SynopsisThe exotherms of the reactions leading to the formation of polyurethane foams were measured. The inflection points of the exotherm curves were made evident by continuous differentiation with respect to time. The position and magnitude of the inflection points demonstrated the sequential nature of the reactions. The effects of the functionality of the polyol, the concentrations of the tin and amine catalysts, and the silicone surfactant are discussed.
Background
The oldest-old (individuals over 90 years) are a fast-growing population. Understanding the perceptions of older people about very old age is the first step towards developing optimal geriatric care for an aging population. This study aimed to explore the potential shift from old age to very old age through the exploration of older people’s perception of aging.
Methods
Qualitative study conducted through individual interviews in the homes of older people. We voluntarily chose to include persons a decade under and above 90 years old to explore other factors than age that could participate in the shift from old age to very old age. The sampling was theoretical. We carried out the analyses using an inductive approach based on the phases of grounded theory. The researchers used triangulation. Collection was concluded when theoretical saturation was reached.
Results
Fourteen participants were interviewed. The shift from old age to very old age was not based on age but occurred when participants became conscious of the irreversibility of aging and its effects, and when they started living day-by-day, renouncing to any plan in a near future. The transition to very old age seemed to be preceded by a progressive disengagement from non-essentials activities. Participants reported a sensation of progressive social exclusion due to the loss of contemporaries or spouse, the difficulty to connect with younger generations or the absence of relationships in their neighborhood. The last step of life was feared, not because of the idea of death itself but because of the associated suffering and loss of autonomy.
Conclusion
Precipitating and slowing factors of the shift to very old age were identified to help general practitioners support older patients throughout their life trajectories.
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