spirituality and sexuality
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SPIRITUALITY AND
SEXUALITY IN ELDERLY
Ns. SOFIA RHOSMA DEWI
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PIRITUALITY
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WHAT ISSPIRITUALITY?
It is not rei!ion "#t rei!ion $an "e a%eans o& #nderstandin! and
&osterin! spirit#ait'
E(er' person )as a spirit#adi%ension "#t not e(er'one isrei!io#s
*o%%#ni$ation is at t)e )eart o&
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SPIRITUALITY
No #ni(ersa de+nition
,i(e t)e person so#r$e o&
%eanin!- (a#e and sense o& innerand o#tard $onne$tedness
Spirit#s //// "reat)in!
Spirit#ait' )o e are and )o
e are in t)e ord and i0e"reat)in! it is essentia to )#%ane1isten$e
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WHY IS IT SO
DIFFI*ULT TODEFINE??
• 2e$a#se it3s #ni4#e toea$) #ni4#e indi(id#a
• A $o%pete sense o&p)'si$a - %enta-so$ia and spirit#a e"ein!
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W)' is it ree(ant &or oderpeope?
• A!ein! "rin! %an' t)in!s so%e %orepositi(e t)an ot)er
• An atered )eat) state i not "e$#red "' a si%pe s#r!i$a prosed#reor a s)ort $o#rse o& %edi$atreat%ent
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SU**ESSFULA,EIN,
• T)e a"iit' and oppot#rnit' to adapt to $#rrent$ir$#%tan$e
• T)e a"iit' and oppot#rnit' to to &or% and s#stain$on+dentia reations)ips
• O$$#pation 5 %eanin!&# dai' or0 it) )i$) to
en!a!e t)e "rain• T)e i%portan$e o& a$ti(it' / "ot) %enta and
p)'si$a
• Spirit#a oppot#rnit' and pra$ti$e
• Sear$) &or $o)eren$e
• inte!ration
• Indi(id#ation
• *ontin#it' a$ross t)e i&e span 5 ro#tine and rit#a
• ,ood )eat)- stren!t)- and (itait'
• T)e a"iit' to %ana!e $)an!e
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SPIRITUAL ASPE*TS OF WOR6IN,WITH OLDER PEOPLE
• Learnin! a"o#t i(es )ep 'o# t)in0 a"o#t 'o#r oni&e
• O0a' to spea0 a"o#t ,od / easier it) oder peope
• Spirit#a tas0 is to tr' and #nderstand t)e oss o&personait' and retain $)oi$e
• Listenin! $are&#' is spirit#a tas0
• It3s !reat )ono#rs to earn a"o#t peope3s i(e andearn t)eir tr#st
• Wor0in! it) &a%iies and )epin! &a%iies &a$etr#t) o& sit#ation
• *opin! it) #ne1pe$ted so$ia "e)a(io#r
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S6ILLS RE7UIRED
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*o%passion
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FIRST FIND YOURSELF???
• W)at do I "eie(e in?
• W)at !i(e %' i&e %eanin!?
• W)at do I )ope &or?
• W)o do I o(e and )o o(es %e?• W)at do I #nderstand "' te ter% spirit#ait'?
• Ho a% I it) ot)er?
•
W)at o#d I $)an!e a"o#t %' reations)ip?• A% I iin! to )ea t)e reations)ips t)at
tro#"e %e?
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SPIRITUAL ASESSMENT
• SPIRITUAL ATTITUDE IN8ENTORY 9SAI:
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O) no- notanot)er &or% to
+ in?
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SOME THOU,H
• I& %edi$ine in(o(et)e re$o(er' o& t)e"od'- spirit#a $are
in(o(es t)e re$o(er'o& t)e patients as aperson
• It is not a"o#t doin!so%et)in! "#t a"o#t"ein! t)ere
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SEXUALIT
Y INELDERLY
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SEX ;SEXUALITY
• Se1 re&er to p)'si$a aspe$t-parti$#ar' t)e a$t o& se1#a inter$o#se
• Se1#ait' )as "roader %eanin!- noton' t)e p)'si$a "#t aso so$ia and
%enta aspe$t
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Se1#ait' #nderpin %#$) o& )o
and )at a person is and )as asi!ni+$an$e t)ro#!)o#t so%eonei&e
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FELLA*IES OF SEXUALITY IN
ELDERLY
Se1#ait' si%p' doesn3t e1ist
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FA*T A2OUT SEXUALITY IN ELDERLY
• Man' oder peopeen!a!ed in t)eir
se1#a a$ti(ities#nti t)eir ei!)t'and ninet'
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• <=> %en and @> o%en o(er @)ad re$ent se1#a inter$o#se92ert$)neider ; S$ott- =@B=:
• @> o& eder' )ad )ad re$ent se1#aa$ti(it' and <C> ere satis+ed it)$#rrent e(e o& se1#a a$ti(it'
9Mat)ias- =@BB:• <> o& odest %an reported or!as%
at east on$e a %ont) 9He!ason-
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FA*T A2OUT SEXUALITY IN ELDERLY
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PRO2LEM EN*OUNTERED
B. Dea' in aro#sa- it) !reater needo& !enita si%#ation
=. Red#$ed penie ri!idit' and (a!ina#"ri$ation
. Loss o& sensation o& ea$#ator'ine(ita"iit'
. In$reasin! anor!as%e
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TIME RELATED FA*TORS
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B. Dr#!s )i$) $an $a#se i%poten$e or a$0 o&
i"ido
=. Disease )i$) ead to i%poten$e
. S#r!er' o& prostate or #ter#s
. P)'si$a "ariers 9e1. *at)eters:
. Poor %o"iit'
<. *)an!e o& "od' i%a!e
C. Depression- eadin! to oss o& interest in se1
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PRO2LEM EN*OUNTERED
MEDI*AL FA*TORS
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B. Ha(in! no partner=. La$0 o& pri(a$'
. So$ia $onditionin!
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PRO2LEM EN*OUNTERED
PSHY*OSO*IAL FA*TORS
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STRATE,IES FOR SEXUALPRO2LEM
B. For o%en /// estro!en t)erap'-repa$e%ent )or%on t)erap'-#"ri$ant
=. Urinar' in$ontinen$e /// inter%ittent$)ateteriGation- pe(i$ oor e1er$ise
. For %en /// %edi$ation
. Men it) indein! $)ateter ///#sin! $ondo% or s#prap#"i$$)ateter
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Question ???