This interpretive phenomenological study explored older Irish women’s experiences of aging
and health related issues. Method: Data were collected using in-depth interviews with 23 older women
(coresearchers). Data analysis followed the “Vancouver school of doing phenomenology” framework and included
a meta-synthesis of individual case constructions. Results: “Retaining autonomy within a process of adaptation
and continued engagement” describes the essential meaning of coresearchers’ experiences. Four themes were
identified: “Being in control: Balancing needs and supports,” “Navigating a changing world,” “Being connected and
involved,” “Trying to stay well.” Discussion: Gender shapes older women’s experience of aging, health, and ill
health. Three major factors moderate their experience: autonomy and control, proactivity and adaptability, and
staying engaged with life. The study concludes that aging, gender, and health are intrinsically linked and collectively
shape older women’s experience. This is an important consideration when planning gender-appropriate health
care services for older women.