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BACKGROUND There have been relatively few studies concerning gender and sexual identity in research on ageing and nursing or care. Non-heterosexual older people and those in need of care describe fears of rejection and the dependence on third parties in their use of health and social care services in old age. OBJECTIVE This article examines the question of how gender and sexual diversity can be respected in older adult social services. It focuses on the question of how sexual and gender identity become relevant in particular contexts and how these c