Synergism of frail rural elderly couples: influencing interdependent independence

In this phenomenological study, a purposive sample of 19 frail rural elderly couples were interviewed as dyads to identify programs, services, and relationships perceived by the couples as beneficial to their ability to continue to live independently in the community. Communication between the partners, and roles and relationships were observed and discussed. Findings showed that mutually supportive dyads generated a synergism or energy that acted as a vital resource to couples. Research results led to the development of a continuum of spousal relationships and a trajectory of couple communication. Support to the couple as a unit, to the couple relationship, and to address the couple's needs may be strategic foci for nurses in their delivery of care and their involvement in planning programs and developing policy.