Primary Education Topic:
Caregiving
What will it take for our country to care for its older adult caregivers?
By Mercedes Bern-Klug
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@agespecific
Primary Education Topic:
Caregiving
What will it take for our country to care for its older adult caregivers?
By Mercedes Bern-Klug
read more
Primary Education Topic:
Policy and Advocacy
How might the coming nexus of aging and diversity affect entitlement programs, the social safety net and geopolitical priorities? Will it give us intergenerational and interethnic tensions, or lead to new coalitions based on need rather than age, income and race?
By Juan Fernando Torres-Gil
By 2050, the United States will be both much older and majority-minority. The nexus of these two trends will lead to a shifting political landscape for aging, which may mean more competition based on age and ethnicity/race or coalitions of advocacy groups based on need.
read more
We have been advocates for technology solutions that support the ability of seniors to successfully age in place since we started Senior Care Corner®.
That includes technology that enables family caregivers to provide the level of care they want while still having time to meet their own needs.
We are not advocating technology for the sake of technology, but because we understand there are many things it can do for seniors in making their lives better, some now but even more in coming years.
Not everyone sees that and many tech companies are newcomers to that vision.
Tech Companies ‘Finding’ the Senior Market
When we saw the needs of seniors being overlooked when we would cover CES® each year, we told tech companies they were making a mistake in assuming older adults wouldn’t buy or use their innovations.
So many times we were told by “experts” and family members of seniors that “older adults won’t use smartphones” and more. Now we are hearing just the opposite, which is reflected in surveys — not to mention observation of older adults everywhere we go.
Now even the largest technology companies are recognizing the potential sales they would be missing by not targeting the senior market. Some are designing products for seniors, but many more are realizing that seniors can and will use the same products they developed with younger consumers in mind.
Many of the products and ideas we have seen and heard will provide real benefits to seniors, but others seem to be solutions in search of problems. Not every innovation is successful, of course.
Click on the ▷ below to play the podcast (note: you can continue reading while you listen if you want)
Some Tech Companies Never Needed to ‘Find’ the Senior Market
There are a number of technology companies that never had to find the senior market or realize older adults have real needs that tech can help them meet.
We have encountered and reported on several of these, smaller companies typically started out of a desire by their founders to solve a problem they observed while caring for, or just being with, older family members.
Theirs are not solutions in search of problems, but products developed as labors of love to solve a real problem.
One such company is MobileHelp®, a Florida-based company that says it is America’s leading provider of mobile personal emergency response technology.
Rather than tell you what they do, we will let you hear them explain in their own words. Five years ago we interviewed Chris Otto, who was MobileHelp’s VP of Product Development at the time and is now Senior VP of the Healthcare Division. You can hear that interview as part of an earlier podcast (also linked below). Chris provided us a great introduction to the company, their approach, and their innovative products.
Dennis Boyle, MobileHelp President & COO
Since then we have been following MobileHelp, watching as their products and services evolved, including hearing their presentations at CES. When we heard they have an innovative new product for seniors, we reached out to them to learn more.
We are pleased to be able to share with you our recent conversation with Dennis Boyle, MobileHelp’s President and Chief Operating Officer. He caught us up on what they have been doing and introduced us to the MobileHelp Smart, their mobile medical alert system in a smart watch.
We enjoyed speaking with Dennis and appreciate him taking time out of his schedule to educate us — and you — about the MobileHelp Smart.
Links Mentioned in this Episode
For more information about the MobileHelp Smart and their other devices, visit the MobileHelp website
MobileHelp Healthcare Solutions website
To get more information about purchasing a MobileHelp device by phone, call 800-800-1710
Our earlier conversation with Chris Otto of MobileHelp on the Senior Care Corner Podcast
We hope you enjoyed this episode of the Senior Care Corner Podcast and found the conversation with Dennis to be as informative as we did.
