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I'm a geriatric clinical nurse specialist consulting with nursing homes. Many older adults in my practice have a strong desire for intimate relationships. I'm confident of my ability to educate staff and residents about physical and psychological aspects of sexuality. But I'm not so self-assured when staff members ask for my advice about handling certain delicate situations. For example:Should a resident be able to have a sexual relationship with someone other than his spouse?Should sexual relations be permitted if one partner has Alzheimer's disease?Should residents be allowed to obtain sexually explicit materials?I appreciate your thoughts.—B.P., KAN.