Applying Erikson’s Wisdom to Self-Management Practices of Older Adults

Perry, Tam E.; Ruggiano, Nicole; Shtompel, Natalia; Hassevoort, Luke

doi:10.1177/0164027514527974

Cited by 27 publications

(25 citation statements)

References 17 publications

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“…Other researchers have found that when older individuals experienced declines in their health, they drew upon resilience and previous experience to solve problems and refocused their productivity on self‐management activities (Perry, Ruggiano, Shtompel, & Hassevoort, ). Based on Erikson’s developmental model of ageing, Perry and colleagues proposed that when “older adults experience declines in their physical health and/or cognitive abilities, their renewed sense of purpose may result in engaging in self‐management to remain autonomous, rather than passively allowing family, friends, or professionals to manage their services and care for them” (p. 256).…”

Section: Discussionmentioning

confidence: 99%

Self‐management after hospitalisation

Geryk¹,

Jacelon

LeBlanc

et al. 2019

Int J Older People Nursing

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Aims and objectives The aim of this research was to explore the processes used by older individuals to self‐manage their health during the first 30 days after being discharged from the hospital. The underlying philosophy for this research was symbolic interactionism. From this perspective, individuals make meaning out of their experiences and act on the basis of those meanings. Background Little is known about the processes older adults use to adjust to and self‐manage their evolved health status after returning home from the hospital. Few studies have explored this period from the perspective of the older individual living in the situation. Methods We used case study method to develop a collective, instrumental case to explain the phenomena of older individuals self‐managing their health after hospitalisation. Data included interviews, participant diaries and researcher field notes. Results The sample included three women who were at least 75 years old, had been hospitalised for at least 24 hr and had been discharged within the week prior to the first interview. Data from the participants were used to create a composite case, Mrs. C. She managed her autonomy, activity, attitude, health and relationships across three phases of posthospitalisation, returning home, adjusting and the evolved normal. Conclusions This study provides insight into the experience of older individuals during the first 30 days after a stay in a healthcare facility and supports previous research findings regarding hospitalisation and self‐management of chronic health problems. Implications for practice The findings provide evidence that returning home is a process that usually takes about a month to get into a new routine. Nurses can use this case study to describe some people’s experience after discharge, and to help the older individual to identify friends and family who can provide physical and emotional support during the time immediately after discharge.

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Section: Discussionmentioning

confidence: 99%

Self‐management after hospitalisation

Geryk¹,

Jacelon

LeBlanc

et al. 2019

Int J Older People Nursing

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“…However, it could also be a result of developmental changes in which older adults must come to terms with their own mental and physical decline. Older adults may have had more time to adjust to the after math of a myocardial infarction and the actual decline of their health status, whereas middle-aged women may need more time to adjust and figure out how to cope with the current and further decline of their health as they age [13,14]. Indeed, Hawkes et al [15] found that those ages 60 and younger (predominately male) reported lower mental health quality of life after a heart attack than did those over age 60.…”

Section: Discussionmentioning

confidence: 99%

Does Mental Health Differ by Ethnicity/Race in Post-Myocardial Infarction (MI) Females Ages 50 Years and Older?

Thornton¹,

Lutes²,

Norman³

et al. 2017

J Prev Med

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Purpose: There is limited research surrounding how mental health in post-myocardial infarction (MI) patients differs by gender and ethnicity. Therefore, the purpose of this study was to determine whether mental health differs by ethnicity in post-MI older adult females with coronary artery disease (CAD). Methods:This cross-sectional analysis used 2015 BRFSS data for post-MI females 50 years of age and older from Arkansas, Kentucky, and Tennessee. Multiple logistic regression analysis was used to assess the relationship between mental health and ethnicity/race while controlling for age, education level, income level, marital status, physical activity, and depression.Results: About half of post-MI older adult females reported good mental health in the last month (56-58%) and most were White, non-Hispanic (73-80%), followed by Black, nonHispanic (15-17%), and other ethnic/racial groups (4-11%). The results of this study indicated that mental health did not differ significantly by ethnicity/race in any of the three states after controlling for demographic factors, physical activity, and depression. However, good mental health was inversely related to depression in all three states and positively related to age in two of three states. Conclusion:Mental health did not differ significantly by ethnicity/race in post-MI older adult females. However, within this target population, good mental health was less likely in those with a previous diagnosis of depression in all three states and more likely in those aged 65 and older in two of three states. Although there was no information in this study regarding mental health progression following a myocardial infarction, primary care providers and cardiologists should screen all post-MI female patients, despite their ethnicity/race, for good mental health, especially those who have a previous diagnosis of depression and those ages 50-64 years. Mental health education and referrals should be provided to post-MI older adult females of all ethnicities as needed.

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“…As I approached writing this editorial, I found myself reflecting on Erikson's eighth and final stage of psychosocial development, Ego Integrity vs. Despair (Perry, Ruggiano, Shtompel, & Hassevoort, 2015). For those of you, like me, who may have had little interest in such hypothetical constructs as social work students, this stage of development involves reflecting on one's history, accomplishments, and failures.…”

Section: From the Editor-integrity Vs Despairmentioning

confidence: 99%

From the Editor—Integrity vs. Despair

Yaffe

2019

Journal of Social Work Education

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Applying Erikson’s Wisdom to Self-Management Practices of Older Adults

Cited by 27 publications

References 17 publications

Self‐management after hospitalisation

Self‐management after hospitalisation

Does Mental Health Differ by Ethnicity/Race in Post-Myocardial Infarction (MI) Females Ages 50 Years and Older?

From the Editor—Integrity vs. Despair

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