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I own and wear several pairs of Loake shoes and they always seem popular with readers of this blog. The company has now launched a new range, Loake 1880 Legacy, which is designed to celebrate Loake’s legacy as English shoemakers since three brothers; John, Thomas and William Loake, opened the first Loake factory in 1880.
Derwent black calf derbies from Loake Legacy range (details of outfit below) [Image Nyetimber]
Combining traditional shoemaking techniques with high quality materials, the range is made in Kettering and contains a number of classic derbies, oxfords, brogues, penny loafers, monk straps and Chelsea and chukka boots. They are Goodyear welted and made on a last engineered to provide increased instep support so that they can be worn all day. Vegetable tanned linings add to the comfort and they come with leather and rubber soles. Elegant and comfortable, they can be found in leather and suede in a variety of colours.
I mention my new shoes on Instagram
I’ve been wearing a pair of Derwent black calf derby with a brogued toecap. Elegantly shaped, they were immediately comfortable and are ideal for semi-formal or casual use, coming also in burnished conker. Priced at £240 to £270, they are available now at Loake shops and stockists.
To celebrate the launch of their Loake 1880 Legacy Collection, customers purchasing a pair of shoes or boots from the Legacy range either in store or from the online shop this weekend will also receive an exclusive Golden Ticket! This will reveal a complimentary gift from the Loake range up to the value of £245, to be redeemed in store or by contacting Loake direct at their factory in Northamptonshire. Valid at participating retail outlets only. Please visit www.loake.co.uk/legacy to find out more.
Details of my outfit above (image taken at the launch of Nyetimber 1086 prestige cuvee English made sparkling wine): Velvet jacket: Favourbrook Pocket square: Geoff Stocker Trousers: Susannah Hall Tailor
This post is a collaboration with Loake.
We all want to live the rest of our lives in the home of our dreams. In fact, 3 out of 4 adults want to age in place according to a recent AARP report, 2018 Home and Community Preferences.
Unfortunately, many adults fear that this won’t be possible for them. Family caregivers worry about their senior loved ones ability to safely and financially age in place.
The AARP report found that “59% anticipate they will be able to stay in their community, either in their current home (46%) or a different home still within their community (13%). “
What are options for you and your senior loved one to remain in either their current home or community that would enable them to age in place as they wish?
Will your senior need accommodations to their current home, downsizing, or renovation? Will in-home care be possible in their current location or would they have availability of family caregivers to help? Can their needs be met in their current community (age-friendly, walkable, or accessible)?
The survey found options that are becoming more viable and desirable, some of which might surprise you.
Non-Traditional Options for Aging in Place
There are many strategies that can be put into place starting right now that will help enable your senior loved one to remain in place as they age.
The AARP report found that seniors are willing to explore these options, including some new ideas that are beginning to gain traction as viable solutions.
They found that adults were willing to try home sharing (32%), building an accessory dwelling unit (31%), and moving to villages that provide services that enable aging in place (56%).
We have heard about NORCs (Naturally Occurring Retirement Communities); granny pods that can sit on the property of family caregivers to give independence and family support; assisted living facilities which allow for extra care and no home maintenance; and, continuing care retirement communities (CCRC) that can give care transitions in one living location as traditional options for seniors who desire a more supportive community as they age.
However, home sharing is a new preference, one that is beginning to catch on, with agencies designed to help you and your senior either share their home or find a suitable home. The costs of living are shared, the space is shared at the same time companionship is gained.
There are older adults who wouldn’t consider home sharing (28%), as well as some who might consider it in the future if the need arose for help with transportation or other tasks (58%). Half would consider this option for the sole purpose of companionship.
We may see those numbers rise in the future, especially among those aging alone.
In the survey, many older adults expressed a desire to relocate and also downsize specifically because their home requires renovations or maintenance that they aren’t willing to do but would be necessary for aging in place.
What Do Seniors Desire to Age in Place?
The AARP survey also asked adults about the experience of aging in place. What do they need to feel successful and safe?
