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Record W2729025512 · doi:10.1093/geroni/igx004.4265

INTIMACY, SEXUALITY AND DEMENTIA: THE LAST TABOO

2017· article· en· W2729025512 on OpenAlexaff
Simon Davidson, Mary Schulz

Bibliographic record

VenueInnovation in Aging · 2017
Typearticle
Languageen
FieldSocial Sciences
TopicElder Abuse and Neglect
Canadian institutionsAlzheimer Society of CanadaBaycrest Hospital
Fundersnot available
KeywordsDementiaTabooHuman sexualityPsychologyHealth careIntervention (counseling)NursingMedicinePsychiatrySociologyPolitical science

Abstract

fetched live from OpenAlex

The subject of intimacy and aging remains one of our last taboos. Factor dementia into this mix and one confronts many challenging practice dilemmas, often influenced by strong opinions, values and beliefs. Health care providers in all settings, but most notably in care environments where there may be privacy, consent and capacity concerns, face these challenges with very little support, few resources and much misinformation. A collaboration of clinical practice and dementia subject matter experts in one major metropolitan area has identified a need to help health care providers address issues of intimacy in their dementia care practice. Gaps exist in knowledge related to the appropriate application of consent and capacity laws as well as in a structured approach to assist health care providers in understanding what triggers, including a desire for intimate contact, might be influencing an individual’s behaviour and to offer a systematic approach to intervention. Resources have been developed to help health care providers to: a) reflect on their values, attitudes and beliefs in considering the rights of adults living with dementia to express their sexuality and need for intimacy; b) understand how personal beliefs may influence practice; c) learn person centred strategies to enhance the quality of life of persons with dementia in their care. This poster presentation will highlight the application of person-centred strategies and resources to increase staff skill and sensitivity when approaching challenging situations involving persons with dementia and the expression of their sexuality and need for intimacy.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.095
Threshold uncertainty score0.734

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.047
GPT teacher head0.368
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2017
Admission routes1
Has abstractyes

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