Mr. Brown has moderate dementia and continues to live at home. His private caregivers have been quitting due to his sexually inappropriate behaviors.
Common response: When Mr. Brown makes sexually inappropriate suggestions that caregiver gets frustrated and takes offense ultimately declaring that she is going to quit.
Expert explanation: It is important to remember that sexually inappropriate behavior may occur because the person with dementia is lonely or bored. These behaviors can become more prominent during personal care. Maintaining professionalism and clear boundaries can help discourage the behavior.
Recommended response: Caregivers should wear professional attire such as scrubs. Redirect the conversation or activity if possible. If the sexually inappropriate behavior continues, it is appropriate to calmly but firmly tell the person that you are feeling uncomfortable and that the behavior is an appropriate.
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The project described was supported by Grant Number 1C1CMS330982 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies. This project was funded, in part, by the Archstone Foundation.