Some of the results are not surprising, as we have been hearing for some time the importance of some of these factors. The trick is finding what they desire as many cities are still struggling to be age-friendly.
Seniors want affordable housing as they age (60%) and transportation especially for those who are disabled, according to the survey results. Currently, 90% of seniors drive themselves, but they also want public transportation, walking areas, and the ability to be transported by others to get where they want to go. Having all options available as they age is important to consider.
Ride sharing services such as Uber and Lyft are another option, but only 29% of older respondents report using them, although 94% were familiar with them. Only 68% felt they would use them within the year due to perceived lack of need or safety and privacy concerns. In addition, 88% have heard of driverless cars but are not willing to use autonomous vehicles. We anticipate this statistic will change as the vehicles attain broad familiarity and acceptance.
They also want access to jobs and job training for seniors and people with disabilities.
Half (50%) also say that they would want volunteer opportunities with transportation to those sites.
Being in proximity to a hospital, healthcare professionals, and safe parks were also high on the list of desires.
They would like walkable cities with easy to read traffic signs and well-maintained streets and sidewalks.
33% of adults feel that they have a need for companionship as they age (3 in 10) and feel left out or isolated. Most adults surveyed (94%) reported having someone they knew to call in a time of need day or night.
Family Caregivers Help to Make Dreams a Reality
The wants of our seniors who wish to age in place are really no different from those of younger adults. We all want to live in our homes as long as possible, want access to transportation to remain independent, want accessibility in all things, and to remain socially engaged.
How can this be possible for our seniors? There are things caregivers can do now to help facilitate aging in place.
Begin now to achieve universal design in the home. Thinking ahead about what makes a home livable now and in the future so that you can make changes that will be useful at any age can be done now. Changing to lever handle faucets, installing adequate lighting, maintaining the dwelling so that it isn’t a safety risk, putting the bedroom on the main floor, and other design traits will make the home easier to age in place.
Educate seniors about the benefits of ride sharing and autonomous vehicles so that they will be ready to use these services if the time comes when they could benefit from them. Also discuss the possibility of home sharing if they need support with their finances, companionship or help with daily tasks. There are numerous benefits to home sharing beyond financial to consider.
Connect them with technologies that will allow them to remain safe at home, engage with others to reduce the feeling of social isolation, and give you (the family caregivers) peace of mind through privacy-maintaining monitoring of their health and well-being when you are not present.
Advocate for livable, age-friendly communities. What does their locale need for them to remain in their community as they age and how can you be proactive in helping to achieve that?
Encourage them to stay healthy through physical activity, healthy eating, adopting preventive health habits, and disease management so that they can maintain the highest quality of life to stay independent.
Help them manage their finances and plan for aging in place so that they can afford housing, pay for upkeep of their home, seek appropriate medical care and medications as needed, eat a healthy diet, purchase technology, and pay for home health care as needed.
Successful aging in place takes planning on both your senior’s part and yours as a family caregiver.
Learning about what your senior expects as they age in place so you can help them meet those expectations may be your first step towards helping them achieve their dreams.
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Ettinger has launched Capra, its first goat leather collection for many decades. In the company’s earlier days goatskin, known for its suppleness and durability, was used for various products which are still to be found in the Ettinger archive. The colour range was then limited, but now the Capra Collection comes in chocolate, black, marine blue and white.
As mentioned in my previous blog feature here, I was in Florence earlier this year to help launch the Capra Collection and the photo above was taken of me with a chocolate Capra portfolio. I’ve also been using a white Capra card case since that time and found the goat leather to be durable and with a lovely texture to it. The white gives the product a nicely heritage feel, reminiscent of the thirties and forties. All are, of course, very well made at Ettinger’s factory in Walsall in the English Midlands (see my previous feature, link above).
Available in a range of accessories, from the folio through wallets and purses to key rings, the Capra Collection can be found at various stockists or online at Ettinger here.
