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The phenomenon of bedriddenness in older adults in hospitals: A scoping review of current research and nursing implications.

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[Bedriddenness and sociospatial participation-A reflection].

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Spatial sociology reveals how the arrangement of bedridden individuals and objects in care facilities impacts their participation. Reflecting on and redesigning these environments can enhance their social inclusion and autonomy.

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Area of Science:

  • Sociology of space
  • Spatial sociology
  • Gerontology

Context:

  • Immobility and bedriddenness significantly affect older adults' physical, psychological, and social well-being.
  • Existing residential care facilities often present challenges to the participation of bedridden individuals.
  • Understanding the sociospatial dynamics is crucial for improving the quality of life for immobile residents.

Purpose:

  • To explore the applicability of spatial sociology concepts to analyze participation among bedridden individuals in residential care.
  • To investigate how the arrangement of people and objects influences the participatory opportunities of bedridden residents.
  • To identify contributions spatial sociology can make to enhancing the inclusion of bedridden people.

Summary:

  • Spatial sociology, particularly Martina Löw's concept, frames social spaces as products of arranging people and things.
  • Participatory opportunities are defined by residents' capacity to arrange elements versus the risk of being arranged.
  • Analysis of nursing home case studies demonstrates how relational spaces and functional arrangements limit bedridden residents' agency.

Impact:

  • Applying a spatial-sociological perspective highlights the consequences of spatial arrangements on perception and interaction.
  • Limited freedom of action for bedridden residents necessitates reflection on institutional practices.
  • Designing 'open' environments and critically examining sociospatial configurations can improve participation and well-being.