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Shadows and Sunshine: What Metaphors Reveal about Aging with HIV
Rosanne Beuthin1, Laurene Sheilds2, Anne Bruce3
1Island Health, Victoria, British Columbia, Canada.
Older adults aging with HIV navigate complex life tensions, finding resilience through balancing challenges like stigma with moments of joy and support. Understanding their lived experiences is key for compassionate nursing care.
Area of Science:
- Gerontology
- Public Health
- Qualitative Research
Background:
- Aging with HIV presents unique psychosocial challenges.
- Older adults living with HIV face concurrent issues of aging and chronic illness management.
- Understanding the lived experiences of this population is crucial for effective healthcare.
Purpose of the Study:
- To explore the lived experiences of older adults aging with HIV.
- To identify key metaphors and themes in their narratives.
- To inform nursing practice and support strategies.
Main Methods:
- A qualitative narrative inquiry approach was used.
- Interviews were conducted with 5 older adults over 3.5 years.
- Metaphor analysis was applied to participant stories.
Main Results:
- Participants experience tensions between uncertainty/hope, death/present moment, and hurt/evolving identity.
- An overarching metaphor of "shadows and sunshine" emerged, reflecting survival amidst challenges.
- Life experience facilitates a shift towards reconciliation of these tensions.
Conclusions:
- Nurses can build compassion by listening to the life stories of older adults with HIV.
- Understanding individual narratives reveals specific support needs.
- Honoring personhood requires acknowledging both the struggles and joys of aging with HIV.
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