The article examines the phenomenon of self-realisation among older adults in the context of social work, revealing how social workers perceive and support the search for meaning in life in their professional practice. The study was based on a qualitative narrative approach that made it possible to explore the experiences of social workers, processes of meaning-making, and principles of existential empowerment applied in working with elderly clients. The analysis showed that self-realisation in old age is a dynamic and multi-dimensional process, shaped by the interaction of internal (faith, values, reflection) and external (family relations, activity, community) factors. The role of the social worker takes on the meaning of existential companionship, helping individuals rediscover meaning, preserve dignity, and experience personal worth in everyday life. The results showed that the application of empowerment, dialogue and principles of meaningful participation in social work practice strengthens the continuity of identity, self-esteem and sense of life fulfilment among older adults.