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Assisted-living facilities limit older adults’ rights to sexual freedom, study finds

Georgia State University

senior intimacy

ATLANTA — Older adults in assisted-living facilities experience limits to their rights to sexual freedom because of a lack of policies regarding the issue and the actions of staff and administrators at these facilities, according to research conducted by the Gerontology Institute at Georgia State University.

Though assisted-living facilities emphasize independence and autonomy, this study found staff and administrators behave in ways that create an environment of surveillance. The findings, published in the Journals of Gerontology: Social Sciences, indicate conflict between autonomy and the protection of residents in regard to sexual freedom in assisted-living facilities.

Nearly one million Americans live in assisted-living facilities, a number expected to increase as adults continue to live longer. Regulations at these facilities may vary, but they share a mission of providing a homelike environment that emphasizes consumer choice, autonomy, privacy and control. Despite this philosophy, the autonomy of residents may be significantly restricted, including their sexuality and intimacy choices.

Sexual activity does not necessarily decrease as people age. The frequency of sexual activity in older adults is lower than in younger adults, but the majority maintain interest in sexual and intimate behavior. Engaging in sexual relationships, which is associated with psychological and physical wellbeing, requires autonomous decision-making.

While assisted-living facilities have many rules, they typically lack systematic policies about how to manage sexual behavior among residents, which falls under residents’ rights, said Elisabeth Burgess, an author of the study and director of the Gerontology Institute.

“Residents of assisted-living facilities have the right to certain things when they’re in institutional care, but there’s not an explicit right to sexuality,” Burgess said. “There’s oversight and responsibility for the health and wellbeing of people who live there, but that does not mean denying people the right to make choices. If you have a policy, you can say to the family when someone moves in, here are our policies and this is how issues are dealt with. In the absence of a policy, it becomes a case-by-case situation, and you don’t have consistency in terms of what you do.”

The researchers collected data at six assisted-living facilities in the metropolitan Atlanta area that varied in size, location, price, ownership type and resident demographics. The data collection involved participant observation and semi-structured interviews with administrative and care staff, residents and family members, as well as focus groups with staff.

The study found that staff and administrators affirmed that residents had rights to sexual and intimate behavior, but they provided justifications for exceptions and engaged in strategies that created an environment of surveillance, which discouraged and prevented sexual and intimate behavior.

The administrators and staff gave several overlapping reasons for steering residents away from each other and denying rights to sexual and intimate behavior. Administrators emphasized their responsibility for the residents’ health and safety, which often took precedence over other concerns.

Family members’ wishes played a role. Family members usually choose the home and manage the residents’ financial affairs. In some instances, they transport family members to doctor’s appointments, volunteer at the facility and help pay for the facility, which is not covered by Medicaid. They are often very protective of their parents and grandparents and are uncomfortable with new romantic or intimate partnerships, according to staff. Administrators often deferred to family wishes in order to reduce potential conflict.

Staff and administrators expressed concern about consent and cognitive impairment. More than two-thirds of residents in assisted-living facilities have some level of cognitive impairment, which can range from mild cognitive impairment to Alzheimer’s Disease or other forms of dementia. They felt responsible for protecting residents and guarding against sexual abuse, even if a person wasn’t officially diagnosed.

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Co-authors of the study, Georgia State alumni, include Christina Barmon of Central Connecticut State University, Alexis Bender of Ripple Effect Communications in Rockville, Md., and James Moorhead Jr. of the Georgia Department of Human Services’ Division of Aging Services.

The study was supported by a grant from the National Institute on Aging at the National Institutes of Health.

Read the study HERE!

Complete Article HERE!

How I Spent My Summer Vacation

Hey sex fans!

I’ve been away. Did ya miss me? Yeah, I’ll bet.

Last Sunday, 07/24, I woke up feeling a bit wonky. Couldn’t quite put my finger on why I was feelin’ out of sorts; I just was. But I had a swell outing planned for the day, so I couldn’t flake. A couple of friends and I were planning on taking the ferry to Bainbridge Island for lunch. The weather was perfect for our little cruise across Puget Sound.

Bainbridge ferry

My friends and I met at Pikes Market, a famous landmark here in The Emerald City, and we walked to the ferry from there. I walk about four miles every day so the 15-minute walk should have been a breeze for me. But something was wrong. I felt lethargic and winded.

pikes market

The 35-minute ferry ride was magical, as always, but upon disembarking and walking to the restaurant I began to really hurt. Not one to spoil the fun I marshaled my resources and made it to lunch.

