The body is central to the experience of aging. In this metasynthesis, the authors located, analyzed, and reconceptualized phenomenological research on how life is experienced within and through the body after 85 years. Sandelowski and Barroso’s metasynthesis method was employed. Seven databases were searched for primary phenomenological studies. After systematic screening and quality appraisal, 19 studies were included for review. Analysis was guided by Maurice Merleau-Ponty’s existential philosophy of embodiment. Findings were organized using Max van Manen’s reflective lifeworld existentials. Four ontological dimensions emerged, namely, being in a body (corporeality), being in time (temporality), being in place (spatiality), and being with others (relationality). Each dimension captures a distinct experiential dimension of this stage of the life course. The results suggest vast heterogeneity in the ontological experience of aging, supporting the view that diversity grows with age. The ability to adapt to multidimensional losses was identified as a source of resilience.
AntonovskyA. (1985). The life cycle, mental health and the sense of coherence. Israel Journal of Psychiatry and Related Sciences, 22(4), 273–280.
2.
AntonovskyA. (1987). Unravelling the mystery of health: How people manage stress and stay well. Jossey-Bass.
3.
ApplebaumM. (2012). Phenomenological psychological research as science. Journal of Phenomenological Psychology, 43(1), 36–72. https://doi.org/10.1163/156916212X632952
4.
BaarsJ. (2012). Aging and the art of living. Johns Hopkins University Press.
BaltesP. B.BaltesM. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In BaltesP. B.BaltesM. M. (Eds.), Successful aging: Perspectives from the behavioral sciences (pp. 1–34). Cambridge University Press.
7.
BaltesP. B.SmithJ. (2003). New frontiers in the future of aging: From successful aging of the young old to the dilemmas of the fourth age. Gerontology, 49(2), 123–135. https://doi.org/10.1159/000067946
8.
BerglandA.SletteboA. (2015). Health capital in everyday life of the oldest old living in their own homes. Ageing & Society, 35(10), 2156–2175. https://doi.org/10.1017/S0144686X14000877
9.
Browne-YungK.WalkerR. B.LuszczM. A. (2017). An examination of resilience and coping in the oldest old using life narrative method. The Gerontologist, 57(2), 282–291. https://doi.org/10.1093/geront/gnv137
10.
Bruun-OlsenV.BerglandA.HeibergK. E. (2018). “I struggle to count my blessings”: Recovery after hip fracture from the patients’ perspective. BMC Geriatrics, 18(1), 1–9. https://doi.org/10.1186/s12877-018-0716-4
11.
CaldasC. P.BerteroC. M. (2007). Living as an oldest old in Rio de Janeiro: The lived experiences told. Nursing Science Quarterly, 20(4), 376–382. https://doi.org/10.1177/0894318407306542
12.
CarpentieriJ. D.ElliottJ.BrettC. E.DearyI. J. (2017). Adapting to aging: Older people talk about their use of selection, optimization, and compensation to maximize well-being in the context of physical decline. The Journals of Gerontology: Series B, 72(2), 351–361. https://doi.org/10.1093/geronb/gbw132
13.
CarverC. S.ScheierM. F. (2002). Coping processes and adjustment to illness. In ChristensenA. J.AntoniM. H. (Eds.), Chronic physical disorders: Behavioral medicine’s perspective (pp. 47–68). Blackwell.
14.
ClancyA.BalteskardB.PeranderB.MahlerM. (2015). Older persons’ narrations on falls and falling: Stories of courage and endurance. International Journal of Qualitative Studies on Health and Well-Being, 10(1), 1–10. https://doi.org/10.3402/qhw.v10.26123
CourtinE.KnappM. (2017). Social isolation, loneliness and health in old age: A scoping review. Health & Social Care in the Community, 25(3), 799–812. https://doi.org/10.1111/hsc.12311
DahlbergK.TodresL.GalvinK. (2009). Lifeworld-led healthcare is more than patient-led care: An existential view of well-being. Medicine, Health Care and Philosophy, 12(3), 265–271. https://doi.org/10.1007/s11019-008-9174-7
19.
de BeauvoirS. (1996). The coming of age. W.W. Norton. (Original work published 1970)
20.
DekkersW. (2011). Dwelling, house and home: Towards a home-led perspective on dementia care. Medicine, Health Care and Philosophy, 14(3), 291–300. https://doi.org/10.1007/s11019-011-9307-2
21.
DickensA. P.RichardsS. H.GreavesC. J.CampbellJ. L. (2011). Interventions targeting social isolation in older people: A systematic review. BMC Public Health, 11(1), 647–669. https://doi.org/10.1186/1471-2458-11-647
EriksonE. H.EriksonJ. M. (1998). The life cycle completed (extended version). W.W. Norton.
24.
