Living arrangements and relationships that do not involve living with a spouse, a child or adult alone, are relatively common in the elderly. A substantial proportion of the elderly, the z. B. never married, divorced, or were widowed, has a long-standing and close relationships with siblings, friends and partners. Understanding the nature of these relationships helps practitioners to plan a care that is consistent with the wishes of the patient. Viewing homosexual elderly Approximately 6-10% of the US population are estimated to be homosexual adults, including more than 4 million elderly. Older people in a homosexual relationship face unique challenges. The health system can their sexual preference do not know, it may not know that their partner plays a role in nursing decisions or is part of the patient’s family, and he can contribute any reasonable circumstances performances. for an unmarried partner can. B. have no legal status in the decision for a cognitively impaired patients and may be able to share with him a room in a nursing home or another setting. Health professionals should ask for partners and marital status or living arrangements and try to accommodate the preferences of the patient.