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Determining and Controlling External Power Output During Regular Handrim Wheelchair Propulsion
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Being wheelchair-bound and being bedridden: Two concept analyses.

Johannes Schirghuber1, Berta Schrems1

  • 1Department of Nursing Science, University of Vienna, Vienna, Austria.

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Summary
This summary is machine-generated.

This study defines being wheelchair-bound and bedridden as states of immobility with restricted life-space. Both conditions share attributes like powerlessness and confinement, leading to inactivity and related health issues.

Keywords:
bedboundbedriddenboundednessconcept analysiswheelchair-bound

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Area of Science:

  • Nursing
  • Rehabilitation Medicine
  • Gerontology

Background:

  • Understanding the experiences of individuals with limited mobility is crucial for effective care.
  • Clear conceptual definitions of 'wheelchair-bound' and 'bedridden' are needed to guide clinical practice and research.
  • Existing definitions may lack nuance regarding the progression and shared characteristics of these states.

Purpose of the Study:

  • To conduct a concept analysis of 'being wheelchair-bound' and 'being bedridden'.
  • To develop a clear conceptual definition for each state.
  • To identify the shared attributes, antecedents, and consequences of these mobility limitations.

Main Methods:

  • Employed Walker and Avant´s established concept analysis method.
  • Utilized thematic analysis to systematically identify key concept components.
  • Focused on determining the defining attributes, antecedents, and consequences of the concepts.

Main Results:

  • Defined 'wheelchair-bound' and 'bedridden' as permanent states of object-bound existence with restricted life-space.
  • Identified six shared attributes: need for help, powerlessness, life-space confinement, mobility limitation, endurance, and weakness.
  • Established physical immobility and physiological instability as antecedents, with illness and complexity as influencing factors. Consequences include progressive inactivity and associated physical/psycho-social problems.

Conclusions:

  • Being wheelchair-bound can be a precursor to being bedridden, both signifying significant life-space restriction.
  • The identified attributes and antecedents provide a framework for understanding the patient experience.
  • Recognizing these concepts' progression and consequences is vital for patient care and intervention strategies.