male friends.

Hug your best buds, shake hands and stand with your arm around your friends. And tell them how important they are to you. Avoid confusing affection with violence or verbal attacks. There are various ways to express affection. Make a practice of demonstrating them in front of your son.

3. Express physical affection for your father and/or male siblings.

I kiss my father on the cheek when I see him. I do this not only to show my love for him but also because I want my son to always kiss me and not be afraid to show affection for me.

◊♦◊

Did you see the film Eat Pray Love, starring Julia Roberts? I don’t remember much about the film, but what I do remember is Felipe, the character played by Javier Bardem, a Brazilian divorcé, whose college-age son visits. Felipe kisses his adult son on the lips and openly weeps when his son departs the country.

Rarely do you see an American father express this type of affection for his son. I was a new father when I saw the movie and thought: that is exactly how I will be when my son is older.

Every night, before I go to bed, I silently enter my son’s room (he is approaching six now) and kiss him and whisper that I love him.

I know, soon enough, he will likely ask me to end this nightly show of affection.

But he’s a deep sleeper. Don’t tell him and I just might get away with it until he goes away to college.

Complete Article HERE!

When Did Porn Become Sex Ed?

Conversations between adults and teenagers about what happens after “yes” remain rare.

By

porn:sex ed

THE other day, I got an email from a 21-year-old college senior about sex — or perhaps more correctly, about how ill equipped she was to talk about sex. The abstinence-only curriculum in her middle and high schools had taught her little more than “don’t,” and she’d told me that although her otherwise liberal parents would have been willing to answer any questions, it was pretty clear the topic made them even more uncomfortable than it made her.

So she had turned to pornography. “There’s a lot of problems with porn,” she wrote. “But it is kind of nice to be able to use it to gain some knowledge of sex.”

I wish I could say her sentiments were unusual, but I heard them repeatedly during the three years I spent interviewing young women in high school and college for a book on girls and sex. In fact, according to a survey of college students in Britain, 60 percent consult pornography, at least in part, as though it were an instruction manual, even as nearly three-quarters say that they know it is as realistic as pro wrestling. (Its depictions of women, meanwhile, are about as accurate as those of the “The Real Housewives” franchise.)

The statistics on sexual assault may have forced a national dialogue on consent, but honest conversations between adults and teenagers about what happens after yes — discussions about ethics, respect, decision making, sensuality, reciprocity, relationship building, the ability to assert desires and set limits — remain rare. And while we are more often telling children that both parties must agree unequivocally to a sexual encounter, we still tend to avoid the biggest taboo of all: women’s capacity for and entitlement to sexual pleasure.

It starts, whether intentionally or not, with parents. When my daughter was a baby, I remember reading somewhere that while labeling infants’ body parts (“here’s your nose,” “here are your toes”), parents often include a boy’s genitals but not a girl’s. Leaving something unnamed, of course, makes it quite literally unspeakable.

Nor does that silence change much as girls get older. President Obama is trying — finally — in his 2017 budget to remove all federal funding for abstinence education (research has shown repeatedly that the nearly $2 billion spent on it over the past quarter-century may as well have been set on fire). Yet according to the Centers for Disease Control and Prevention, fewer than half of high schools and only a fifth of middle schools teach all 16 components the agency recommends as essential to sex education. Only 23 states mandate sex ed at all; 13 require it to be medically accurate.

Even the most comprehensive classes generally stick with a woman’s internal parts: uteruses, fallopian tubes, ovaries. Those classic diagrams of a woman’s reproductive system, the ones shaped like the head of a steer, blur into a gray Y between the legs, as if the vulva and the labia, let alone the clitoris, don’t exist. And whereas males’ puberty is often characterized in terms of erections, ejaculation and the emergence of a near-unstoppable sex drive, females’ is defined by periods. And the possibility of unwanted pregnancy. When do we explain the miraculous nuances of their anatomy? When do we address exploration, self-knowledge?

No wonder that according to the largest survey on American sexual behavior conducted in decades, published in 2010 in The Journal of Sexual Medicine, researchers at Indiana University found only about a third of girls between 14 and 17 reported masturbating regularly and fewer than half have even tried once. When I asked about the subject, girls would tell me, “I have a boyfriend to do that,” though, in addition to placing their pleasure in someone else’s hands, few had ever climaxed with a partner.

Boys, meanwhile, used masturbating on their own as a reason girls should perform oral sex, which was typically not reciprocated. As one of a group of college sophomores informed me, “Guys will say, ‘A hand job is a man job, a blow job is yo’ job.’ ” The other women nodded their heads in agreement.

