Preparing for the Future While Living in the Present: Older Adults’ Experiences Creating a Legacy of Values

Author:

Neller Sarah A1ORCID,Cloyes Kristin G2,Edelman Linda S3,Wong Bob3,Baines Barry4,Towsley Gail L3

Affiliation:

1. College of Nursing, The University of Tennessee, Knoxville , Knoxville, Tennessee , USA

2. School of Nursing, Oregon Health & Science University , Portland, Oregon , USA

3. College of Nursing, University of Utah , Salt Lake City, Utah , USA

4. Hennepin Health Care Hospice of the Twin Cities , Minneapolis, Minnesota , USA

Abstract

Abstract Background and Objectives A legacy of values (e.g., legacy letter) is a nonlegal way to intentionally communicate intangible assets (e.g., values, life lessons, and emotional and supportive instruction) with others. There is scant research on legacy creation outside of a palliative care context, and no studies have explored the experiences of community-dwelling older adults creating a legacy of values. Research Design and Methods As part of an exploratory sequential mixed methods study, we conducted semistructured interviews with older adults (N = 16) who had previously created a legacy of values. We analyzed transcribed interviews using an interpretive descriptive approach. We iteratively coded interviews deductively with sensitizing concepts identified in the literature (existential well-being, end-of-life preparation and completion, generativity, and resilience), and inductively, based on participants’ descriptions. Codes were categorized by patterns of motivations, content, outcomes, and meaning, and thematically summarized. Results We conceptualized the overall experience of creating a legacy of values as Preparing for the Future While Living in the Present and identified 4 themes: Preserving the Intangible for You and for Me, Sharing What I Want You to Know, Obtaining Peace through Reflection and Preparation, and Living into a Continuing Legacy. Participants attained peace, realized their life was not complete, and were challenged to live intentionally through legacy creation. Discussion and Implications Creating a legacy of values may concurrently prepare older adults for the end of life and the remainder of life. These findings offer insight into a generative act that can promote intentional living among older adults.

Funder

National Institute of Nursing Research

National Institutes of Health

Sigma Theta Tau Gamma Rho Chapter

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Gerontology,General Medicine

Reference57 articles.

1. Legacy activities as interventions approaching the end of life;Allen;Journal of Palliative Medicine,2008

2. Ethical wills: Creating meaning at the end of life;Baines;Home Health Care Management & Practice,2003

3. End-of-life health care planning among young-old adults: An assessment of psychosocial influences;Carr;The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences,2007

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