The walk back to the ferry was excruciating. I was lightheaded, slightly nauseous, and completely winded. My heart was pounding like it wanted out of my chest. My companions became as worried as I was.

Once we docked in Seattle I had to once again disembark then walk to public transportation and to home. I was in a panic. The crush of the crowd around added to my distress. I thought for sure I was gonna faint, or barf, or worse. I was certain that my lungs were gonna give out on me. After many stops to catch my breath and buckets of sweat from the effort I finally made it home.

I’ve been monitoring my blood pressure for several months. (Ya gotta do this when you’re old, like me.) So once at home, I took a reading. My blood pressure was normal, but my pulse was unusually low, a reading of 49 to be precise. A couple of hours later it was 45. This was odd. I had never experienced anything like that before.  Mostly my pulse rate hovers in the upper 70s and low 80s.

I felt much better on Monday. But come Tuesday, I was a total wreck. The least bit of exertion left me exhausted and prostrate. I knew it; my lungs were finally giving out. I put in a call to my doctor and got an expedited appointment for the very next day.

Tuesday’s blood pressure readings were slightly elevated, which was great, but my pulse was way down. I took several readings and each was in the mid 30s never over 40. I still didn’t get it. (This is probably why I’m not a brain surgeon.)

Wednesday turned out to be a nightmare. Unbeknownst to me I was about to began a headlong descent into the maw of the medical industry.

My doctor’s appointment was at 10:30am. The doc took one look at me and ordered an electrocardiogram (EKG). “HOLY SHIT!” She exclaimed. (Or something to that effect.) “How is it that you’re still standing?”

Needless to say, this got my attention right quick. “What?” I inquired. “Although you are not having a heart attack you are this close to the pearly gates. Your pulse is about to flat line, you monkey!” My doctor stuttered. (Ok, maybe she didn’t mention the pearly gates, or call me a monkey, but that was her drift for damn sure.)

Maybe it was the stress or shock of it, but I started to laugh. My doctor asked; “What’s so funny?” I said; “Did you ever see the movie, Death Becomes Her? Remember the scene in the emergency room?”

She gave a faint smile and said; “Yeah, I get it, but this is no laughing matter. Get thee to the Emergency Room ASAP!”

Off I went.

I got to Swedish Hospital (First Hill) Emergency Reception just before noon. The guy behind the desk asked what was wrong with me. I said; “Basically, I’m having a heart attack.” Apparently those are the magic words because the team swung into action. I was admitted immediately, blood was drawn, another EKG, x-rays were taken, and I was hooked up to a heart monitor. Diagnosis: Bradycardia with second-degree heart block.

You need a pacemaker IMMEDIATELY!

We’ll get you a room on the cardiac ward at our Cherry Hill campus, which is just a mile away, as soon as one is available.”

“Oh, OK, I guess,” said I as the severity of the situation finally began to dawn on me. As you can see, I’m not the sharpest pencil in the box.

The fact is, I’m more versed in facing my mortality than the average person, what with the decades of death and dying work that I have done. But let me tell you, staring into the abyss is still daunting.

Back in the emergency room I was laying on a gurney with electrodes and wires sprouting from my chest and back. I lay there for hours listening to the cries, screams, and moans of my fellow emergency patients. Codes blue and grey are being called with regularity and I can just imagine the human misery that surrounds me.

At 5:00pm one of the emergency nurses tells me that a room at the cardiac ward will be available at 7:00pm. “But, 7:00pm is the changing of the shift. So the soonest we could get you there is 7:30pm.”

7:30pm comes and goes. “What’s up?” I ask. “We’re trying to locate transport for you.” Was their retort. “But the Cherry Hill campus is just a mile away. I could walk there from here.” I countered. “But you need a special ambulance, one with a nurse on board, one that can monitor your heart in transit.” “You gotta be kidding!” Said I. “Not at all. You could flat line on the way to Cherry Hill and we’d be liable. Don’t worry, Richard, we will surely have the transport by 10:00pm.”

AMR

The transport didn’t actually arrive till 12:30am. That was twelve and a half hours on a gurney in the ER! And the fun is just beginning.

