Implementation of a flu immunization program for homebound elders: a graduate student practicum

Approximately 80% to 90% of all influenza-associated deaths in the United States occur in people aged 65 years and older. Costs associated with influenza-related hospitalizations have been estimated to range from $750 million to 1 billion during recent epidemics. In spite of these statistics, few programs target elders, who are particularly at risk for influenza. This article describes the development of a graduate student practicum in which an influenza immunization program for homebound elders was implemented. The Health Belief Model was used as the theoretical framework for this intervention. As a result of this program, 88 people received immunizations in the home environment. The need for this type of program is underscored in Health People 2000, which specifically addresses the need to increase vaccine use for those 65 and older.