Feature ArticlesSense of Coherence at End of Life in Older People An Interpretive DescriptionGagne-Henderson, Rebecca PhD, APRN, ACHPN, FNP; Holland, Carol PhD, C.Psychol, AFBPS; Walshe, Catherine PhD, MSc, BNurs, RGN Author Information Rebecca Gagne-Henderson, PhD, APRN, ACHPN, FNP, is president, executive director, Connecticut Hospice and Palliative Care Organization, Connecticut. Carol Holland, PhD, C.Psychol, AFBPS, is professor in Ageing, Centre for Ageing Research, Lancaster University, Lancashire, United Kingdom. Catherine Walshe, PhD, MSc, BNurs, RGN, is professor of Palliative Care, International Observatory on End-of-Life Care, Division of Health Research, Lancaster University, Lancashire, United Kingdom. Address correspondence to Rebecca Gagne-Henderson PhD, APRN, ACHPN, FNP, Connecticut Hospice and Palliative Care Organization, 360 West Rock Ave, New Haven, CT 06515 ([email protected]). The authors have no conflicts of interest to disclose. Journal of Hospice & Palliative Nursing 25(3):p 165-172, June 2023. | DOI: 10.1097/NJH.0000000000000948 Buy Metrics Abstract As people age, losses accumulate (ie, the death of family and friends, the loss of agility, and the loss of independence). Such losses have an impact on one's Sense of Coherence, that is, one's ability to see the world as comprehensible, manageable, and meaningful. Antonovsky deemed Sense of Coherence as a mostly stable state by the age of 30 years. Until now, there has not been an investigation into how serial loss of resources affects older people as they near the end of life. Sense of Coherence was used as the theoretical framework for this study to answer the question of how older people maintain or regain a Sense of Coherence in the presence of serious illness as they near death. Data were gathered using semistructured interviews and guided by interpretive description. This investigation found new concepts that contribute to Antonovsky's midlevel theory of salutogenesis and the construct of Sense of Coherence. Those are Incomprehensibility and Serial Loss of General Resistance Resources. The results indicate that the crux of a strong Sense of Coherence for this population is excellent communication and a coherent “big-picture” conversation. Copyright © 2023 by The Hospice and Palliative Nurses Association. All rights reserved.