Everyday health and identity management among older women with chronic health conditions

Roberto, Karen A.; McCann, Brandy Renee

doi:10.1016/j.jaging.2010.08.017

Cited by 22 publications

(30 citation statements)

References 29 publications

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“…Additionally, this may account for the findings that the women with COPD experienced limitations in their traditional female role. Our assertion is in line with previous studies which found that women with chronic illness experienced sadness and loss regarding their decreased ability to do housework and to adhere to female norms such as nurturing, sensitivity to others and selflessness (Clarke & Bennett, 2013;Roberto & McCann, 2011) . Women with long-term illness seem to share a concern about their altered appearance, which could limit their ability to achieve and maintain an idealized standard of feminine beauty (Clarke & Bennett, 2013;Clarke & Griffin, 2008).…”

Section: Discussionsupporting

confidence: 93%

A qualitative study of women's experiences of living with COPD

et al. 2017

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AimTo explore women's experiences of living with chronic obstructive pulmonary disease (COPD) at home.DesignAn explorative and descriptive qualitative design.MethodsA consecutive sample of nine women with COPD living at home. Data were collected in 2014 using semi‐structured interviews and analysed using a qualitative content analysis.ResultsThree main themes were identified: having a good life with COPD despite limitations; predictability and confidence in getting help; and the struggle to achieve a balance between insight and compliance with management of COPD. These women experienced limitations related to the traditional female role and felt unable to fulfil their own expectations. They experienced a good life despite limitations arising from adaptation and coping strategies. To feel safe, they needed to feel confident that they would receive the necessary help in case of exacerbation of their disease. To enhance compliance with COPD management, the women wanted education that provided specific suggestions.

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Section: Discussionsupporting

confidence: 93%

A qualitative study of women's experiences of living with COPD

et al. 2017

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“…A more recent study has shown that VCF negatively impacts the self-image and diminishes the self-confidence of those afflicted through loss of roles and bodily changes, under the threat of sustaining a new fracture [ 4 ]. Another study showed that women lean on their embodied self to interpret their everyday health and that everyday health is important in constructing their identity [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

A painful, never ending story: older women’s experiences of living with an osteoporotic vertebral compression fracture

et al. 2015

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SummaryVertebral compression fractures (VCF) cause pain and decreased physical ability, with no known well-established treatment. The aim of this study was to illuminate the experience of living with a VCF. The results show that fear and concerns are a major part of daily life. The women’s initial contact with health-care providers should focus on making them feel acknowledged by offering person-centered and tailored support.IntroductionIn the past decade, osteoporotic-related fractures have become an increasingly common and costly public health problem worldwide. Vertebral compression fracture (VCF) is the second most common osteoporotic fracture, and patients with VCF describe an abrupt descent into disability, with a subsequent desire to regain independence in everyday life; however, little is known of their situation. The aim of this study was to illuminate the lived experience of women with an osteoporotic VCF.MethodsTen women were interviewed during 2012–2013, starting with an open-ended question: could you tell me what it is like to live with a vertebral compression fracture? The verbatim transcribed interviews were analyzed using a phenomenological hermeneutical approach.ResultsThe narrative provided descriptions of living in turmoil and chaos, unable to find stability in their life with little improvement regarding pain and physical function. Shifts from periods of constant pain to periods of fear of constant pain created a loss of confidence and an increased sense of confinement. The structural analysis revealed fear and concerns as the most prominent experience building on five themes: struggling to understand a deceiving body, breakthrough pain fueling fear, fearing a trajectory into isolation, concerns of dependency, and fearing an uncertain future.ConclusionsUntil researchers find a successful prevention or medical/surgical treatment for osteoporotic VCFs, health-care providers and society abandon these women to remain in a painful and never ending story.

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“…Moreover, older people tend to maintain their identity by adjusting their expectations and regulate and limit activities according to their health conditions (Roberto & McCann, 2011). Identity is also closely related to a person's different roles, and because these roles change with increased age, it may represent a lot of challenges for those involved.…”

mentioning

confidence: 99%

Life situation and identity among single older home-living people: A phenomenological–hermeneutic study

Dale

Söderhamn

2012

International Journal of Qualitative Studies on Health and Well

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Being able to continue living in their own home as long as possible is the general preference for many older people, and this is also in line with the public policy in the Nordic countries. The aim of this study was to elucidate the meaning of self-care and health for perception of life situation and identity among single-living older individuals in rural areas in southern Norway. Eleven older persons with a mean age of 78 years were interviewed and encouraged to narrate their self-care and health experiences. The interviews were audio taped, transcribed verbatim and analysed using a phenomenological–hermeneutic method inspired by the philosophy of Ricoeur. The findings are presented as a naïve reading, an inductive structural analysis characterized by two main themes; i.e., “being able to do” and “being able to be”, and a comprehensive interpretation. The life situation of the interviewed single-living older individuals in rural areas in southern Norway was interpreted as inevitable, appropriate and meaningful. Their identity was constituted by their freedom and self-chosen actions in their personal contexts. The overall impression was that independence and the ability to control and govern their own life in accordance with needs and preferences were ultimate goals for the study participants.

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Everyday health and identity management among older women with chronic health conditions

Cited by 22 publications

References 29 publications

A qualitative study of women's experiences of living with COPD

A qualitative study of women's experiences of living with COPD

A painful, never ending story: older women’s experiences of living with an osteoporotic vertebral compression fracture

Life situation and identity among single older home-living people: A phenomenological–hermeneutic study

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