Objective: To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process.
Method: A qualitative research study, conducted at the neurogeriatric clinic between May of and May of An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory.
Results: Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefining of sexuality. Final considerations: Family development and marital life, the aspects of formation and development of sexuality, the specifics that involved living and caring for the other were understood, with successive events and changes influenced by old age, dementia, beliefs and social imagery.
According to The World Alzheimer Report , it is estimated that there are This number will almost double in 20 years, and the disease could reach Dementia generates progressive cognitive losses, physical and mental incapacity, with possible difficulties for maintenance of conjugal sexuality. Without viable alternatives, or when family skills and resources are insufficient to handle the necessary adaptations, a strong tendency towards individual and family disorganization is evident, with negative consequences for the couple's care, well-being, and sexuality.
In this context, the nurse's attention to the sexuality of the elderly spouse-caregiver is relevant, especially regarding the exchange of information and support for the diseases that may interfere with the development of their own sexuality, or in the sexual contact with the caregiver 2.
