Posted: February 14th, 2023
Life Transitions
PNUR1165
“Caterpillar turning into a butterfly process. © Mathisa S/Getty”
Role: img
Late
Life
Transitions
Unit outcomes
Examine family relationships in later life.
Discuss the various transitions that the older adult will face in relation to role changes, phases of retirement, reduced income, grandparenting, widowhood, shrinking social world, declining function and awareness of mortality.
Discuss the social determinants of health (World Health Organization – WHO) in relation to life transitions.
Late Life Transitions
A process during which people redefine their sense of self and develop self-agency in response to disruptive life events.
May occur predictably or by unanticipated events.
The speed and intensity of a major change may make the difference between a transitional crisis and a gradual and comfortable adaptation.
Various changes during the aging process demand multiple adjustments that require stamina, ability, and flexibility
Frequently more simultaneous changes are experienced in old age than during any other period of life
Older adults face retirement, reduced income, possible housing changes, frequent losses through deaths of significant persons, and a declining ability to function
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Is Growing Old Easy? Various role and life changes in aging
Retirement
Reduced income
Possible housing changes
Personal losses – spouse, friends
Declining ability to function – slow response, easy fatigue, altered appearance and fear of losing independence
“Empty nest”: children grown and moved out
Grand-parenting
Loneliness
Sandwich effect/Caregiving
Adjustment to one or more chronic diseases
REFRESHER!!
Various changes during the aging process demand multiple adjustments that require stamina, ability, and flexibility
Frequently more simultaneous changes are experienced in old age than during any other period of life
Older adults face retirement, reduced income, possible housing changes, frequent losses through deaths of significant persons, and a declining ability to function
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Simultaneous changes during the aging process require:
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Stamina
Ability
Flexibility
What is Family?
Family members, however they are defined, form the nucleus of relationships for the majority of older adults and the support system if they become dependent.
The idea of family evokes strong impressions of whatever an individual believes the typical family should be.
As recently as 100 years ago a family was defined as parents, there grown children and their grand children. This has since changed with moving to larger cities.
Approximately 38% of todays families are couples with no children.
With divorce rates and remarriage, blended families, lone parent families we now have no typical Canadian family definition.
A long standing myth is that most families abandon their older members in institutions. While I won’t deny that this does happen for the most part older family members are able to maintain close relationships with other family members.
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Traditional Couple
The traditional couple in Canada is a husband and wife or common-law partnership.
Although this relationship is often the most binding if it extends into late life, the chance of a couple going through old age together is slim.
About 76% of Canadians aged 65 an older are living with a spouse.
Among those aged 65 and older 75% of men and 50% of women live with a spouse.
Older women are more likely to be widowed as 80% of older widowed people are women.
Often second partnerships will not marry do to economic and inheritance reasons.
In general being married has been paired with positive health benefits, life satisfaction and well being.
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Non-traditional couples
Difficult to determine an accurate number.
From studies conducted in 2014 just under 3% of 18-54 year old’s identified as gay, lesbian or bisexual. This is likely an underrepresentation as there is still fear about publicly self-identifying.
Currently less then 1% of Canadians aged 65 and older are identifying as having a same-sex partnership.
We expect these numbers to increase.
Although these couples may not be seen as often they are still there. They may hide the truth do to longstanding discrimination and fear. We must be cognizant of the fact that what the older generation experienced was most likely drastically different from what a younger person today will experience.
Some older gay/lesbian adults identify their experience as being invisible in senior organizations, health care and society.
Discrimination and prejudice are experienced.
Most research has centered around gay or lesbians we know even less about the experience of bisexuals and trangendered.
Pictures
Male couple who have been partners for 30 years
Women in their 90’s getting married when it was made legal in their state in the US.
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Divorce and the older adult
Older couples are becoming less likely to stay in an unsatisfactory marriage.
