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Sexuality and intimacy, including contact, tenderness, and love, are important at every life stage. Intimate expression is especially vital at the end of life, when relationships with loved ones are time limited. Unfortunately, care providers often ignore the potential need for sexual expression, especially at the end of life. In this article, we consider current research on sexuality and end-of-life care and situate these two fields in an ecological framework. We explore how end-of-life sexuality and intimacy can be supported by practitioners in multiple nested contexts and provide suggestions for theoretically-driven interventions. We also provide reflexive considerations for practitioners.

People who divorce experience a number of negative impacts, and yet divorce also offers opportunities for growth and transformation. This qualitative study of older adult women offers the possibility that divorce may be sexually empowering, especially for women, based on in-depth interviewing of women who had gone through one or more divorces. Detailed examples of the experiences of fourteen women with divorce and sexual expression are offered, focusing on in which situations divorce might be empowering and how it could contribute to sexual exploration and satisfaction. Overall, for the fourteen women in the study who had experienced divorce, the quality of sex in the marriage impacted the quality of sexual expression after the divorce. Also, these findings supported the idea of transformational learning through divorce, and expand divorce-stress-adjustment and transformational learning perspectives to apply more specifically to sexual expression. Understanding possible impacts of divorce over the lifespan, including strengths-based aspects, is important for social workers as the population they serve ages.

Older adult women make up a growing part of the population, and yet literature on the sexual activity over their life spans is lacking. This qualitative interview study explored the experience of 16 women aged 57-91 to better understand sexual pleasure over a lifetime. The participants described having to challenge cultural rules to create a supportive environment for sexual expression. Having access to Novel contexts in which to learn, cultivating Intimacy with partners and with oneself, being Creative with sexual activities, and Extending one's sense of sexual possibility into advanced age (NICE) supported sexual pleasure as women aged.

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