Problem: Knowledge for meeting the needs of the older adult who is facing mortality or dying is good, however research needs to be expanded to yield greater understanding of morbidity for the older person who has been the recipient of progressively degenerative diagnoses. Purpose: The purpose of this study was to discover the perceptions of the older adult with a progressively degenerating illness to expand the understanding in effectual care of the older adult and to conduct an analysis of the cases in the study based on work that has been conducted using Wilson's (1963) steps for concept analysis. Methodology: This inquiry was a pilot study following the precepts of qualitative Heidegerrian phenomenological research (Heidegger, 1927/1962). Data collection and measurement (Colaizzi, 1978) included unstructured interviews of older adults with chronic illness and a more recent diagnosis of a progressively degenerating disease. Concept analysis was conducted to assess how well the cases met the attributes of the concept of uncertainty as established by (McCormick, 2002). Results: The results included a strong sense of spirituality (Carson, 1989) and preferences for relationships based on type (Myers& McCaulley, 1989). Only one of the cases was consistent with the attributes of uncertainty. Implications: The important position of faith and personality type will give guidance in supporting older adults with degenerating illness. Understanding the value of these relationships will give the support needed to maintain a sense of control in the lives of older adults and guide the plan of care.