Single Cruise
Single and Mingle Groups at Church
Even as recently as 50 years ago divorce was very ostracizing and isolating. In todays world divorce is much more common.
In 2016 10% of older Canadians were divorced or separated.
People are less willing to stay in an unhappy relationship.
As nurses we need to acknowledge this fact and incorporate it into our assessments.
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Siblings
Siblings can become particularly important when they are part of the support system, especially among single or widowed older adults who are living alone.
Sibling relationship in the elderly is another poorly researched areas. What we do know is that about 80% of Canadian elderly have at least one sibling and that siblings can be a strong part of your support system. This is particularly true for the never-married, widowed and without children.
-long history of memories
-same generation
-similar backgrounds.
The strongest sibling bond is thought to be that between sisters.
About 6% of todays older people have never been married.
The loss of a sibling can be a huge impact and bring an awareness of ones own mortality.
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Retirement
May occupy 30 years of one’s life and involve many internal stages
Transitions are blurring because numerous pursuits and opportunities may occur after one has “retired.”
Numerous patterns and styles of retiring have produced more varied experiences in retirement.
Historically we had a compulsory retirement at the age of 65 years. Now Canada does not have a mandatory retirement age.
13% of Canadians age 65 and older are still employed.
The Canadian government estimates about 24% of people approaching retirement will not have enough money to sustain their current living standard.
Socialization needs
Energy levels
Health
Adequate income
Variety of interests
Amount of self-esteem derived from work
Presence of intimate relationships
Social support
General adaptability
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Effects of Retirement
Self-worth
Identity
Social position
LOSS of work role, first experience r/t impact of aging
IMPACT on EACH?
Worth is commonly judged by an individual’s productivity
Occupational identity is largely responsible for an individual’s social position
Individual’s identity is threatened with retirement
When one’s work is one’s primary interest, activity and source of social contacts, separation from work leaves a significant void in one’s life
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Retirement: Loss of Work Role
Adjusting to a reduced income
May be viewed as an undesirable state
Occupational identity and social position/role in society
Stereotypes of work roles
Potential void in one’s life related to loss of the work role
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What is one of the first questions many people ask when meeting someone new? “What do you do?”
Phases of Retirement
Remote: Future anticipation with little real planning
Near: Preparation and fantasizing regarding retirement
Honeymoon: Euphoria and testing of the fantasies
Disenchantment: Letdown, boredom, sometimes depression
Reorientation: Developing a realistic and satisfactory lifestyle
Stability: Personal investment in meaningful activities
Termination: Loss of retirement role resulting from illness, return to work or death
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Retirement Planning
Decisions to retire are often based on
Financial resources
Attitude toward work
Chronological age
Health
Self-perceptions of ability to adjust to retirement
Late Life Transitions
Adetutu Joan Omo Olaoye
Practical Nursing Student, Conestoga College
PNUR 1165: Adult Development and Aging
Hellen Jarman
Feb 12th 2023
Definition of Transition
Lived Experience
Types Of Transitions
Detailed Transitions of Interviewee
Nursing Strategies
Summary and Conclusion
References
Definition Of Transition
In General, to transition means to change.
Lived Experience
My Interviewee is a 70-year-old female currently residing in Long Beach, California in the United States and the interview was conducted over the phone.
For the purpose of confidentiality, I would be using only her initials.
T.N., remembers her childhood days like they were yesterday. She
SOLUTION
Adult development and aging is the multidisciplinary study of how individuals change and grow physically, cognitively, and psychosocially as they age from early adulthood to old age. It encompasses a range of topics, including physical health, cognitive changes, personality development, relationships, and social roles. Researchers in this field study the factors that influence aging and how individuals can maintain well-being and quality of life as they age.
Adult development and aging is a broad field that examines various aspects of human development and aging, and seeks to understand how individuals can optimize their well-being and adapt to the challenges of later life. It draws on insights from multiple disciplines, including psychology, sociology, biology, and medicine.
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