The nurse may interpret this as an assertion of self-reliance and the acceptance of the circumstances that push him to work. The circumstance might be his own personal need to work or any other.
Explanation :
This statement uttered during an interview by a nurse of an older client emphasizes the idea that though the older adult is getting a pension, he is still working either to make a living or for self-satisfaction.
He is not solely relying on the pension which, as a matter of fact, is quite small to satisfy his needs. ‘A small pension’ also underlines his dissatisfaction with the financial aid he is receiving. ‘Still working’ expresses his circumstance that he still has to work.