Sexuality and intimacy in long-term care : a taboo subject in focus

Introduction: Sexuality and intimacy are essential to human well-being, but often overlooked in seniors, especially in long-term care. This neglect can lead to shame, loneliness, and psychological distress, reducing quality of life. Aim: The aim of this study is to identify nursing interventions that enable nurses to support seniors in expressing their sexuality within long-term institutions. Methods: A systematised literature research was conducted in the CINAHL Complete and MedLine databases between July and December of 2024. Eight relevant studies were selected, summarised, critically appraised, and their levels of evidence assessed. Results: The analysis revealed that sexuality and intimacy remain vital to seniors’ well-being, but are often marginalised in care. Common barriers include institutional constraints, professional attitudes, and seniors’ own challenges. Educational interventions and structured tools, such as the PLISSIT model, proved effective in improving staff attitudes and encouraging open and respectful communication. Conclusion: To address these needs professionally, nursing staff require appropriate training, ethical guidance, and a supportive environment. Sustainable improvements also depend on broader structural changes and further research to evaluate the long-term effectiveness and practical implementation of such interventions in everyday care.