On the inside looking out--perceptions of the homebound

Losses expressed by homebound older adults resulted from an initial loss of independence. To compensate for losses in independence, the older homebound adults created unique and innovative changes in their homes and lifestyles to remain as independent as possible. Findings suggest the need for coordinated in-home services that are ethically administered to homebound individuals. Emergency services should be available on a 24-hour basis to homebound older adults needing skilled technological nursing services. Nurses must become more actively involved in the development, coordination, and evaluation of comprehensive in-home services for our growing older adult population.