title: Older rehabilitees' life-course agency in Finnish gerontological rehabilitation.
abstract: OBJECTIVE
  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.
authors.affiliation: a 1 JAMK University of Applied Sciences, School of Health and Social Studies , Jyvaskyla, Finland.
authors.forename: Aila
authors.initials: A
authors.lastname: Pikkarainen
authors.forename: Katja
authors.initials: K
authors.lastname: Vähäsantanen
authors.forename: Susanna
authors.initials: S
authors.lastname: Paloniemi
authors.forename: Anneli
authors.initials: A
authors.lastname: Eteläpelto
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D005387:Finland; D005853:Geriatrics; D006040:Goals; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D009788:Occupational Therapy; D018802:Patient-Centered Care; D036301:Qualitative Research; D013997:Time Factors
keywords: Goal-setting; agency; occupational therapy; person-centred rehabilitation; temporality