Definition: Doing things the care recipient find important and meaningful. Maintaining social connections with people important to them.
The end of life is an important time to decide what is most meaningful. One way older people compensate for lost abilities is to select areas of greatest importance to optimize by focusing on them. Those priorities vary with the individual but should be respected and facilitated.
It can encompass everything from regular activities to personal relationships. Many have spent their life working or being active. As they get older their eyesight may begin to fail, where activities they used to engage in no longer an option. Finding new activities or reintroducing old hobbies can be a way of invigorating life. We also need to consider activities in alignment with personal values as we are looking.
Continuity of relationships can be very important. Staying in touch with family and friends is meaningful to some but not all.