This article presents 10 concepts geriatric rehabilitation specialists
should understand in order to address quality of life issues related
to the sexuality of their patients. These concepts are: change is cons
tant; demographics affect sexual opportunities; societal attitudes and
the attitudes of health care workers influence patient sexual behavio
rs; age-related changes in sexual function are normal; sexual fitness
does not mean ''use it or lose it''; sexual enhancement is possible at
any age; sexual adaptations can be made to accommodate illness or inj
uries; nursing and retirement homes present special problems and oppor
tunities; rehabilitation specialists should develop a comfortable clim
ate in which patients can discuss sexual issues; and resources are ava
ilable.