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Hearing and vision impairments and poor indoor lighting conditions in the homes of older persons are risk factors for functional decline, reduced social participation, and accidents. A literature search revealed that few studies have focused on hearing and vision abilities in home-care patients older than 80 years, and on the indoor lighting in their homes.The main aims of this book were to obtain knowledge about the characteristics of hearing and vision impairments in elderly recipients of home care, and to determine whether there is consistency between self-assessments and standardized tests of hearing and vision in the elderly. Furthermore, the aim was to measure the effects of an intervention designed to improve their functional hearing and vision and the lighting conditions in their homes.