This study describes the self-estimated functional ability of older adults with visual impairments (VI) living at home prior to and after 24 months of individual low vision rehabilitation (LVR) according to the International Classification of Functioning, Disability and Health (ICF) framework. The LVR was carried out according to regular standard of care in Finland. The study provides knowledge that is relevant for improving both LVR as well as other services for older adults living with VI. Thirty-nine older adults with VI initially participated in the study with 28 remaining for the follow-up at 24 months of LVR. Data were collected by an orally administered questionnaire including items from the Oldwellactive Wellness Profile instrument. Data were analyzed using the marginal homogeneity test, and the outcomes were divided into four categories according to the ICF framework. Comparisons between the baseline and 2-year follow-up revealed statistically significant decreases in daily functions, including going outdoors ( p = .011), washing oneself ( p = .016), taking care for personal hygiene ( p = .046), dressing ( p = .034), preparing meals ( p = .041), and doing heavy housework ( p = .046), following 2 years of received LVR. A statistically significant increase in the need for help was also observed during the study period ( p = .025). The independence of older adults with VI decreased, and the need for external services or help increased during 24 months after the onset of receiving LVR. Visual problems were shown to widely affect functional ability. Activities and participation dimension together with loneliness are most affected and need attention in individual LVR.

Worldwide demographic changes have led to an increased share of older people in the population (Ritchie & Roser, 2019), which is also increasing the number of older people in need of long-term care.In Finland, and in other European countries, safe aging at homewith support from additional nursing and home help services-is a national goal that has shifted the focus of long-term care for older people from residential care to home care (Boerma & Genet, 2012; Finnish Institute for Health and Welfare, 2020a). Finland's National Programme on Aging 2030 focusses on preventive measures to improve the functional ability of older people and risk groups (Ministry of Social Affairs and Health, 2020). Vision is a major factor that affects an older person's functioning and living at home. However, up-to-date information on the visual performance of home-dwelling older people receiving home care is not available. In 2019, over 100,000 home-dwelling older people (>65 years of age) received regular home care services in Finland. This represents approximately 8% of this age group (Saukkonen et al., 2020).Although several studies have shown that visual impairment (VI) affects functional ability, overall well-being and quality of

Kuntoutumista edistävän hoitotyön merkitys korostuu ikääntyvässä Suomessa. Tutkimusten mukaan kuntoutumista edistävä hoitotyö edistää ikääntyneiden toimintakykyä. Vanhuspalvelulaki velvoittaa kuntia tekemään ikääntyneen väestön tukemiseksi suunnitelman, jossa painotetaan kotona asumista ja kuntouttavia toimenpiteitä. Suuri osa valmistuneista lähihoitajista tulee työskentelemään ikääntyneiden parissa, joten lähihoitajien koulutuksen tulee vastata työelämän tarpeita. Tutkimuksen tavoitteena oli tuottaa uutta tietoa kuntoutumista edistävän hoitotyön toteutumisesta ikääntyneiden palvelujärjestelmässä sekä ikääntyneiden kuntoutumista edistävän hoitotyön koulutuksesta ammatillisessa oppilaitoksessa. Tutkimusaineisto kerättiin syksyllä 2020 yksilöteemahaastatteluilla lähihoitajaopiskelijoilta (n=8). Aineisto analysoitiin induktiivisella sisällönanalyysilla. Lähihoitajaopiskelijoiden kokemukset ikääntyneiden kuntoutumista edistävästä hoitotyöstä liittyivät hoitajien ajankäyttöön, organisaation toimintaan, hoitajien osaamiseen, hoitajien asenteisiin, hoitajien omiin toimintatapoihin, organisaation toiminnan kehittämiseen, käytännönläheisen opetuksen toteuttamiseen ja kehittämiseen, apuvälineiden käyttöä heikentäviin ja parantaviin tekijöihin sekä apuvälineiden teknologiaan tulevaisuudessa. Johtopäätöksenä voidaan todeta, että koulutuksen sisältö ja käytännön työelämä eivät kohtaa. On välttämätöntä lisätä kuntoutumista edistävän hoitotyön osaamista ja kehittää organisaatioiden toimintoja. Practical nurse students’ experiences of restorative care for older adults and restorative care education The meaning of restorative care is emphasized in ageing Finland. Studies show that restorative care promotes the functional ability of older adults. The Finnish elderly services law obliges municipalities to make a plan to support the elderly population with an emphasis on promoting living at home with the support of restorative care. Most of the graduating practical nurses will work among older adults, so the education should meet the needs of working life. The aim of this study was to produce new information on the implementation of restorative care in the service system for the elderly and on the restorative care education in vocational institutions. In autumn 2020, data were collected by individual focused interviews with graduating practical nurses (n=8). The data were analyzed by inductive content analysis. Practical nurse students’ experiences of restorative care were related to nurses’ time usage, the organization’s operation, nurses’ competence, nurses’ attitudes, nurses’ way of working, developing the organization’s operations, implementation and development of practical teaching, reducing and increasing the use of assistive devices, and the future of assistive device technology. In conclusion, the content of education and practical working life do not meet. It is necessary to increase competence in restorative care and develop the functions of organizations.