Frustrated by such stories, I asked a high school senior how she would feel if guys expected girls to, say, fetch a glass of water from the kitchen whenever they were together yet never (or only grudgingly) offered to do so in return? She burst out laughing. “Well, I guess when you put it that way,” she said.

The rise of oral sex, as well as its demotion to an act less intimate than intercourse, was among the most significant transformations in American sexual behavior during the 20th century. In the 21st, the biggest change appears to be an increase in anal sex. In 1992, 16 percent of women aged 18 to 24 said they had tried anal sex. Today, according to the Indiana University study, 20 percent of women 18 to 19 have, and by ages 20 to 24 it’s up to 40 percent.

A 2014 study of 16- to 18-year-old heterosexuals — and can we just pause a moment to consider just how young that is? — published in a British medical journal found that it was mainly boys who pushed for “fifth base,” approaching it less as a form of intimacy with a partner (who they assumed would both need to be and could be coerced into it) than a competition with other boys. They expected girls to endure the act, which young women in the study consistently reported as painful. Both sexes blamed the girls themselves for the discomfort, calling them “naïve or flawed,” unable to “relax.”

According to Debby Herbenick, director of the Center for Sexual Health Promotion at Indiana University and one of the researchers on its sexual behavior survey, when anal sex is included, 70 percent of women report pain in their sexual encounters. Even when it’s not, about a third of young women experience pain, as opposed to about 5 percent of men. What’s more, according to Sara McClelland, a psychologist at the University of Michigan, college women are more likely than men to use their partner’s physical pleasure as the yardstick for their satisfaction, saying things like “If he’s sexually satisfied, then I’m sexually satisfied.” Men are more likely to measure satisfaction by their own orgasm.

Professor McClelland writes about sexuality as a matter of “intimate justice.” It touches on fundamental issues of gender inequality, economic disparity, violence, bodily integrity, physical and mental health, self-efficacy and power dynamics in our most personal relationships, whether they last two hours or 20 years. She asks us to consider: Who has the right to engage in sexual behavior? Who has the right to enjoy it? Who is the primary beneficiary of the experience? Who feels deserving? How does each partner define “good enough”? Those are thorny questions when looking at female sexuality at any age, but particularly when considering girls’ formative experiences.

We are learning to support girls as they “lean in” educationally and professionally, yet in this most personal of realms, we allow them to topple. It is almost as if parents believe that if they don’t tell their daughters that sex should feel good, they won’t find out. And perhaps that’s correct: They don’t, not easily anyway. But the outcome is hardly what adults could have hoped.

What if we went the other way? What if we spoke to kids about sex more instead of less, what if we could normalize it, integrate it into everyday life and shift our thinking in the ways that we (mostly) have about women’s public roles? Because the truth is, the more frankly and fully teachers, parents and doctors talk to young people about sexuality, the more likely kids are both to delay sexual activity and to behave responsibly and ethically when they do engage in it.

Consider a 2010 study published in The International Journal of Sexual Health comparing the early experiences of nearly 300 randomly chosen American and Dutch women at two similar colleges — mostly white, middle class, with similar religious backgrounds. So, apples to apples. The Americans had become sexually active at a younger age than the Dutch, had had more encounters with more partners and were less likely to use birth control. They were also more likely to say that they’d first had intercourse because of pressure from friends or partners.

In subsequent interviews with some of the participants, the Americans, much like the ones I met, described interactions that were “driven by hormones,” in which the guys determined relationships, both sexes prioritized male pleasure, and reciprocity was rare. As for the Dutch? Their early sexual activity took place in caring, respectful relationships in which they communicated openly with their partners (whom they said they knew “very well”) about what felt good and what didn’t, about how far they wanted to go, and about what kind of protection they would need along the way. They reported more comfort with their bodies and their desires than the Americans and were more in touch with their own pleasure.

What’s their secret? The Dutch said that teachers and doctors had talked candidly to them about sex, pleasure and the importance of a mutual trust, even love. More than that, though, there was a stark difference in how their parents approached those topics.

While the survey did not reveal a significant difference in how comfortable parents were talking about sex, the subsequent interviews showed that the American moms had focused on the potential risks and dangers, while their dads, if they said anything at all, stuck to lame jokes.

Dutch parents, by contrast, had talked to their daughters from an early age about both joy and responsibility. As a result, one Dutch woman said she told her mother immediately after she first had intercourse, and that “my friend’s mother also asked me how it was, if I had an orgasm and if he had one.”

MEANWHILE, according to Amy T. Schalet, an associate professor of sociology at the University of Massachusetts, Amherst, and the author of “Not Under My Roof: Parents, Teens, and the Culture of Sex, ” young Dutch men expect to combine sex and love. In interviews, they generally credited their fathers with teaching them that their partners must be equally up for any sexual activity, that the women could (and should) enjoy themselves as much as men, and that, as one respondent said, he would be stupid to have sex “with a drunken head.” Although she found that young Dutch and American men both often yearned for love, only the Americans considered that a personal quirk.