This feature is part of a collaboration with Ettinger whose guest I was at Pitti Uomo. I was not paid for this piece.
Primary Education Topic:
Business & Aging
Other Education Topics:
Caregiving
Mental Health & Aging
Policy and Advocacy
The Aging and Disability Business Institute aims to make sure Community-Based Organizations have the tools, applications and finances necessary to put today’s innovations to work for communities nationwide.
By Ty Johnson
From new enhanced patient interaction to interactive health information exchanges, technology has innovated many aspects of what Community-Based Organizations do and the Aging and Disability Business Institute aims to make sure these CBOs have the tools, applications and finances necessary to put today’s innovations to work for communities nationwide.
read more
Primary Education Topic:
Health & Wellness
Other Education Topics:
Healthcare & Aging
Legal & Ethical Issues
Policy and Advocacy
West Health is partnering with many of the brightest and most innovative leaders in the fields of aging, senior nutrition and healthcare to advance a strategy to provide comprehensive malnutrition care to seniors in their homes and communities.
By Brenda Schmitthenner, Jessa K. Engelberg, Andrea M. Morris, Amy Herr, Kai Oliver-Kurtin and Cheryl Hassoldt
Malnutrition disproportionally affects seniors, with up to 1 out of every 2 at risk for malnutrition, and disease-associated malnutrition in seniors is estimated to cost $51.3 billion annually.
read more
Little is scarier to a family caregiver of a senior loved one than to watch them fall and feeling helpless.
Rushing to their side and hoping they are not injured is all we can do in the moment.
The numbers of seniors who fall every day is quite astounding. Actually, 1 in 4 people over 65 fall each year.
Falls for older adults can mean injury (such as bone fractures or traumatic brain injury), hospitalization, or even death.
Shockingly, every 20 minutes a senior dies from a fall. That MUST be unacceptable to us!
A real threat to being able to age in place as our seniors age is falling.
Causes of Falls
Older adults are at risk for falling anyplace and anytime. However, there are proven ways to reduce falls.
There are several preventable causes of falls, including physical and environmental factors that are present for most all aging adults.
Physical Culprits
Changes in our seniors’ bodies as they age can lead to falls.
Impaired vision and hearing
Declining physical health and chronic disease
Slower reflexes
Loss of sensation in feet
Physical pain
Dropping blood pressure especially when getting up or changing position (hypotension)
Illness
Dehydration (leading to confusion)
Medication usage – taking more than four medications increases risk. Changing medication – new drugs, increasing or decreasing doses can put seniors at jeopardy.
Declining muscle strength and balance can increase the potential for falling
Environmental Culprits
The environment in which they live only adds to the danger when obstacles that cause falls are put in our senior’s path.
Inadequate lighting
Clutter
Too much furniture
Electric cords
Throw rugs
Slippery flooring
Spills or wet spots
Small pets and their toys
Steps
Quick Tips To Reduce Home Hazards to Defeat Falls
No particular action can guarantee that your senior won’t fall.
However, everything you do to overcome dangers — physical and environmental — will reduce the likelihood of falls and the injuries that can result.
Remove clutter and throw rugs (or tape them down securely)
Install adequate lighting, including motion activated lights, nightlights
Install grab bars
Put handrails on both sides of stairs in home and porches
Complete home repairs, especially uneven flooring, wobbly railings, or broken walkways
Place everyday items in their reach, especially in the kitchen and bathroom
Clean spills immediately, repair any leaks that result in wet floors
Remove ladders and step stools
Wear shoes, non-skid socks, or slippers in house
Move electrical cords out of walkways and any place they could get under foot
Get your senior’s vision and hearing checked and encourage use of adaptive aids
Encourage adequate fluid intake to prevent dehydration and related confusion
Monitor medication administration for safety, throw away all expired and unneeded medicines
Help them participate in balance training exercises
Set up an exercise plan that incorporates activities they love, weight bearing activity, and core strength building
Help them eat well to maintain strong bones and muscles
Remind them to use any assistive devices, such as canes or walkers, and ensure they are using them correctly
Encourage them to get enough sleep at night
Reminders and, potentially, more presence by others, especially during times of the day when at greater risk
Family caregivers can be helped to keep their seniors safer in their homes by using technology. There are many devices, including home monitoring, fall mats, medication reminders, home alerts, water temperature alerts to prevent scalding, automatic shutoff devices for stoves, and other devices that can sync with your smartphone to give you more peace of mind. More are on the way, too.