ErwinE.BrothersonM.SummersJ. (2011). Understanding qualitative metasynthesis: Issues and opportunities in early childhood intervention research. Journal of Early Intervention, 33(3), 186–200. https://doi.org/10.1177/1053815111425493
FischerR.NorbergA.LundmanB. (2008). Embracing opposites: Meanings of growing old as narrated by people aged 85. The International Journal of Aging & Human Development, 67(3), 259–271. https://doi.org/10.2190/AG.67.3.d
27.
ForsundL.GrovE.HelvikA.JuvetL.SkovdahlK.EriksenS. (2018). The experience of lived space in persons with dementia: A systematic meta-synthesis. BMC Geriatrics, 18(1), 33–60. https://doi.org/10.1186/s12877-018-0728-0
28.
FranklV. (1988). The will to meaning: Foundations and applications of logotherapy. Penguin Books.
29.
FuchsT. (2012). The phenomenology of body memory. In KochS. C.FuchsT.SummaM. (Eds.), Body memory, metaphor and movement (pp. 9–23). John Benjamins.
30.
GalvinK. T.TodresL. (2009). Embodying nursing openheartedness: An existential perspective. Journal of Holistic Nursing, 27(2), 141–149. https://doi.org/10.1177/0898010108323303
GilleardC.HiggsP. (2018). Unacknowledged distinctions: Corporeality versus embodiment in later life. Journal of Aging Studies, 45, 5–10. https://doi.org/10.1016/j.jaging.2018.01.001
33.
GishA. G.VrkljanB. (2016). Aging embodiment and the somatic work of getting into and out of a car. Journal of Aging Studies, 36, 33–46. https://doi.org/10.1016/j.jaging.2015.12.004
34.
GubriumJ.HolsteinJ. (2003a). The everyday visibility of the aging body. In FairclothC. (Ed.), Aging bodies: Images and everyday experiences (pp. 205–228). Altamira Press.
35.
GubriumJ.HolsteinJ. (2003b). Ways of aging. Blackwell.
36.
GudmannsdottirG. D.HalldorsdottirS. (2009). Primacy of existential pain and suffering in residents in chronic pain in nursing homes: A phenomenological study. Scandinavian Journal of Caring Sciences, 23(2), 317–327. https://doi.org/10.1111/j.1471-6712.2008.00625.x
37.
Haggblom-KronlofG.HultbergJ.ErikssonB.SonnU. (2007). Experiences of daily occupations at 99 years of age. Scandinavian Journal of Occupational Therapy, 14(3), 192–200. https://doi.org/10.1080/11038120601124448
38.
HasselkusB. R. (2002). The meaning of everyday occupations. Slack.
HovbrandtP.FridlundB.CarlssonG. (2007). Very old people’s experience of occupational performance outside the home: Possibilities and limitations. Scandinavian Journal of Occupational Therapy, 14(2), 77–85. https://doi.org/10.1080/11038120600773013
JohnsonR.BibboJ. (2014). Relocation decisions and constructing the meaning of home: A phenomenological study of the transition into a nursing home. Journal of Aging Studies, 30(1), 56–63. https://doi.org/10.1016/j.jaging.2014.03.005
43.
KaufmanS. R. (1986). The ageless self: Sources of meaning in late life. University of Wisconsin Press.
44.
KaufmanS. R. (1993). Reflections on “the ageless self”. Generations, 17(2), 13–13.
KrasnerJ. (2006). Accumulated lives: Metaphor, materiality, and the homes of the elderly. Literature and Medicine, 24(2), 209–230. https://doi.org/10.1353/lm.2006.0008
47.
LachalJ.Revah-LevyA.OrriM.MoroM. R. (2017). Metasynthesis: An original method to synthesize qualitative literature in psychiatry. Frontiers in Psychiatry, 8, Article 269. https://doi.org/10.3389/fpsyt.2017.00269
48.
LalaA. P.KinsellaE. A. (2011). A phenomenological inquiry into the embodied nature of occupation at end of life. Canadian Journal of Occupational Therapy, 78(4), 246–254. https://doi.org/10.2182/cjot.2011.78.4.6
49.
LarssonA.HaglundL.HagbergJ. (2009). Doing everyday life—experiences of the oldest old. Scandinavian Journal of Occupational Therapy, 16(2), 99–109. https://doi.org/10.1080/11038120802409762
50.
LederD. (1990). The absent body. The University of Chicago Press.
51.
LudvigsenM.HallE.MeyerG.FegranL.AagaardH.UhrenfeldtL. (2016). Using Sandelowski and Barroso’s meta-synthesis method in advancing qualitative evidence. Qualitative Health Research, 26(3), 320–329. https://doi.org/10.1177/1049732315576493
MoyleW.ClarkeC.GraciaN.ReedJ.CookG.KleinB.RichardsonE. (2010). Older people maintaining mental health well-being through resilience: An appreciative inquiry study in four countries. Journal of Nursing and Healthcare of Chronic Illness, 2(2), 113–121. https://doi.org/10.1111/j.1752-9824.2010.01050.x
59.
NessT. M.HellzenO.EnmarkerI. (2014). “Struggling for independence”: The meaning of being an oldest old man in a rural area. International Journal of Qualitative Studies on Health and Well-Being, 9(1), 1–8. https://doi.org/10.3402/qhw.v9.23088
60.
