Module 5 Lesson 9. Changes in judgement Inappropriate sexual advances Mateo is in his late 70s, has dementia and lives with his family. Two days a week, an in-home aide, Camila, who is 22 years old, comes to help him take a bath and administer his medication. This arrangement has been working well for several months. One day, while preparing for his bath, Mateo makes some sexual remarks and tries to pull Camila close to him. Camila is shocked and surprised. She runs out of the room and tells the family that she can no longer work there 4. Check your understandingManaging more serious changes in judgement (3). What would you recommend to Mateo’s family? Please select all correct responses. Stay calm and tell Mateo that this behaviour is unacceptable. Explain who Camila is.Change the bathing situation. Perhaps Camila can set up a sponge bath and Mateo can do more himself.Change the environment. Put a towel or robe over Mateo’s shoulders while he is being bathed to keep him covered for privacy.Shout at Mateo, shaming him for his conduct.Ignore the situation.Check Stay calm and tell Mateo that this behaviour is unacceptable. Explain who Camila is. This option is a good one. Mateo’s family does not overreact because they remember it is the disease taking effect. They redefine the appropriate boundaries for Camila’s safety. Change the bathing situation. Perhaps Camila can set up a sponge bath and Mateo can do more himself. This is a good option. Letting Mateo do more himself will distract him. In this way, both Camila and Mateo’s dignity are maintained. Change the environment. Put a towel or robe over Mateo’s shoulders while he is being bathed to keep him covered for privacy. This is a good response. Perhaps because Mateo is naked, he misunderstands the situation. Shout at Mateo, shaming him for his conduct. This response is not good because as part of his dementia Mateo may not know that these advances are inappropriate. Therefore, try not to overreact. Ignore the situation. This response is not good because Mateo may continue to make inappropriate sexual advances and cause distress to Camila. Error: Please select at least one option.Please click ‘check’ to view the answers before continuing.Error: Please type your answers in the text box. Tip If the inappropriate advances continue, the family might want to consider hiring a male in-home aide instead of a female one which could prevent this behaviour. They also might seek help from a professional.