Sense of Coherence at End of Life in Older People: An Interpretive Description.
J Hosp Palliat Nurs
; 25(3): 165-172, 2023 06 01.
Article
em En
| MEDLINE
| ID: mdl-37081670
ABSTRACT
As people age, losses accumulate (ie, the death of family and friends, the loss of agility, and the loss of independence). Such losses have an impact on one's Sense of Coherence, that is, one's ability to see the world as comprehensible, manageable, and meaningful. Antonovsky deemed Sense of Coherence as a mostly stable state by the age of 30 years. Until now, there has not been an investigation into how serial loss of resources affects older people as they near the end of life. Sense of Coherence was used as the theoretical framework for this study to answer the question of how older people maintain or regain a Sense of Coherence in the presence of serious illness as they near death. Data were gathered using semistructured interviews and guided by interpretive description. This investigation found new concepts that contribute to Antonovsky's midlevel theory of salutogenesis and the construct of Sense of Coherence. Those are Incomprehensibility and Serial Loss of General Resistance Resources. The results indicate that the crux of a strong Sense of Coherence for this population is excellent communication and a coherent "big-picture" conversation.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Senso de Coerência
Tipo de estudo:
Qualitative_research
Limite:
Adult
/
Aged
/
Humans
Idioma:
En
Revista:
J Hosp Palliat Nurs
Ano de publicação:
2023
Tipo de documento:
Article