NettletonS.BuseC.MartinD. (2018). Envisioning bodies and architectures of care: Reflections on competition designs for older people. Journal of Aging Studies, 45, 54–62. https://doi.org/10.1016/j.jaging.2018.01.008
61.
NilssonM.SarvimakiA.EkmanS. (2003). The meaning of the future for the oldest old. International Journal of Aging & Human Development, 56(4), 345–364. https://doi.org/10.2190/3GEQ-99Y0-137X-L7GU
62.
NygrenB.NorbergA.LundmanB. (2007). Inner strength as disclosed in narratives of the oldest old. Qualitative Health Research, 17(8), 1060–1073. https://doi.org/10.1177/1049732307306922
63.
PardoD. J. M.RussoM.Roque SanchezM. (2018). A hermeneutic phenomenological exploration of living in old age. Geriatric Nursing, 39(1), 9–17. https://doi.org/10.1016/j.gerinurse.2017.04.010
64.
PusztaiJ. A. (2015). The lived experience of aging: Listening to the oldest-old [Doctoral dissertation, Loma Linda University]. http://scholarsrepository.llu.edu/etd/341/
65.
RamseyJ. L. (2012). Spirituality and aging: Cognitive, affective, and relational pathways to resiliency. Annual Review of Gerontology and Geriatrics, 32(1), 131–150. https://doi.org/10.1891/0198-8794.32.131
66.
RichS.GrahamM.TaketA.ShelleyJ. (2013). Navigating the terrain of lived experience: The value of lifeworld existentials for reflective analysis. International Journal of Qualitative Methods, 12(1), 498–510. https://doi.org/10.1177/160940691301200125
67.
RicoeurP. (1992). Oneself as another. The University of Chicago Press.
68.
SaarnioL.BostromA.GustavssonP.HedmanR.OhlenJ. (2017). Temporally and spatially shaped meanings of at-homeness among people 85 years and over with severe illness. International Journal of Older People Nursing, 13(1), 1–8. https://doi.org/10.111/opn.12165
69.
SandelowskiM.BarrosoM. (2007). Handbook for synthesizing qualitative research. Springer.
70.
Sheets-JohnstoneM. (2015). Embodiment on trial: A phenomenological investigation. Continental Philosophy Revised, 48(1), 23–39. https://doi.org/10.1007/s11007-014-9315-z
71.
ShillingC. (2012). The body and social theory (3rd ed.). Sage.
SjobergM.BeckI.RasmussenB. H.EdbergA. (2017). Being disconnected from life: Meanings of existential loneliness as narrated by frail old people. Aging & Mental Health, 1(1), 1–8. https://doi.org/10.1080/13607863.2017.1348481
ThomasS. P. (2018). Finding inspiration from the philosophy of Maurice Merleau-Ponty for the practice of psychiatric-mental health nursing. Archives of Psychiatric Nursing, 32(3), 373–378. https://doi.org/10.1016/j.apnu.2017.11.029
76.
ThorarinsdottirK.BjornsdottirK.KristjanssonK. (2017). Development of Hermes, a new person-centered assessment tool in nursing rehabilitation, through action research. Advances in Nursing Science, 40(2), 207–221. https://doi.org/10.1097/ANS.0000000000000132
TodresL. (2008). Being with that: The relevance of embodied understanding for practice. Qualitative Health Research, 18(11), 1566–1573. https://doi.org/10.1177/1049732308324249
80.
TodresL.GalvinK. (2010). “Dwelling-mobility”: An existential theory of well-being. International Journal of Qualitative Studies on Health and Well-Being, 5(3), 1–6. https://doi.org/10.3402/qhw.v5i3.5444
van ManenM. (2014). Phenomenology of practice. Left Coast Press.
88.
van WijngaardenE.LegetC.GoossensenA. (2015). Ready to give up on life: The lived experience of elderly people who feel life is completed and no longer worth living. Social Science & Medicine, 138, 257–264. https://doi.org/10.1016/j.socscimed.2015.05.015
89.
von HumboldtS.LealI. (2012). Person-centered therapy and older adults’ self-esteem: A pilot study with follow-up. Studies in Sociology of Science, 3(4), 1–10. https://doi.org/10.3968/j.sss.1923018420120304.753
90.
WainwrightS.TurnerB. (2006). “Just crumbling to bits”? An exploration of the body, ageing, injury and career in classical ballet dancers. Sociology, 40(2), 237–255. https://doi.org/10.1177/0038038506062031
WilligC.WirthL. (2018). A meta-synthesis of studies of patients’ experience of living with terminal cancer. Health Psychology, 37(3), 228–237. https://doi.org/10.1037/hea0000581
ZemkeR. (2004). Time, space, and the kaleidoscopes of occupation. American Journal of Occupational Therapy, 58(6), 608–620. https://doi.org/10.5014/ajot.58.6.608
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