Homebound Persons: Those unable to leave home without exceptional effort and support; patients (in this condition) who are provided with or are eligible for home health services, including medical treatment and personal care. Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not indicate an ability to receive health care in a professional's office or health care facility. (From Facts on File Dictionary of Health Care Management, 1988, p309)Researcher-Subject Relations: Interaction between research personnel and research subjects.Nontherapeutic Human Experimentation: Human experimentation that is not intended to benefit the subjects on whom it is performed. Phase I drug studies (CLINICAL TRIALS, PHASE I AS TOPIC) and research involving healthy volunteers are examples of nontherapeutic human experimentation.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Brief Psychiatric Rating Scale: A scale comprising 18 symptom constructs chosen to represent relatively independent dimensions of manifest psychopathology. The initial intended use was to provide more efficient assessment of treatment response in clinical psychopharmacology research; however, the scale was readily adapted to other uses. (From Hersen, M. and Bellack, A.S., Dictionary of Behavioral Assessment Techniques, p. 87)

*  Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and...

Homebound Persons*. Humans. Interviews as Topic. Longitudinal Studies. Male. Middle Aged. North Carolina. Self Care. ... Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and ... DESIGN AND METHODS: This was a longitudinal study of a randomly recruited sample of 268 homebound older adults in the Nutrition ... This study examines whether homebound older adults with diabetes were at greater risk for heightened food insufficiency over 1 ...

*  Need advice: Frequent falls of non compliant homebound pt with dementia | allnurses

... when a person tries to stand. I guess I can't see why a patient is falling so much with a 1:1 CNA. I would bring the client ... Need advice: Frequent falls of non compliant homebound pt with dementia Please Take Our Nursing School Survey... ...

*  Home Health Care - American Family Physician

... regulations require patients who receive home health care services to be under the care of a physician and to be homebound. The ... A patient must be homebound to receive HHA services. "Homebound" implies that the patient is unable to leave home or that ... A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non- ... Patients may be considered homebound if absences from the residence are infrequent, are of relatively short duration or are for ...

*  Homebound Persons

Posts about Homebound Persons written by Windsor Marketing ... Homebound Persons, Suffield, Windsor MarketingLeave a comment ... Tag: Homebound Persons. Suffield Emergency Aid Association Offers Aid to Homebound Persons. Suffield Emergency Aid Association ... Suffield Emergency Aid Association Offers Aid to Homebound Persons March 24, 2017 ... including elderly individuals and persons with disabilities. The program fosters the well-being of homebound residents who may ...

*  Reading - MeritBadgeDotOrg

a. Read to a sick, blind, or homebound person in a hospital or in an extended-care facility. b. Perform volunteer work at your ...

*  Meals On Wheels West nonprofit in Santa Monica, CA | Volunteer, Read Reviews, Donate | GreatNonprofits

The impact I made from sharing a few minutes with a homebound person gave me goosebumps on a regular basis. I am now enjoying ... Our home bound clients are gratified daily to welcome their Meals On Wheels volunteer (and not friend) to their home to deliver ... The daily visits of our volunteers reassure our homebound clients that we care, and the volunteers help us ensure the well- ... What a great program for those that are homebound and not able to cook or even shop for food. ...

*  Mirrored Window Bird Feeder | Gardener's Supply

good quality - simple - was gift for old person homebound. By riverrose. from cold spring new york ... was gift for elderly person who is now able to watch the birds all day long. ...

*  Computers Available For Disabled

CHIPS, Computers for Homebound & Isolated Persons *Washington * Computer Bank Charity *Volunteer Program Computer Reuse and ...

*  Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis | The British Journal of...

Chang B. Cognitive-behavioral intervention for homebound caregivers of persons with dementia. Nurs Res 1999; 48: 173- 82. ... NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see ... Influence of a 'friendly visitor' program on the cognitive functioning and morale of elderly persons. Am J Community Psychol ... Only befriending interventions delivered on an individual basis (either in person or via the telephone or internet) were ...

*  Is Home Health Right for Me

Determining Homebound Status. Medicare defines someone as "homebound" if a person is: *Is unable to leave home due to an ... If you are uncertain about if a person qualifies for home health services, please call Samaritan Home Health Services at 541- ...

*  Decades of delivering food and conversation - Washington Times

Every frail person who is isolated, homebound, and in need qualifies.. The demand is huge. "We are primarily limited by the ... He is a very independent person.". So Calore sat down and listened to the stories his elder friend told: delivering a 300-pound ...


Community-Based Care For Home Bound Elderely Persons In Nigeria; A Policy Option Uzoma Odera Okoye. Abstract ...

*  Guidance for Industry: Retail Food Stores and Food Service Establishments: Food Security Preventive Measures Guidance

... meal services for home-bound persons, mobile food carts, restaurants, and vending machine operators). It identifies the kinds ... meal services for home-bound persons, mobile food carts, restaurants, and vending machine operators). This is a very diverse ... It does not create or confer any rights for or on any person and does not operate to bind FDA or the public. You can use an ...

*  Pages that link to "Indicate" - Biology-Online Dictionary

Homebound persons ‎ (← links). *Manifest anxiety scale ‎ (← links). *Point tenderness ‎ (← links). *Influenza virus ‎ (← links) ...

