6533b854fe1ef96bd12ae094

RESEARCH PRODUCT

Older rehabilitees’ life-course agency in Finnish gerontological rehabilitation

Aila PikkarainenKatja VähäsantanenSusanna PaloniemiAnneli Eteläpelto

subject

Occupational therapytemporaalisuusMaleta520medicine.medical_specialtyTime FactorsHealth Services for the Agedmedicine.medical_treatmentApplied psychologyNarrative inquiryDevelopmental psychologyOrientation (mental)Patient-Centered Careoccupational therapyAgency (sociology)toimintaterapiamedicineHumansGoal-settingDisabled Personsta516Goal settingFinlandQualitative ResearchAgedAged 80 and overRehabilitationperson-centred rehabilitationPublic Health Environmental and Occupational Healthta5142ta3141GeriatricsagencyLife course approachFemalePsychologyGoalstemporalityQualitative research

description

Aims: This study investigates gerontological rehabilitation sessions of Finnish rehabilitees in the framework of life-course agency from the perspectives of temporal orientation and agency. Methods: The research data were obtained by non-participatory observation in 11 individual goal-setting sessions between 11 rehabilitees and their personal counsellors. The data were analysed in accordance with data-driven, qualitative content and narrative analysis, with an emphasis on the life-course agency approach. Results: Four temporal orientations of older rehabilitees were identified in the rehabilitation sessions: (i) timeless, (ii) past, (iii) present, and (iv) life course. For each temporal orientation, the rehabilitees displayed different kinds of agency. Fractured agency was intertwined with the timeless orientation, frozen agency was related to the past orientation, practical agency to the present orientation, and transitional agency emerged in relation to the life-course orientation. Conclusions: The article contributes to the discussion of how older adults’ rehabilitation should be reformed within the Finnish context. The study suggests that a person-centred gerontological rehabilitation process should be conceptualized in terms of an agency-based approach with a personally constructed and temporally embedded life-course perspective. This kind of conceptualizing could promote empowered cooperation and innovative interventions with flexible schedules in the rehabilitation processes of older adults. peerReviewed

10.3109/11038128.2015.1057221http://juuli.fi/Record/0009280015