Some are specifically designed to help prevent falls and others are to keep them safe when completing tasks independently at home.
All types can make every day tasks easier, reduce fatigue, and limit seniors from situations that could leave to falls.
If your senior does have a fall, be careful assisting them up so that you don’t compound any injury. Check out our video on how to properly get a senior up after a fall.
While you can’t prevent every fall, you can be proactive in reducing and hopefully defeating falls!
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I’ve worn a lot of New & Lingwood over the last few months. I love their classic styles, spiced with daring touches for the bold and successfully fusing the best of English and Italian tailoring.
Their newly launched collection for autumn and winter continues the theme of the classically well-dressed gentleman. I have a very clear picture in my head of how the well-dressed gentleman looks. His clothes reflect his personality. They fit with a lived-in perfection that exudes comfort and sophistication. They certainly don’t have the featureless crispness of the sold-by-the-yard high street suit. Their character will show through in soft creases, moulding with perfect fit to the body, following the human form without dictating its shape or style.
Think of how men dressed in the fifties – as portrayed in films like The Crown and Phantom Thread, both of which inspired this collection. Men looked totally comfortable in their clothes. True, they wore suits or jackets and formal trousers most of the time so they became second nature.
Nowadays the well-dressed gentleman is helped to feel at ease in even formal clothing by high quality materials and construction methods. A favourite New & Lingwood suit of mine fits me with a casual effortlessness so that I’m fully at home in it. If you feel at ease with your clothes you are well on the road to looking every inch the well-dressed gentleman.
The classic feel to this collection comes from reinterpreting favourites like tweed, pleated trousers, Norfolk jackets, luxury knitwear and silk dressing gowns. High quality materials, cashmere, merino wool, camelhair and baby llama coats, add to the traditional yet very contemporary look. Fine details add to the timelessness – high quality linings, buttons, decorative flourishes.
Everything has, of course, a very English feel to it. This is inevitable for any collection carrying the theme of the well-dressed gentleman. Sartorially-minded men all over the world look to English tastes for inspiration.
As ever, New & Lingwood offer a choice of styles with the new collection. If you want to be bold and British, go for the the tartan suit or the bold overcheck (both pictured above). For more serene moments, wear the quieter pinstripes or tweeds – or you can mix and match with a bold pair of velvet trousers accompanying a traditional check jacket or a monochrome cashmere coat. All can be worn with a wide choice of shirts, gorgeous silk ties and soft knitwear. Colours vary from conventional blues, fawns and greys to bolder reds and brighter shades of green and yellow. Brighten a calmer look with a dash of colour in knitwear or trousers. No longer does a man have an excuse to dress with drab dullness.
Once again New & Lingwood have produced a collection that caters for the well-dressed gentleman who knows himself and wants to dress accordingly.
This feature is a collaboration with New & Lingwood.
Film festival and gastronomic event at The Aegialis Hotel and Spa, Amorgos, Greece
The post Fall Getaway: Amorgos Island, Greece, October 31 to November 5, 2019 appeared first on Healthy Aging ®.
Film festival and gastronomic event at The Aegialis Hotel and Spa, Amorgos, Greece
The post Fall Getaway: Amorgos Island, Greece, October 31 to November 5, 2019 appeared first on Healthy Aging ®.
