Strictly according to the example provided as a layout for writing.  Prepare Clinical Policy Manual for LTC (Long Term Care Facility ) for corporate-wide implementation that addresses situations such as  given in case scenario.

Include guidelines for facility staff and recommendations for communicating with family members in the procedure manual.

You must observe and consider and  generate  recommendations  as a response to the case provided  scenario.  It must be a policy  which considers  cases from the Patient Rights position.  The LTC  resident has the rights.  More precisely the dementia resident has their own ETHICAL RIGHTS for SEXUAL ACTIVITY, PROTECTION, AND DETERMINATION OF CAPACITY.

For example: In matters of sexual behavior by LTC residents with dementia, three fundamental rights are in focus.

First, in America, all persons who have reached the age of consent (varying by state from 16-18 years) have the right to consensual sexual activity, and are presumed to have the capacity to consent, absent evidence to the contrary.

Second, all persons have the right to not have consented-to sexual aggression directed at them. LTC facilities have been found liable as third parties in cases involving RRSA leading to abuse, and are expected to take steps to mitigate the risk of unwanted RRSA that may lead to abuse.29

Third, the right to an authentic process by which LTC professionals evaluate capacity for consent by individuals with dementia in LTC engaging in sexual activity. It must be a guidance for all parties who are involved  –  LTC Nursing,  LTC Administration and Resident Families members in order to stay on the same page.