I finally get to the Cherry Hill campus at 1:00am. I am ushered into a room where I am then interrogated for 45 minutes. (Are you now, or have you ever been…) They called it an intake, but a rose by any other name. I haven’t eaten since breakfast at 5:00am the previous day with only water to drink. Now, even the water was being withheld. I guess they anticipated I would have my procedure later that (Thursday) morning.

swedish cherry hill

Not so fast there buckaroo!

Thursday dawns, but nothing happens. I’m confined to my bed (the second worse bed in the world. The first being the ER gurney I left yesterday) and am attached to a heart monitor. I am faint from hunger and more than a little dehydrated. By noon they decide they need to feed me lest the hunger and dehydration kill me before the arrhythmia.

I scarfed down my lunch like a dying man…mostly because I was.

Allow me to pause my narration for a moment and comment on the cardiac nursing staff. They are superb! And even that superlative leaves me wanting. These women are freakin’ rock stars in my book. One in particular, Nurse Jen, totally got me. We both had the same gallows humor. She is my hero.

Eric Williams

Eric Williams, MD, FHRS

Late Thursday afternoon Dr. Williams, a cardiac electrophysiologist, saunters into my room. He’s gonna be doing the cutting on me. He is a tall handsome black man with the most unassuming manner. He looks me in the eye and talks to me like I’m a human. I’m super impressed with his bedside manner. He tells me my blood work and enzymes are excellent. My x-rays show that my heart isn’t enlarged. (But wait! Every one tells me I have a huge heart.) And there’s no sign that I had a heart attack. We talk about the pacemaker and the procedure. He tells me it’s about the size of a silver dollar. (When I actually see the blasted thing the next day, just before they shove into my chest, I have to wonder where Dr. Williams gets his silver dollars.) The procedure is very routine; he tells me. “Yeah sure, for you maybe.” It’ll last approximately 45 minutes, during which I will be enjoying twilight anesthesia. “Twilight anesthesia, huh? That sounds delightful.” Better living through chemistry, I always say.

I get a sedative Thursday night to help me sleep in my little bed of torture. And nothing by mouth after midnight. (Oh no! Not that again.)

Friday morning my nurses prep me for surgery. First, they have to shave my manly chest, don’t cha know. Nurse Jen takes the lead with a maniacal gleam in her eye.  This is more than a little awkward and also maybe a wee bit kinky.

Finally the fateful hour arrives. I get a second IV stent, because apparently one is not enough for these folks. Then I’m wheeled down to the bowels of the building where I disappear into one of the surgery suits.

1pacemaker0129

Does this look like the size of a silver dollar? I don’t think so.

Two hours later I’m back in my room dopey as all get-out, but still kickin’.

I’m home now, i’m happy to report. They liberated me on Saturday, 07/30, afternoon. And I am only slightly worse for the wear. I have a very distinctive slash across my left pectoral. There’s an unsightly bulge just below it.  It looks like i’m growing a third breast. And a nasty purple and brown bruise that runs from my shoulder to my sternum and from my collarbone to my nipple. I sound like a real attractive guy, huh?

The Moral Of The Story
Life-is-not-a-dress-rehearsal
My friends, life is short! Ought we not live every day like it’s our last? I think so. I have decided that I will try to be more kind to myself and those around me. Because, ya know what?  In a twinkling of an eye, it can and most assuredly be over.

wake up and live

The End

10 Mind Blowing Ways To Improve Your Sex Life Like You Never Have Before

By Sasha Godman

man & woman

It has never defined me as a person, but my sexuality is a big part of who I am, I’ve always considered myself lucky to be so sexually free, co-workers, one night stands, it was all for fun. No one got hurt and not once did I sense impending danger.

Then that way of thinking was totally obliterated. In saying that, I bounced back so fucking well, people that I’ve confided in ask me if I’m alright and they give me a look of disbelief because I’ve got a drink in one hand, a smoke in the other and a smile on my face. I am doing well. I’m reassessing not only what makes me happy, but what will make 2015 a year of unforgettable sex.

1. Forget porn.

Un-see everything you’ve typed into your pornhub search. You don’t have headphones in, trying to fap as silently as possible, you’re with a living, breathing person, kiss everything, nibble everything, lick everything, in saying that…

2. Communicate.

Your clit isn’t as sensitive as he may assume? The best kind of hand job involves the mouth? We’re not mind readers, orgasms are so much more achievable when we abandon our embarrassments and outline what gets our rocks off.

3. Foreplay matters yo.

As much as I just want to climb on top of my boyfriend the moment I see him after a week hiatus, it’s not only hotter, but healthier (and a higher chance of orgasming!) to lengthily explore each others bodies before undergoing the main event.

