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On the inside looking out--perceptions of the homebound
Journal of Gerontological Nursing
|January 1, 1990
Summary
Homebound older adults adapt homes and lifestyles to maintain independence after losing it. Coordinated, ethical in-home services and 24-hour emergency nursing are crucial for this population.
Area of Science:
- Gerontology
- Home Healthcare
- Nursing
Background:
- Homebound older adults experience significant loss of independence.
- This loss necessitates adaptive strategies for maintaining autonomy.
Purpose of the Study:
- To explore how homebound older adults compensate for lost independence.
- To identify essential components of effective in-home care services for this demographic.
Main Methods:
- Qualitative exploration of adaptive strategies used by homebound older adults.
- Analysis of findings to inform service provision recommendations.
Main Results:
- Older adults implemented innovative home and lifestyle modifications to preserve independence.
- A need for ethically administered, coordinated in-home services was identified.
Conclusions:
- Comprehensive, coordinated in-home services are vital for supporting independent living in homebound older adults.
- 24-hour emergency skilled technological nursing services are recommended.
- Nurses should play a key role in developing, coordinating, and evaluating these services.