I wasn’t able to get to Johnstons of Elgin‘s SS19 Collection show at London Fashion Week recently. They showed some menswear among the women’s collection. With designer Alan Scott they are showing how very light cashmere can be used for warm weather wear. Tissue weight cashmere and mesh construction and very fine cotton are created by Johnstons in Scotland. Sporty, colourful and beautifully constructed, they continue to produce the highest quality clothing using the latest techniques.
I love what they’re doing, but feel rather saddened that they are marketing to the younger man. Given the very classic and luxury feel to their collection they are missing out on the older, more sophisticated market. A year or two ago I saw their new and exciting designer approach as a possible British Brunello Cucinelli, whose clothes are so wearable by all ages. Johnstons seem to be taking a different direction now, but they’re a British brand that I can’t help but love and it’s good to see them doing so well and with such confidence. Johnstons of Elgin.
This is an unsponsored post.
Primary Education Topic:
LGBTQ Aging
LGBT older people are twice as likely to be single and live alone and four times less likely to have children.
By Jeanne Koller
Social isolation and inadequate support systems are trending topics in the field of aging, and unfortunately it seems that older adults in the LGBT+ community may be particularly at risk for both.
read more
Primary Education Topic:
Policy and Advocacy
Following the Sandy Hook shooting, a grassroots organization, Grandmothers Against Gun Violence, was founded in 2013 in Kansas/Missouri. Since then, chapters have arisen in states including Washington, Florida and Texas
By Teri Kennedy
read more
Journal of the American Geriatrics Society Research Summary
The number of people who live at home with Alzheimer’s Disease (AD), a brain disease that causes abnormal changes that kill brain cells, is expected to grow from 3.2 million today to more than 8 million in 2050.
Experts agree that we know very little about sexuality among people living at home with AD or other cognitive problems. Older adults who have cognitive problems that impact the way they think and make decisions may ask physicians to help managing sexual problems. And caregivers may ask physicians about sexuality in the older adults for whom they provide care.
One frequently asked question is: Do older adults always have the capacity to consent to sexual activity?
Researchers have previously shown that the majority of people aged 57 to 85 have a spouse or other intimate partner and, among those with a partner, most are sexually active. Having an active sexual life is linked to better physical and mental health, higher quality of life, and lower rates of loneliness.
To learn more about the connection between sexuality and cognitive status, researchers designed a new study. They analyzed data from the National Social Life, Health, and Aging Project to learn more about the relationship between sexual behavior, function, and cognition (people’s ability to think and make decisions). Their study was published in the Journal of the American Geriatrics Society.
Based on their study, the researchers reported that:
83 percent of men and 57 percent of women had an intimate partner. The more impaired participants’ abilities to think and make decisions were, the less likely they were to have an intimate partner.
Women with lower cognitive scores were less likely than men with lower cognitive scores to have intimate partners.
Nearly half of all men with dementia were sexually active, as were 18 percent of women.
Among people with an intimate partner, the majority of men (59 percent) and women (51 percent) with dementia were sexually active. More than 40 percent of partnered men and women ages 80 to 91 living with dementia were sexually active.
More than 1 in 10 people living with a partner reported feeling threatened or frightened by a partner. This finding was similar among women and men and across different levels of cognitive problems. Experts and guidelines call on physicians to screen for elder abuse (the mistreatment of older people, which can take many forms, including physical, emotional, and sexual abuse, financial exploitation, and neglect), including sexual abuse, but definitions of abuse and standards of consent for sex vary widely.
The researchers estimate that, among people living at home who are aged 62 and older, at least 1.8 million men and 1.4 million women with suspected or diagnosed dementia are sexually active. This number will more than double by 2050. However, rarely do these people (especially women) receive a physician’s counseling about sexual changes that may occur with dementia or other medical conditions.
The researchers suggested that these findings can inform improved counseling, treatment, and person-centered decision-making by physicians and other healthcare providers caring for people with dementia or Alzheimer’s disease.
