SPIRITUALITY AND

SEXUALITY
IN ELDERLY
Ns. SOFIA RHOSMA DEWI

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SPIRITUALITY

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WHAT IS
SPIRITUALITY?
It is not religion but religion can be a
means of understanding and
fostering spirituality
Every person has a spiritual
dimension but not everyone is
religious
Communication is at the heart of
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SPIRITUALITY
No universal definition
Give the person source of
meaning, value and sense of inner
and outward connectedness
Spiritus ---- breathing
Spirituality who we are and how
we are in the world and like
breathing it is essential to human
existence
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WHY IS IT SO
DIFFICULT TO
DEFINE??
Because its unique to
each unique individual
A complete sense of
physical , mental,
social and spiritual well
being
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Why is it relevant for older

people?

Ageing bring many things some more

positive than other
An altered health state will not be
cured by a simple surgical prosedure
or a short course of medical
treatment
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SUCCESSFUL
AGEING
The ability and oppoturnity to adapt to current
circumtance
The ability and oppoturnity to to form and sustain
confidential relationships
Occupation meaningful daily work with which to
engage the brain
The importance of activity - both mental and
physical
Spiritual oppoturnity and practice
Search for coherence
integration
Individuation
Continuity across the life span routine and ritual
Good health, strength, and vitality
The ability to manage change
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SPIRITUAL ASPECTS OF WORKING

WITH OLDER PEOPLE
Learning about lives help you think about your own
life
Okay to speak about God - easier with older people
Spiritual task is to try and understand the loss of
personality and retain choice
Listening carefully is spiritual task
Its great honours to learn about peoples live and
earn their trust
Working with families and helping families face
truth of situation
Coping with unexpected social behaviour
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SKILLS REQUIRED
Compassion

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FIRST FIND YOURSELF???

What do I believe in?

What give my life meaning?
What do I hope for?
Who do I love and who loves me?
What do I understand by te term spirituality?
How am I with other?
What would I change about my relationship?
Am I willing to heal the relationships that
trouble me?
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SPIRITUAL ASESSMENT
Oh no, not
another form to
fill in?

SPIRITUAL ATTITUDE I
NVENTORY (SAI)

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SOME THOUGH
If medicine involve
the recovery of the
body, spiritual care
involves the recovery
of the patients as a
person
It is not about doing
something but about
being there
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SEXUALIT
Y IN
ELDERLY
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SEX &
SEXUALITY
Sex refer to physical aspect,
particulary the act of sexual intercouse
Sexuality has broader meaning, not
only the physical but also social and
mental aspect

Sexuality underpin much of who

and what a person is and has a
significance throughout someone
life
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FELLACIES OF SEXUALITY IN
ELDERLY
Sexuality simply doesnt exist

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FACT ABOUT SEXUALITY IN ELDERLY

Many older people
engaged in their
sexual activities
until their eighty
and ninety

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FACT ABOUT SEXUALITY IN ELDERLY

62% men and 30% women over 80
had recent sexual intercouse
(Bertchneider & Scott, 2012)
30% of elderly had had recent sexual
activity and 67% were satisfied with
current level of sexual activity
(Mathias, 2011)
46% of oldest man reported orgasm
at least once a month (Helgason,
2012)
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PROBLEM ENCOUNTERED
TIME RELATED FACTORS

1. Delay in arousal, with greater need

of genital simulation
2. Reduced penile rigidity and vaginal
lubrication
3. Loss of sensation of ejaculatory
inevitability
4. Increasing anorgasme
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PROBLEM ENCOUNTERED
MEDICAL FACTORS
1. Drugs which can cause impotence or lack of
libido
2. Disease which lead to impotence
3. Surgery of prostate or uterus
4. Physical bariers (ex. Catheters)
5. Poor mobility
6. Change of body image
7. Depression, leading to loss of interest in sex
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PROBLEM ENCOUNTERED
PSHYCOSOCIAL FACTORS

1.
2.
3.

Having no partner
Lack of privacy
Social conditioning

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STRATEGIES FOR SEXUAL

PROBLEM
1. For women --- estrogen therapy,
replacement hormon therapy,
lubricant
2. Urinary incontinence --- intermittent
chateterization, pelvic floor exercise
3. For men --- medication
4. Men with indwelling chateter --using condom or suprapubic
chateter
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Question ???

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