1. Geriatric Nursing: Sexuality and Aging
Sandy Mishkin, RN, BC, MSN, M.Ed.
©2008
As the textbook states, “Although the ability to reproduce diminishes with age, and the frequency and form of sexual activity are likely to change, the need for sexual affection does not disappear with aging” (text, p.200).

2. Factors That Affect Sexuality of Women and Men
Decreased levels of progesterone and estrogen
Dyspareunia-discomfort during intercourse
Serious concerns about HRT
Men
Erectile dysfunction

3. Factors that Affect Sexuality in Older Adults Generally
Illness
Medical and Psychiatric disorders
Medications
Antiinflammatory agents, digitalis, tranquilizers, diuretics, antihypertensives, antidepressants
Alcohol abuse
Loss of sexual partner
Fear, shame, embarrassment
Note box 16-1 on page 204 of your textbook entitled “Risk Factors Related to Sexual Dysfunction in Older Adults.”

4. Sexual Relationships Marriage at an older age Sexual orientation
Reaction of family members, especially children
Financial repercussions
Loss of pensions, insurance benefits
Sexual orientation
Older people “coming out”
Recognition of their sexual needs

5. Privacy and Personal Rights
Facilities now recognizing the right of older adults to engage in sexual activities
Allow privacy, opportunity
Special caution regarding individuals suffering from cognitive impairment
Protection from undesired physical contact
Respect for mutually agreeable physical contact
Please review the nursing care plan for sexual dysfunction on page 203 of your textbook.

6. References
Wold, G. (2004). Basic geriatric nursing (3rd ed.). St. Louis: Mosby.