Aged Care Insite Issue 109 | Oct-Nov 2018 | Page 21

practical living and that they want to be able to empower and support their staff to be able to do the right thing, to be able to better support the needs of the people they’ve been trusted to care for and support in their facilities. That’s a good starting point. In terms of family, it’s always difficult, because often it may be that the father, or the mother, is in an aged care facility and the adult offspring are like, “Oh no.” They don’t see them as sexually active human beings. No one wants to think about their parents or their grandparents as sexual human beings or having sex. Of course, there are difficulties, but the important thing to remember is that it’s always about consent, and no one can consent on behalf of another person in terms of sexual touch or activity. Obviously, there are issues sometimes in terms of financial guardianship and things like that, and it is a very sensitive thing. It’s a thing that a lot of people haven’t spoken about before, but it is good that there’s more and more media. There are more and more discussions in the community and in these organisations and settings around: How do we sensitively talk about this and support people’s needs and maintain their dignity, and maintain everyone’s confidentiality and privacy and do it in a humane, caring, supportive environment? How do you address your services to those who are in wheelchairs or have mobility issues? People who utilise wheelchairs are sexual human beings just like anyone else. The first thing that’s important is that you ask. The individual person who may be in front of me, who is my client, knows their body best. The other training that Touching Base does is the Professional Disability Awareness Training, which we deliver for sex workers. We always talk about ‘when in doubt, just ask’. They’ve lived with their bodies their whole lives. They know their mobility limitations. They know how much pressure is good and what’s not good. They know about their mobility range, about being able to move legs in a certain direction or how far. They know if someone can weight-bear or not. It’s important to have open communication. In NSW sex workers work under the best reform, which is decriminalisation. It’s the best legal parameters, so we can openly talk about our services. Sex work in Australia is a legally recognised occupation, and each state and territory has different legal parameters, and decriminalisation is the best. What issues crop up when the elderly discuss sex and intimacy? By the time someone who is more mature or elderly is discussing topics like sex and intimacy with me, they’ve already had to jump through a number of hoops to be able to have that conversation. If there’s a third person or third parties who are supporting someone either through communication or through mobility issues, then, yeah, we’re already halfway there. Like I said before, it can be very confronting or difficult for the elderly to start talking about their sexual needs and their sexual expression and what they would like. You have to remember that the people who are currently living in aged care facilities, in nursing homes, and who are just in that same demographic bracket in society, were brought up in a time where sex wasn’t really discussed. We have to be really aware of that and not just expect everyone to know the lingo that’s on the street now which the younger generations are using. We have to be mindful of how people like to phrase things or talk about things. Once again, it’s about the staff and the support networks around them being able to give them good opportunities and openings, and to check their own prejudices and belief system at the door. And if you’re working in that kind of setting, that you give people the opportunity in a dignified, supportive and compassionate way to be able to open up and have these conversations, and to know that they can be trusted to be able to have these conversations in confidence. Finally, what’s the feedback been like from elderly clients or aged care staff? My clients who are in that demographic are very happy. Certainly, with Touching Base, with the inquiry form for the referral list for sex workers, a number of much older people have started using that form. It’s on our website so people can fill it in. Obviously, the sex workers on our referral list are happy, willing and able to see people with disability, but they are not the be-all and end-all. They just want our members at Touching Base who have put their names forward to say, “Yes, I already see people in this sector of society. I’m really happy to be referred.” We encourage people to use Google as well – “escort Sydney disability” is a simple Google search. Local newspapers, not so much anymore, but sometimes people use the Yellow Pages. Sometimes through referrals as well and friends. I’ve definitely had referrals from one client to another. Generally, people have been very happy. We do understand that it’s a brave new world. It’s an industry and an occupation that people may never have engaged with before. The best way is just open communication. Once again, in the workshop that Touching Base does, the Service Provider Awareness Training, we talk about how to assist someone in being able to set up an appointment, how to talk to a sex worker, what do sex workers look like, and what do we provide? We break it down so that it’s not just heteronormative as well, so sex workers are of all genders. We also have to be aware that clients are of all genders. We shouldn’t just be looking out for older men in aged care thinking that, “Oh, well, maybe one of them would like a sex worker,” because maybe people of other genders in the aged care facilities are also wanting sexual intimacy and to explore their sexual expression. One thing people need to consider is privacy. Not everyone in the aged care facility needs to know who I am or that I am a sex worker. For the individual who is paying me for the services, we have to remember that this is their home, this is their private space, and it doesn’t matter if I’m going in there to play chess or provide sexual services. Everyone else in the facility does not need to give permission. Another thing people need to consider is that there are no locks on the doors, or staff may be in a hurry and don’t knock. What happens when I want to go in there and we want to have private time together for an hour or two hours? It is important to be able to have a sign on the door to indicate there’s a session in progress. That can be incorporated into other things, like if someone has a podiatrist there or someone is getting a massage. These privacy policies and practices need to be looked at so people aren’t just barging into other people’s places. Also, some people may be early morning risers, and some may be up late. I’ve heard things before such as “no visitors after 10pm”. Well, for some people, maybe that’s the time they would like to see a sex worker. How do people incorporate that? I think it’s just about looking at individual needs, treating people with respect and dignity, having open communication, and understanding that it’s all based on consent between adults. ■ agedcareinsite.com.au 19