THE SIGNIFICANCE OF INTIMACY AND INTIMATE RELATIONSHIPS IN ASSISTED LIVING

Abstract

AbstractIntimate relationships are rarely studied in the context of older adults’ care arrangements, particularly in long-term care settings. Consequently, little is known about the availability and effects of intimacy in the lives of long-term care residents. Addressing this gap, this paper focuses on the intimacy experiences of older adults residing in 8 diverse assisted living (AL) communities. We analyze data drawn from a five-year NIA-funded qualitative study (R01AG044368) guided by the “Convoys of Care” model. Previous analysis of study data shows that most residents experience some form of intimacy in their day-to-day lives. Yet, a range of multilevel factors influences intimacy and many have unmet intimacy needs in these settings. Building on this work, our aim is to understand how the presence and absence of intimacy influences residents’ lives, relationships, and care experiences in AL. Findings show that some AL residents sought out, created, and maintained intimacy through a variety of interaction and relationships and with other residents, family, and care staff. Residents who had companionship, particularly involving physical interactions, felt it enhanced their quality of life and care. In some instances, such companionship created conflict within care networks. Mostly, however, formal and informal caregivers experienced relief and satisfaction when residents established intimate connections, including friendships. Many residents desired, but lacked outlets for intimacy, which frequently led to feelings of loneliness, isolation, and sadness. This outcomes was particularly prevalent among men. Our findings imply the need for a holistic model of care that takes into account and addresses intimacy needs.