Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of 2.0 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: This session will examine how the medical director and interdisciplinary team can provide a facility environment that allows for opportunities for healthy intimacy while protecting the rights and dignity of cognitively impaired residents. A series of modules that link brief didactic summaries with case-discussions will be utilized. Specific content of these modules will revolve around two management challenges. First is the issue of healthy intimacy, with respect to understanding resident needs and preferences surrounding sexuality, and designing a facility environment that overcomes potential barriers which include staff attitudes, structural aspects of long term care, and resident functional limitations. The discussion will engender both heterosexual and same-sex intimacy. Second is the approach to sexuality in dementia. Subtopics will include the definition of inappropriate versus appropriate sexual behavior, illustration of behavioral management techniques, and review of the limitations of pharmacological approaches. This segment will also examine ethical challenges such as competency for decisions regarding intimacy, perceptions of families, and extramarital sexual expression of a demented individual who has a non-demented spouse.
Appreciate the importance and dimensions of sexual expression in later life.
Design a facility environment that allows for healthy intimacy.
Manage issues of sexuality and the demented resident.
Discuss issues of capacity and consent as these relate to sexuality and sexual behavior.
Disclosure(s): Daniel Bluestein, MD, MS, CMD has no financial disclosures to report. Randall Wilson, JD has no financial disclosures to report. Patricia Bach, PsyD, RN has no financial disclosures to report.
Eastern Virginia Medical School