I thought about all of that that recently when, driving home with my daughter, who is now in middle school, we passed a billboard whose giant letters on a neon-orange background read, “Porn kills love.” I asked her if she knew what pornography was. She rolled her eyes and said in that jaded tone that parents of preteenagers know so well, “Yes, Mom, but I’ve never seen it.”

I could’ve let the matter drop, felt relieved that she might yet make it to her first kiss unencumbered by those images.

Goodness knows, that would’ve been easier. Instead I took a deep breath and started the conversation: “I know, Honey, but you will, and there are a few things you need to know.”

Complete Article HERE!

The Ultimate Guide to Pregnant Sex

By Lauren Katulka

Takeaway: The nine months of pregnancy bring with them a host of coital challenges, but with our handy guide you can enjoy good loving during any trimester.

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You’ve just received the happy news that you’re expecting and you’re feeling more connected to your partner than ever. Although those nine months of pregnancy can be a challenging time to be a woman, that doesn’t mean you need to sacrifice time between the sheets. Read on to discover the difficulties you might face during each trimester, and how you can overcome them to experience some of the best sex of your life.

First Trimester Fun

It wasn’t too long ago that you were getting down to business on a regular basis, but now that you’ve got a bun in your oven you might be thinking of sex less often. The first trimester can leave you exhausted and morning sickness can make you feel far from sexy.

Just know that you’re not alone. A waning libido is only natural as your body stops sending signals to pass on your genes. You’re also feeling the maternal urge to protect your tiny offspring. Even if the doctor assures you sex is safe, a mother’s instinct might have you second-guessing hanky-panky.

During the first trimester it’s good to remember that sex doesn’t have to mean intercourse. If you’re not feeling up to going all the way, perhaps you could rediscover the joys of outercourse or even a simple massage. Touching one another and talking about your desires can ensure you stay close to your partner through these challenging months. (Get some tips in Double the Fun! 5 Hot Tips on Self Touch for Two.)

You don’t have to take intercourse off the table though. Sex during pregnancy has plenty of perks, including better sleep and a feelings of wellbeing . Sex during these early months can also be really enjoyable, even if you don’t feel up to it from the outset. Allow yourself to be seduced with an open mind and you might be surprised how much fun you’ll have.

Steam It Up in the Second Trimester

Many women say their second trimester is their favorite part of pregnancy. The fatigue and morning sickness are gone and your libido has returned. Your genitals will also be constantly engorged and lubrication is increased. These changes can make you feel more open to sex and can maximize your enjoyment.

Your changing body can be a bit of a stumbling block though. A baby bump and the extra curves that come with it may take some getting used to, but it’s important to take pride in these changes. Your awesome body is building a baby! (Get some tips on body confidence in 6 Steps That’ll Help You Love Love Love Your Naked Self.)

Urinary tract infections can also curb your sexual activities for a while. Pregnant women are more likely to contract these painful problems, and they can have nasty implications for pregnancy and your sex life. Don’t ignore painful urination or cramps; see a doctor as soon as you notice these symptoms. An untreated UTI can bring on early labor, so it’s crucial that you act quickly.

Connect in the Third Trimester 002

We hope you enjoyed your second trimester, because the third might be tough. That cute little baby bump has grown so large many women find that it feels impossible to get comfortable. And your estrogen and progesterone levels are at their highest.

This is the perfect time to remember the tactics you used to get through your first trimester. You might not always feel like intercourse, but sex can take many forms. Communicate about how you’re feeling so that you can stay close to your partner, even if you aren’t getting as close physically.

Oh, and with that big bump in the way, it can be difficult to get as close as you might like. Sex might seem daunting, but there are ways to work around your new body shape. Women on top and rear entry positions are ideal. See our article on safe, sizzling sex positions for pregnant women for enough inspiration to spice up this final trimester.

Your bump is also a real reminder that baby is on board, and men can struggle with this. However, doctors insist that no matter how hung your man is, his penis can’t possibly go through the cervix, amniotic sac and placenta. In simple terms, sex is totally safe for the little one (and good for you). For normal pregnancies, sex also won’t cause miscarriages or preterm labor.

And Another Thing

While sex is safe for most pregnant women, those with high-risk pregnancies should exercise caution and consult their doctor if they have any concerns. More important than sex itself is the intimacy this act can foster between new moms and dads. If you can get steamy during this time, go for it. If not, make sure you talk about your feelings and remember to show your affection in other ways. This will help couples deepen their connection with each other before the new addition to the family.

Complete Article HERE!