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Congruence of client and nurse perceptions is vital to mutual goal-setting as a means of achieving self-care in the elderly The purpose of this descriptive, correlational study was to explore the relationship between nurse and elderly client perceptions of the clients’ self-care agency A sample of 40 elderly client subjects and registered nurses’ selected from two community health agencies, completed a questionnaire consisting of three instruments (a) a demographic sheet, (b) the appraisal of Self-Care Agency Scale, and (c) the Perceived Health Status Pearson product moment correlation coefficients were significant for the relationships between (a) client and nurse perceptions of clients’ self-care agency (r=0.42, P < 0.01), (b) client and nurse perceptions of clients’ health status (r=0 38, P < 0.01, and (c) nurse perceptions of clients’ self-care agency and nurse perceptions of clients’ health status (r=0 44, P < 0.01) With increasing emphasis on health promotion of the elderly in the community, identified relationships may have potential implications for gerontological and community nursing practice