Data from a representative sample of 736 women aged 45-54 living in or near London in 1965 were analysed with respect to menopausal status and median and mean age at menopause (final menses). The median age at the natural menopause was 50-78 years. The validity of the measures used and the reliability of the data in this and previous studies are discussed. The conclusions are reached that median age of menopause is a more valid measurement than mean age and that there is no conclusive evidence of an increase in the age at menopause over the last century. The data also indicate understatement of the age at the last menstrual period (LMP) by women, with increasing lapse of time.The menopause was found to occur markedly later in currently married women than in unmarried or previously married women. When marital status was controlled by considering currently married women only, increased parity was shown to be related to a late menopause among women of higher socio-economic status, but not among those of lower socioeconomic status. There was no notable association between the menopause and early or late menarche and socio-economic status.
Most women in Western society seem to reach the menopause in their early fifties; the median age in this Aberdeen series being 50-1 years. As far as symptoms were concerned, only the vasomotor disorders, flushing and night sweats, were definitely correlated with the menopause.
Individuals and families make sense of the world and their experiences through a process of meaning construction. Narrative is an important means of constructing meaning. The diagnosis of life-threatening or life-altering illness often forces revision in the life narrative and the reconstruction of meaning. This article discusses the process of meaning construction and highlights the use of narrative, the expressive arts, and ritual to create meaning and connection. All members of the palliative care team play an important role in helping patients and families tell the stories of their illness and their lives and find meaning and purpose at the end of life. The use of rituals is discussed along with verbal and art-based methods for eliciting patient and family narratives. The relationships among patient, family, and practitioner are seen as powerfully therapeutic and potentially transformative for all involved.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.