4. Embrace lube!

I’m a little bit embarrassed to admit that I was just shy of my 23rd birthday before I even thought about purchasing a bottle of lube, but all I know now is that hand jobs will never be the same again. Just sayin’.

5. Look each other in the eye.

Whether it’s a casual hook-up or the culmination of a long awaited encounter with someone you deeply care about, sex reaches an incredibly intimate level when we forsake our anxieties over the dumb cum faces we’re pulling and we can actually look at the person we’re sharing pleasure with.

6. Sober sex is best sex.

Sure there is an indescribable level of horniness that alcohol seems to boost, but sober sex is 100% more focused and less sloppy.

7. Conjure a fuck-it list.

Why keep things private? Whether it’s a sacred document you’ve created with a partner or you have solo fantasies that you want to embark on, what’s the worst that could happen? Sex in the back row of the Foxcatcher screening* wasn’t as hot as I thought it would be, oh well, we tried! Tick!

*I am in no way encouraging sex in Events Cinemas or any other dignified establishment; these expeditions are just the spice of life and are not completely unheard of.

8. You’re not an Olympian.

Some positions work better than others, but it’s not always necessary to incorporate as many switches as possible, you’re not in a marathon. See number 2.

9. We’re all perverted little humans.

Can I take a photo while I’ve got you all tied up? Being attentive to each others desires is key to awesome sex, that and consent.

10. Sometimes sex doesn’t happen.

Sometimes he’s not hard enough, she’s not wet enough, sometimes it’s just nicer to hold hands or dry hump ourselves into bliss.

Sex can mean as a little or as much as you want it to, all I’ll say is that being comfortable within yourself should hit a big, mandatory tick before you embark on your ventures.

Complete Article HERE!

How to Do Kegels Without Getting a Bulky, Manly Vagina

By:

How to Do Kegels Without Getting a Bulky, Manly Vagina

Unless you’re living under an unfuckable rock, you’ve obviously heard of your Kegels. You might even already be doing them a few times a week in the hopes of toning your pelvic floor, keeping your bladder in check, or turning your otter pocket into a delicate vise that firmly grips anything that dares to lovingly enter it. If you aren’t yet doing Kegels, it might be because you have the same fear that many women do before starting an exercise regimen: Will it make me look mannish? While some doctors might dismiss your deeply held concern as “ridiculous” or even “what are you talking about”, experts confirm that improperly-done Kegels can make your muscles become bulky, beefcake-y, and super manly. No thanks! Here are the best ways to use kegels to keep your snatch sexy, slim, and ultra-feminine:

1. Use the right pussy weight.
They look like hella fancy jade tampons and you can find them pretty much anywhere: Amazon, Craigslist, Goodwill. No matter your budget or sanitation standards, you can find something weighted and sphericonical to shove into the ol’ love canal. Just be sure that no matter what you do, you get the pink, purple, or glittery ones. The last thing you need is to end up with a pelvic floor that purposely wipes wing sauce on your shirt during football games all because you popped some navy blue or slate-gray eggs into your lady hole. Yikes!

2. Don’t add liquid calories with sugary lube.
When you insert your weights, be sure to use a low carb, high-protein lube. If you can afford to splurge on the gluten-free variety, even better. Choosing a lubricant that has too much sugar and fat is just gonna pack on the pussy pounds and before you know it your once-demure munchbox will be shopping for Gold’s Gym posing tank tops and challenging strangers to arm-wrestling matches on the street.

3. Low weight + High reps = Tight, feminine poon.
For a lean vagina, high reps with a low weight is key. Aim for five sets of 1,000 reps; 50–75 times a week. You can literally do them from the time you wake up until the time you pass out from exhaustion and loneliness, as long as you’re using something that weighs less than a dwarf hamster. If you go for low reps and a higher weight, say, something in the guinea pig range, you run the serious risk of developing a rippling, meaty eight-pack of a punani; the kind that rips off its TapOut shirt in public while screaming, “YOU WANNA GO THEN?!? LET’S GO!! COME AT ME, BRO!!”

4. Remember to breathe, but not too hard.
You might have heard that slow, even, deep breaths are best while Kegeling. This is a really common misconception; one that will lead you down the road of an aggressively full-bodied and overly aggressive vagina. You want to keep your breaths airy, shallow, and helpless-sounding. Restricting the flow of oxygen to your pelvic walls will help them stay sexy, trim, and delicately taut. Remember: This exercise is for you and also him!

