A patient in the clinic expresses reluctance to celebrate her 80th birthday stating, "It's terrible to grow old. I don't enjoy life any more, and I don't want anything that reminds me how old I am."
How would you respond?
- Begin by exploring more in-depth with the patient about why she feels this way. There is not enough information in the scenario to formulate a full response. Is this how she feels at this moment, or do her statements reflect how she has been feeling about her life for some time? Is there something that triggered these feelings? What is it about growing old that she dislikes or fears? Are chronic symptoms such as pain and fatigue interfering with her enjoyment of life? As you discover more about the patient's feelings and beliefs about her life situation, you can develop an approach that is tailored to her individual needs.
- Help the patient explore what is positive about getting older and reasons to celebrate her life. Possible advantages of growing older might include wisdom gained through years of experience; opportunity to establish a lasting legacy with younger generations; more time to enjoy life and accomplish life goals; and having family or friends.
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