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Elderly housebound: changes over time

M Farquhar, A Bowling, E Grundy

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |September 22, 1993
    PubMed
    Summary
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    Very elderly frail individuals who could not go outdoors alone were more likely to have health issues and require assistance. This study tracked changes in outdoor mobility for this demographic over time.

    Area of Science:

    • Gerontology
    • Public Health
    • Sociology

    Background:

    • Mobility limitations in the elderly impact independence and quality of life.
    • Understanding factors affecting outdoor access is crucial for geriatric care.
    • Previous research highlighted general challenges faced by frail elderly individuals.

    Purpose of the Study:

    • To describe changes in outdoor mobility among very elderly, frail individuals.
    • To identify characteristics associated with the inability to go outdoors in this population.
    • To analyze longitudinal data on mobility changes from 1987 to 1990.

    Main Methods:

    • Longitudinal study following a cohort of individuals aged 85+.
    • Cross-sectional analyses conducted in 1987 and 1990.

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  • Data collected through interviews assessing functional ability, health status, and daily living activities.

    • Main Results:

    • Inability to go outdoors alone was linked to prescribed medication use, poorer functional ability, sensory impairments (eyesight), and musculoskeletal pain.
    • Reduced outdoor access correlated with lower emotional well-being and sedentary behavior ('just sitting').
    • Individuals needing more help with daily activities were less likely to go outdoors.

    Conclusions:

    • Frail elderly individuals with specific health and functional deficits face significant barriers to outdoor mobility.
    • Mobility limitations are associated with a higher need for assistance and poorer overall well-being.
    • Interventions should address underlying health conditions and functional impairments to promote outdoor access in the elderly.