Ikääntyneiden aikuisten toimijuus kuntoutuksessa

Detecting Changes in Human Agency of Older Adults in Rehabilitation

“…The insights older people gained about themselves and their health during rehabilitation can motivate them to continue meaningful activities but can also raise concerns about the future (Sondell et al, 2021). However, while personcentered approaches have emphasised the individual needs of older adults, the implementation of rehabilitation has failed to fully recognise older adults as active subjects with unique life courses (Pikkarainen, 2020). Further, in current rehabilitation practice, the concepts of activity and participation have also been slightly conceptualised and narrowly implemented (Pikkarainen, Vähäsantanen, Paloniemi, & Eteläpelto, 2015).…”

“…Further, in current rehabilitation practice, the concepts of activity and participation have also been slightly conceptualised and narrowly implemented (Pikkarainen, Vähäsantanen, Paloniemi, & Eteläpelto, 2015). Older adults should, especially during gerontological rehabilitation, also be given an opportunity to formulate their future life course perspective with positive, meaningful elements (Pikkarainen, 2020). This was found to be achievable in a group-based rehabilitation intervention where the rehabilitees were encouraged to' examine their previous life course and current life situation by sharing their individual and cohort experiences with the other participants (Pikkarainen, Vähäsantanen, Paloniemi, & Eteläpelto, 2019).…”

“…Figure 1 about here Although theoretical knowledge offers a basis for reinforcing human agency via participation and an emphasis on person-centred practice, this may not always be achieved in interventions (Pikkarainen, 2020), including occupational therapy (Karstensen & Kristensen, 2020). Moreover, rehabilitation services for older adults remain largely based on the assessment of physical and cognitive capacities or health-related quality of life.…”