Coping With Preclinical Disability: Older Women's Experiences of Everyday Activities
Article first published online: 4 MAR 2010
© 2010 Sigma Theta Tau International
Journal of Nursing Scholarship
Volume 42, Issue 4, pages 439–447, December 2010
How to Cite
Lorenz, R. A. (2010), Coping With Preclinical Disability: Older Women's Experiences of Everyday Activities. Journal of Nursing Scholarship, 42: 439–447. doi: 10.1111/j.1547-5069.2010.01339.x
- Issue published online: 4 MAR 2010
- Article first published online: 4 MAR 2010
- Accepted: October 30, 2009.
- Preclinical disability;
Purpose: The purpose of this paper is to describe coping practices used by older women during preclinical disability.
Design: This paper was derived from qualitative data gathered during a larger multimethod longitudinal study. Twelve women (60 to 80 years of age) participated in baseline functional performance measures and then repeated in-depth interviews and participant observations over 18 months.
Methods: A hermeneutic approach was used to interpret the in-depth interviews, participant observations, and field notes using three interrelated processes of thematic, exemplar, and identification of paradigm cases to identify coping practices.
Findings: Women coped with functional decline, such as difficulty getting up from the floor, in many different ways. Coping practices were grouped into five themes: resist, adapt, substitute, endure, and eliminate.
Clinical Relevance: These findings suggest that nurses need to realize outward appearances may mask the level of effort required for older women to complete daily activities.