5. Do it right, do it tight.
Nothing is more important than proper form. You NEVER want to perform Kegels in street clothes, old gym shorts, or comfy sweatpants. If you don’t have access to a full line of Lululemon apparel, lacy Victoria Secret underwear will do. Another option is to squeeze out your reps while completely nude and covered in rose petals that have been misted with vanilla oil. Again, that’s optional, but remember: Your pussy shouldn’t look like it’s killed a man with its bare hands before!

Now that you’ve got the basics down, it’s time to get to work—just don’t work too hard or you could get a bodybuilder of a salami-hider! Remember, if you feel the burn, you’re doing wayyy too much! Or you should call your doc; could be the clap. Happy sweating!

Complete Article HERE!

Studies offer insight into evolution of monogamy in mammals

By Meeri Kim

Scientists have long wondered why a small minority of mammals, including some humans, have evolved into monogamous creatures, and two studies provide new information but give different answers.

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One group of scientists, who looked only at primates, found that the impulse for males to protect their offspring from infanticide by rival males was the trigger for monogamy. That study was published in Proceedings of the National Academy of Sciences.

The other study, which focused on more than 2,500 species of mammals, said males form pairs with females to protect their mates. That situation arose, the study published in the journal Science said, because females lived spread apart from one another, making the risk of leaving a vulnerable female too great.

For researchers tackling the monogamy question, here was the fundamental puzzle: Males, by sticking with one partner, seemed to lose out on the chance to father lots of children; gestation periods, after all, can be long in female mammals. That explains why most mammalian species don’t follow the one-partner rule. But for the roughly 5 percent that do, what caused monogamy to evolve?

Both groups of researchers studied the DNA sequences of animals alive today and traced the evolutionary tree to answer the question. They tracked how species were related and when species branched off.

One long-standing hypothesis — that having a father on hand to help raise and protect the child swayed mammals toward monogamy — was debunked by both groups. A two-parent system is a consequence, not a cause, of staying faithful, they concluded.

“First, you become monogamous, and then you are stuck, so you might as well help raise the child,” said Eduardo Fernandez-Duque, a University of Pennsylvania anthropologist who was not involved in the studies. He called the wealth of new data “very exciting.”

The Science paper said females started living far from one another as they competed for a better diet.

“Females changed their diet to foods of higher quality that were clumped and defended that food more aggressively,” University of Cambridge zoologist Dieter Lukas said. This led to large, exclusive territories, each containing one female, rather than territories that overlapped.

The males had no choice but to follow that distribution. A male mammal could not successfully defend more than one female because of risk of injury or predation, and then he would lose the paternity he had just gained, Lukas said.

However, the researchers found no association between monogamy and infanticide, which the PNAS paper cited as the primary reason monogamy evolved.

That paper looked at 230 species of primates, about a quarter of which are monogamous; the analysis included people, classifying them as monogamous and polygynous, a mating system involving one male with two or more females.

“Infanticide is a real problem, particularly for social species,” said University College London anthropologist Christopher Opie, senior author of the PNAS paper.

Living in an advanced social system requires a large brain to deal with the complexities of relationships, Opie said. The downside of a big brain is slower infant development and longer lactation periods to foster brain growth — meaning more opportunities for a rival male to kill the child and impregnate the female.

This gives males an evolutionary advantage for sticking with the child, to ward off intruding males.

Even though the primary incentive for mammals becoming monogamous differed, “quite a number” of the Science and PNAS papers’ conclusions are “similar,” said Tim Clutton-Brock, senior author of the Science paper and a University of Cambridge zoologist. He called it a “chance phenomenon” that both groups were investigating such a similar topic.

Fernandez-Duque said that how species were classified in each study could possibly explain the differences in the results. The Cambridge report focused more on the social behavior of animals by separating species into three groups: solitary, socially monogamous and group-living.

However, the other group used mating system as its classification, tagging each type of primate as monogamous, polygynous or “promiscuous, meaning multiple males and multiple females,” Opie said.

He said he finds an issue with the Cambridge classification because of its focus on social, rather than mating, habits.

“You can’t have a breeding system that is solitary,” he said. “You can’t do that on your own.”

Also, the Science paper included evolutionary trees from a variety of mammals, including wolves, jackals, beavers, meerkats and primates.

Complete Article HERE!