Sexual activity is an important aspect of human function throughout your lifetime, said the researchers. They added that respectful care for older adults, including people with cognitive impairments, requires an understanding of sexual norms and problems—and effective strategies to manage sexual concerns with dignity.
This summary is from “Sexuality and Cognitive Status: a U.S. Nationally-Representative Study of Home-Dwelling Older Adults.” It appears online ahead of print in the Journal of the American Geriatrics Society. The study authors are Stacy Tessler Lindau, MD, MAPP; William Dale, MD, PhD; Gillian Feldmeth, BS; Natalia Gavrilova, PhD; Kenneth M. Langa, MD, PhD; Jennifer A. Makelarski, PhD, MPH; and Kristen Wroblewski, MS.
Journal of the American Geriatrics Society Research Summary
The number of people who live at home with Alzheimer’s Disease (AD), a brain disease that causes abnormal changes that kill brain cells, is expected to grow from 3.2 million today to more than 8 million in 2050.
Experts agree that we know very little about sexuality among people living at home with AD or other cognitive problems. Older adults who have cognitive problems that impact the way they think and make decisions may ask physicians to help managing sexual problems. And caregivers may ask physicians about sexuality in the older adults for whom they provide care.
One frequently asked question is: Do older adults always have the capacity to consent to sexual activity?
Researchers have previously shown that the majority of people aged 57 to 85 have a spouse or other intimate partner and, among those with a partner, most are sexually active. Having an active sexual life is linked to better physical and mental health, higher quality of life, and lower rates of loneliness.
To learn more about the connection between sexuality and cognitive status, researchers designed a new study. They analyzed data from the National Social Life, Health, and Aging Project to learn more about the relationship between sexual behavior, function, and cognition (people’s ability to think and make decisions). Their study was published in the Journal of the American Geriatrics Society.
Based on their study, the researchers reported that:
83 percent of men and 57 percent of women had an intimate partner. The more impaired participants’ abilities to think and make decisions were, the less likely they were to have an intimate partner.
Women with lower cognitive scores were less likely than men with lower cognitive scores to have intimate partners.
Nearly half of all men with dementia were sexually active, as were 18 percent of women.
Among people with an intimate partner, the majority of men (59 percent) and women (51 percent) with dementia were sexually active. More than 40 percent of partnered men and women ages 80 to 91 living with dementia were sexually active.
More than 1 in 10 people living with a partner reported feeling threatened or frightened by a partner. This finding was similar among women and men and across different levels of cognitive problems. Experts and guidelines call on physicians to screen for elder abuse (the mistreatment of older people, which can take many forms, including physical, emotional, and sexual abuse, financial exploitation, and neglect), including sexual abuse, but definitions of abuse and standards of consent for sex vary widely.
The researchers estimate that, among people living at home who are aged 62 and older, at least 1.8 million men and 1.4 million women with suspected or diagnosed dementia are sexually active. This number will more than double by 2050. However, rarely do these people (especially women) receive a physician’s counseling about sexual changes that may occur with dementia or other medical conditions.
The researchers suggested that these findings can inform improved counseling, treatment, and person-centered decision-making by physicians and other healthcare providers caring for people with dementia or Alzheimer’s disease.
Sexual activity is an important aspect of human function throughout your lifetime, said the researchers. They added that respectful care for older adults, including people with cognitive impairments, requires an understanding of sexual norms and problems—and effective strategies to manage sexual concerns with dignity.
This summary is from “Sexuality and Cognitive Status: a U.S. Nationally-Representative Study of Home-Dwelling Older Adults.” It appears online ahead of print in the Journal of the American Geriatrics Society. The study authors are Stacy Tessler Lindau, MD, MAPP; William Dale, MD, PhD; Gillian Feldmeth, BS; Natalia Gavrilova, PhD; Kenneth M. Langa, MD, PhD; Jennifer A. Makelarski, PhD, MPH; and Kristen Wroblewski, MS.