Exploring sexual dysfunction in care homes

Annette Hand*, Barry Hill

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Sexual needs and sexuality in older adults continues to be a neglected area of clinical intervention, particularly in longer term care settings. This is often due to older adults in long term care beds presenting with increased frailty, and often with significant neurocognitive disorders, making it difficult for care staff to evaluate the capacity of an older adult resident to participate in sexual activities or a sexual relationship. Talking about sexuality, intimacy and sexual health can be embarrassing at any age and sex is often still considered taboo for people who live in care homes. The World Health Organization recently declared that sexual health is a central aspect of life and that each individual has the right to love and be loved, to receive appropriate information and treatment, and to enable intimate relationships and personal control over sexual behavior. This chapter explores sexual behaviors, and barriers to this, in later life, and focuses on the sexual behavior of care home residents with Parkinson's disease. Reasons for sexual dysfunction, potential age-related changes to sexual functioning, along with issues such as changes to body image, intimacy and hyper sexuality, are examined for people with Parkinson's disease. Recommendations for practice are given, and acknowledge that older people may still want to be sexually active or intimate is the first step to addressing the issues and overcoming any barriers.
Original languageEnglish
Title of host publicationSexual Dysfunction in Parkinson's Disease
EditorsK. Ray Chaudhuri, Cristian Falup-Pecurariu, Miriam Parry
Place of PublicationCambridge, US
PublisherAcademic Press
Number of pages36
ISBN (Electronic)9780128211762
ISBN (Print)9780128211755
Publication statusPublished - 1 Apr 2022

Publication series

NameInternational Review of Neurobiology
ISSN (Print)0074-7742
ISSN (Electronic)2162-5514


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