Our continuing professional development (CPD) articles are designed to assist with your nursing skills and practice.
Older people in nursing homes are vulnerable to delirium, a condition causing confusion
Nurses have a crucial role in pain assessment for older people and those living with dementia
Why you should read this article: • To understand the importance of supporting the sexuality and sexual expression of people living with a dementia • To enhance your awareness of a new person-centred paradigm that can be used when undertaking conversations about sexuality and sexual issues • To recognise the issues related to sexual rights and consent that may arise in the care of people living with a dementia While sexuality is integral to being human and supporting sexual expression is fundamental to delivering person-centred care, many nurses find this area challenging. This is particularly true when working with people living with a dementia, irrespective of their age. However, it can be especially challenging in older adults. This article aims to support nurses in their work with individuals and couples living with a dementia. After briefly defining the term ‘sexuality’ and acknowledging the effects of the most common types of dementia, the article discusses the importance of person-centred conversations. It details a new person-centred paradigm that can assist nurses to learn about people’s sexuality and sexual wishes. Through enhanced understanding and increased objectivity, nurses can be better equipped to support people to continue living fulfilled sexual lives according to their choices and priorities. The article concludes by summarising the legal and professional context and nursing responsibilities involved in addressing sexuality with people living with a dementia, specifically when mental capacity becomes an issue.
Exploring the implications of increased longevity and how this is linked to type 2 diabetes
This article defines sexual health and explores the changes people experience in later life
Newcastle Model’s biopsychosocial framework is revisited to understand the caregiving context
Nurses need to be aware of the risk factors and identify at-risk patients
Clinicians do not always recognise depression in older people as they attribute symptoms to the ageing process and the effects of failing health. Similarly, older people do not always appreciate that their symptoms relate to their mood. Understanding how depression affects older people can improve access to support, thereby improving overall health and quality of life. To ensure these outcomes we need a workforce with excellent communication skills that supports therapeutic relationships, promotes recognition of symptoms, and enhances assessment, diagnosis, treatment and management.
How nurses can have a positive effect on the lives of people with COPD
Nurses can overcome communication barriers through thoughtful interventions
There is little doubt that opiates have transformed healthcare, particularly in relation to pain management. However, many patients prescribed this type of drug develop problems such as dependency. Although we do not know how many older people have developed such problems due to opiate use we know that some will. It is important for nurses to understand the context in which opiates are used, as well as the specific needs of older people and how to respond to them.
Case study examples of challenging ethical situations that might be encountered