title: The importance of successful place integration for perceived health in very old age: a qualitative meta-synthesis.
abstract: OBJECTIVE
  The aim of this study was to increase our understanding of the multifaceted phenomenon of home and health, by exploring processes underlying these dynamics when living at home in very old age.
  
  
  METHODS
  A qualitative meta-synthesis was used on four complementary qualitative studies, based on data from the Swedish ENABLE-AGE In-depth Study, focusing on very old, single-living people's experiences of home in relation to participation, independence and health (N = 40).
  
  
  RESULTS
  Over time, very old people manage increased frailty by means of three intertwined processes concerning changes in everyday life: The turning points, The struggle and The negotiations. The findings show that these processes take place through the context of the Homelike functional home and a state of mind labelled, The awareness of frailty.
  
  
  CONCLUSIONS
  The results can be useful in constructing and implementing guidelines for more holistic approaches to housing provision for senior citizens. Further, the study delivers a deeper understanding about how very old people live their lives, useful for practitioners as well as it contributes to theory development within the context of ageing and environments.
authors.affiliation: Department of Health Sciences, Lund University, P.O. Box 157, S-221 00, Lund, Sweden. maria.haak@med.lu.se
authors.forename: Maria
authors.initials: M
authors.lastname: Haak
authors.forename: Agneta
authors.initials: A
authors.lastname: Malmgren Fänge
authors.forename: Susanne
authors.initials: S
authors.lastname: Iwarsson
authors.forename: Synneve
authors.initials: S
authors.lastname: Dahlin-Ivanoff
mesh_terms: D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D005060:Europe; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006293:Health Promotion; D006798:Housing; D006801:Humans; D057187:Independent Living / Q000523:psychology*; D008016:Life Change Events; D008297:Male; D036301:Qualitative Research