This study aimed to illuminate very old people's experiences and expressions of spirituality and is a part of the Umeå 85 +/Gerontological Regional Database (GERDA). The participants (n = 12) had declared an interest in spirituality, were 86-99 years of age, and were interviewed in their own homes. The interviews were analyzed using qualitative content analysis. The findings revealed that spirituality was experienced as being in communion, transcending life's circumstances, and living in a

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... tual reality. Spirituality was expressed as an inner sense of communion with God and with other people, and as a spiritual reality. The participants expressed a desire to talk about spiritual experiences and personal beliefs but regarded spirituality as an uncommon topic. Nurses and other professionals need to be aware of spiritual needs and prepared to give spiritual care.