Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Söderhamn, Ulrika; Dale, Bjørg; Söderhamn, Olle

doi:10.2147/prbm.s27228

Cited by 28 publications

(40 citation statements)

References 33 publications

(47 reference statements)

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“…The same observation was made in a previous study,10 and being physically and socially active in older age is, in general, an important factor for good health and well-being 47…”

Section: Discussionsupporting

confidence: 81%

Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Söderhamn¹,

Dale²,

Sundsli³

et al. 2012

CIA

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BackgroundIt is important to obtain knowledge about the prevalence of nutritional risk and associated factors among older home-dwelling people in order to be able to meet nutritional challenges in this group in the future and to plan appropriate interventions. The aim of this survey was to investigate the prevalence of home-dwelling older people at nutritional risk and to identify associated factors using two different nutritional screening instruments as self-report instruments.MethodsThis study had a cross-sectional design. A postal questionnaire, including the Norwegian versions of the Nutritional Form for the Elderly (NUFFE-NO) and Mini Nutritional Assessment – Short Form (MNA-SF), background variables, and health-related questions was sent to a randomized sample of 6033 home-dwelling older people in southern Norway. A total of 2106 (34.9%) subjects were included in the study. Data were analyzed using descriptive statistics and logistic regression analyses.ResultsWhen using the NUFFE-NO and MNA-SF, 426 (22.3%) and 258 (13.5%) older persons, respectively, were identified to be at nutritional risk. The risk of undernutrition increased with age. Several predictors for being at risk of undernutrition, including chronic disease/handicap and receiving family help, as well as protective factors, including sufficient food intake and having social contacts, were identified.ConclusionHealth professionals must be aware of older people’s vulnerability to risk of undernutrition, perform screening, and have a plan for preventing under-nutrition. For that purpose, MNA-SF and NUFFE-NO can be suggested for screening older people living at home.

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“…The same observation was made in a previous study,10 and being physically and socially active in older age is, in general, an important factor for good health and well-being 47…”

Section: Discussionsupporting

confidence: 81%

Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Söderhamn¹,

Dale²,

Sundsli³

et al. 2012

CIA

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“…At the same time, they valued such activities for their health and well-being, and being active, both socially and physically, could stimulate the appetite. A consciousness of the benefit of activities for maintaining health and well-being in later life has also been reported in other studies 31,38. Along with health problems and limited mobility, external factors, like slippery roads, could also influence the performance of such activities negatively.…”

Section: Discussionsupporting

confidence: 63%

“…Furthermore, another study among older, home-dwelling persons31 similarly showed that being engaged with other people was a source of well-being. Orem2 argued that when “bringing in the person,” there may be several basic conditional factors that interact with the informants’ self-care, health, and well-being.…”

Section: Discussionmentioning

confidence: 94%

Lived experiences of self-care among older, home-dwelling individuals identified to be at risk of undernutrition

Tomstad¹,

Söderhamn²,

Söderhamn³

2012

JMDH

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IntroductionIn a society where most older people live in their own homes, it may be expected of older individuals to exercise their potential to take care of themselves in daily life. Nutrition is a central aspect of self-care, and groups of older, home-dwelling people are at risk of undernutrition.AimThe aim of this study was to describe the lived experiences of self-care and features that influence health and self-care among older, home-dwelling individuals identified to be at risk of undernutrition.MethodsQualitative interviews were performed with eleven home-dwelling individuals who had been identified as being at risk of undernutrition. The interviews were recorded, transcribed verbatim, and analyzed with a descriptive phenomenological method.FindingsSelf-care as a lived experience among older, home-dwelling individuals identified to be at risk of undernutrition is about being aware of food choices and making decisions about taking healthy steps or not. In the presence of health problems, the appetite often decreases. Being able to take care of oneself in daily life is important, as is receiving help when needing it. Working at being physically and socially active and engaged may stimulate the appetite. Having company at meals is important and missed when living alone. Being present and taking each day by day, as well as considering oneself in the light of past time and previous experiences and looking ahead, is central, even when having fears for the future and the end of life.ConclusionHealth care professionals should be aware of these findings in order to support self-care in older people, and they should pay attention to the social aspects at meals.

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“…They actualized their self-care ability in a meaningful way that was important for their perception of their life situation and identity. Findings from other studies8,30,31 about self-care in older people point at their ability to act combined with a wish to go on further in life.…”

Section: Discussionmentioning

confidence: 91%

Being old and living alone in urban areas: the meaning of self-care and health on the perception of life situation and identity

Sundsli¹,

Söderhamn²

2013

PRBM

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BackgroundLiving alone in urban areas when getting old is an important and necessary field for research as the growth of the urban population worldwide increases, and due to the fact that people live longer. How older people manage their self-care and health, and how this might influence their identity and life situation may be very important to understand when planning for a new, upcoming older generation. The aim of this study was to elucidate the meaning of self-care and health for the perception of life situation and identity among single-living older individuals in urban areas in southern Norway.MethodsA phenomenological–hermeneutic approach inspired by Ricoeur was applied. Nine single-living older persons in urban areas, 70–82 years of age, and identified to be in good health were interviewed. The interviews were audiotaped, transcribed verbatim, and analyzed using a phenomenological–hermeneutic method.ResultsStrength and a time dimension characterized the meaning of self-care and health for the perception of life situation and identity as narrated by the group of single-living older individuals in urban areas in southern Norway. The informants were, as older individuals, caring, autonomous, and robust characters, who had gone through difficult times in life, and in a resilient way moved towards a new future. They valued and were grateful for what they had learned in their lives and could go forward and still experience and explore.ConclusionSelf-care is significant in the perception of life situation and identity among single urban older people in this study, and characterized by strength, temporality, gratitude, autonomy, and natality. Society needs to acknowledge the strengths and capabilities of older people to a greater extent.

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Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Cited by 28 publications

References 33 publications

Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Nutritional screening of older home-dwelling Norwegians: a comparison between two instruments

Lived experiences of self-care among older, home-dwelling individuals identified to be at risk of undernutrition

Being old and living alone in urban areas: the meaning of self-care and health on the perception of life situation and identity

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