The need for closeness, tenderness, and intimacy does not disappear with age or the need for care. Nevertheless, this topic is still heavily tabooed in Switzerland. Time to change that.
A basic need that is often forgotten
When we think of care, medications, personal hygiene, and mobilization are usually at the forefront.
What is often overlooked: Sexuality and intimacy are fundamental human needs – regardless of age or health status.
Studies show that over 70% of people over 65 years are sexually active or desire intimacy.
However, the reality for people in need of care often looks different:
The topic is silenced, needs are ignored or dismissed as "inappropriate."
The challenges in everyday care
For people in need of care
- Loss of privacy due to care situations
- Physical limitations
- Feelings of shame towards caregivers
- Lack of opportunities for intimacy
For caregiving relatives
- Role change: from partner to caregiver
- Personal needs are put aside
- Uncertainty in dealing with sexuality
- Emotional and physical exhaustion
For professional caregivers
- Balance between professional distance and human closeness
- Lack of training on the topic of sexuality in care
- Dealing with sexual expressions or needs of patients
What Switzerland already offers
The good news: In Switzerland, there are increasingly more services that think about care and intimacy together.
Sexual companionship for people with disabilities
Professional sexual companions enable people with physical or mental limitations to experience intimacy.
This service is legal and is offered by specialized organizations.
Training for caregiving staff
Some Spitex organizations and nursing homes specifically train their staff in dealing with sexuality in the care context.
The goal is an open, respectful, and professional approach to individual needs.
Consultation services
Organizations like Pro Senectute offer consultations on sexuality in old age – both for those affected and for relatives.
Tips for relatives and caregivers
- Initiate the conversation
- Open communication about needs, wishes, and boundaries
- Respect privacy
- Knock, maintain intimacy, protect dignity
- Do not judge
- Sexual needs are normal – at any age
- Accept support
- Professional care can relieve and create space for intimacy
- Do not forget yourself
- Caregiving relatives also have their own needs
Finding the right support
Whether Spitex services that provide relief in everyday life or offers for caregiving relatives:
Professional support can help create space for closeness, intimacy, and togetherness again.
Looking for support with home care?
At https://pflegefinden.ch, you can receive free advice on Spitex services and family care in Switzerland.
An intelligent assistant answers your questions around the clock, discreetly and without obligation.
Conclusion
Intimacy and sexuality are part of life – even when care becomes part of everyday life.
As a society, we must break this taboo and provide people with the support they need.
Because a fulfilled life means more than just physical health.
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