Health and Assessment

Can you help me with my homework.
Anincreasing number of geriatric patients live in assisted living facilities. Please read this article fromThe New York Times,

and then consider interventions or educational programs that you might suggest for residents of an assisted living facility. Discuss your thoughts with your fellow students.
Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, zmeds,theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
Due Dates:
· Initial Post: Fri,Jun 24by 11:59 p.m. Eastern Standard Time (EST) of the US.
· Response Post: Sun,Jun 26by 11:59 p.m. Eastern Standard Time (EST) of the US-(the response posts cannot be done on the same day as the initial post).
· Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
· Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words Limits
· Initial Post: Minimum 200 words excluding references (approximately one (1) page)
· Response posts: Minimum 100 words excluding references.


Sex and the Single Senior

By Ezekiel J. Emanuel
• Jan. 18, 2014

WHAT is happening in retirement communities, assisted living facilities and nursing homes?
You might imagine quiet reading, crossword puzzles, bingo, maybe some shuffleboard. Think
again. Think about sex — unsafe sex.
The Department of Health and Human Services released a little-noticed report on Medicare a few
months ago that had this startling statistic: In 2011 and 2012, 2.2 million beneficiaries received
free sexually transmitted disease screenings and counseling sessions. And more than 66,000
received free H.I.V. tests.
The number of Medicare enrollees who took advantage of free S.T.D. tests is about the same as
the number who received free colonoscopies to screen for colon cancer, amounting to about 5
percent of all those on Medicare.
Numbers from the Centers for Disease Control and Prevention show rapid increases in S.T.D.’s
among older people. Between 2007 and 2011, chlamydia infections among Americans 65 and
over increased by 31 percent, and syphilis by 52 percent. Those numbers are similar to S.T.D.
trends in the 20- to 24-year-old age group, where chlamydia increased by 35 percent and syphilis
by 64 percent. Experts suggest there are four main factors contributing to the rise in S.T.D.’s
among older Americans.

First, retirement communities and assisted living facilities are becoming like college campuses.
They cram a lot of similarly aged people together, and when they do, things naturally happen. I
mentioned these numbers to a friend, and she was not surprised. When her father moved into an
assisted-living facility, she said, three women came by to introduce themselves within 30
minutes. And it wasn’t to compare Medicare pharmacy plans and premiums.
Second, older people are living longer and are in better health. As a result, they are remaining
sexually active much later into life. Several major surveys, including the National Social Life,
Health and Aging Project and the National Survey of Sexual Health and Behavior, report that
among people age 60 and older, more than half of men and 40 percent of women are sexually
But while they are having a lot of sex, seniors didn’t seem to get the safe sex memo, or when it
came through they ignored it because they did not think it applied to them. They obviously don’t
have to worry about pregnancy. And they grew up before the safe sex era. So seniors might think
they have no reason to use condoms. According to the 2010 National Survey of Sexual Health
and Behavior, among college-age Americans, condoms are used in about 40 percent of sexual
encounters, but only in about 6 percent of sexual encounters among those 61 and older. A study
published in the Annals of Internal Medicine showed that older men who use Viagra and similar
drugs are six times less likely to use condoms compared with men in their 20s.
Combine retirement communities, longer life, unfamiliarity with condoms and Viagra — and
what do you get? You get an S.T.D. epidemic among the Social Security generation that rivals
what we imagine is happening in those “Animal House” fraternities.
These S.T.D. numbers demand that seniors take responsibility for their actions.
Clinicians must be aware of these trends and not overlook S.T.D. screenings when treating older
patients. As you might expect, though, doctors are not very good at talking about sex in general
and protected sex in particular — especially to the elderly. If doctors aren’t having “the talk,” we
have to get safe sex counselors more involved at retirement communities and assisted living
facilities. These facilities could also consider making condoms readily available, as they often
are on college campuses.
We also need a big public health campaign on safe sex aimed not just at college students but at
older people who are living independently. Maybe the AARP can push its constituents to be
sexually responsible. Social Security could include some information on S.T.D.’s and how to use
a condom when it sends out checks. Come to think of it, these data mean there is an untapped
market: over 40 million Americans who are unfamiliar with latex protection. Maybe Durex and
Trojan can mail free condoms to every Social Security recipient?
An oncologist, vice provost at the University of Pennsylvania and contributing opinion writer.
A version of this article appears in print on Jan. 19, 2014, Section SR, Page 8 of the New York edition
with the headline: Sex and the Single Senior. Order Reprints | Today’s Paper | Subscribe
Sex and the Single Senior

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