Intimacy and institutionalized cognitive impaired elderly.

About 5% of the nation's elderly reside in nursing homes; many of these individuals experience varying levels of cognitive impairment. Although physical and nonphysical intimacy are important to their well-being, numerous structural and nonstructural barriers exist to their enjoyment of intimate relationships. Additionally, significant legal and ethical issues must be considered in the formulation of institutional policy and procedures to address the intimacy needs of cognitively impaired elderly residents. This article explores the barriers that exist and the models that have been suggested to guide institutional administrators and staff in evaluating residents' needs, and concludes with recommendations.