*  Medical Information Search (Depression • Definitions)

Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not ... From Adams et al., Principles of Neurology, 6th ed, p1494-95)Homebound Persons: Those unable to leave home without exceptional ... APA, DSM-V)Mental Health: The state wherein the person is well adjusted.Cyclohexanols: Monohydroxy derivatives of cyclohexanes ... From Thorpy, Sleep Disorders Medicine, 1994, p187)Interpersonal Relations: The reciprocal interaction of two or more persons. ...

*  Medical Information Search (Mentally Ill Persons • Definitions)

Persons are considered homebound even if they may be infrequently and briefly absent from home if these absences do not ... The concept includes EPIDEMICS and PANDEMICS.Mentally Ill Persons: Persons with psychiatric illnesses or diseases, particularly ... Homebound Persons: Those unable to leave home without exceptional effort and support; patients (in this condition) who are ... Visually Impaired Persons: Persons with loss of vision such that there is an impact on activities of daily living.Prospective ...
lookformedical.com/definitions.php?q=Mentally Ill Persons&lang=1

*  Why I don't seem to have many women friends, by Angelina Jolie | Celebrity News | Showbiz & TV | Express.co.uk

I don't do a lot with them and I'm very home bound.. "I talk to Brad. But I don't know, I don't have a lot of friends to talk ... He is really the only person I talk to.. "He has expanded my life in ways I never imagined." ...

*  nurse practitioner Archives - Off the Charts

The "person-environment fit.". Szanton's keen interest in the "person-environment fit" of her frail elderly patients led her to ... Determining what matters to homebound elders.. Sarah Szanton This month, AJN profiles Sarah Szanton, who created a program ... Szanton, an NP who has provided care for homebound elders, notes that "[b]eing in someone's home gives you the opportunity to ... Views expressed on this blog are solely those of the authors or persons quoted and don't necessarily reflect those of AJN or ...

*  Angelina Jolie Doesn't Have Girlfriends | Earsucker

I don't do a lot with them, and I'm very homebound.". She went on to say, "I'll talk to my family. I talk to Brad…But I don't ... He is really the only person I talk to.". She did say that they have no plans to get pregnant again, but she could end up ... She shares six children with partner Brad Pitt and says that she's not a very social person and prefers to hang out at home ...

*  JASON] Johnson County Area Agency on Aging: JOHNSON COUNTY RSVP Opportunity - VolunteerMatch

For Meals on Wheels, volunteers will be delivering meals to homebound seniors. For Catch-A- Ride, volunteers will provide much ... Meals on Wheels is a program that provides community based nutritional support and services to assist older persons in ...

*  bound - traducci n de espa ol - Diccionario Ingl s-Espa ol de Word Magic

home-bound. home-bound person. homeward-bound. homeward-bound trip. in duty bound. in leaps and bounds. inflation-bound. inside ...

*  Post Punk Kitchen Forum • View topic - Safe space for when Call Me Maybe is stuck in your head

Im am another person who didn't have Call Me Maybe stuck in my head until I read the title of this thread. Thanks, Isa. ... 1 point for homebound introverts who only listen to NPR every once in awhile? ... Karyn is actually just a collection of horrible thoughts masquerading as a person. -amandabear ... 1 point for homebound introverts who only listen to NPR every once in awhile? ...

*  Community Service: A Family's Guide to Getting Involved

That one person can make a difference. A wonderful, empowering message for kids is that they're important enough to have an ... Take food to people who are homebound and visit with them. Your kids can brighten a lonely senior's day instantly. Offer your ...

*  Samsung Galaxy Tab review - Liliputing

But if you're the sort of person who doesn't have a smartphone, are you the sort of person who's likely to be attracted to the ... Perhaps regarding the iPad, it has the Apple fan base for starters and is a home bound device mainly for reading ebooks. ...

(1/56) Home visits to the housebound patient in family practice: a multicenter study. Israeli General Practice Research Network.

BACKGROUND: Most countries today are experiencing an accelerated pace of population aging. The management of the elderly housebound patient presents a special challenge to the family physician. OBJECTIVES: To investigate a series of home visits to housebound patients, the therapeutic procedures used, the equipment needed, and the diagnostic conclusions reached. METHODS: The details of 379 consecutive home visits to housebound patients were recorded by 91 family doctors serving 125,000 patients in Israel. RESULTS: The average age of the patients was 76.1 years. The vast majority of the visits were during office hours (94%). In 24.1% it was the doctor who decided to make the home visit on his/her own initiative. The most common initial reason for a home visit was undefined general symptoms, but the doctor was usually able to arrive at a more specific diagnosis after the visit. Medications were prescribed in 59.1% of the visits, and in 23.5% the medication was administered directly by the physician. The commonest drugs used were analgesics and antibiotics. In 19.3% of visits no action at all, other than examination and counseling, was undertaken. The equipment needed included prescription pads (73%), a stethoscope (81%), sphygmomanometer (74.9%), and otoscope/torch (30.6%). Only 15% of visits resulted in referral to hospital. CONCLUSIONS: Home visits to housebound patients serve as a support to caregivers, provide diagnostic information, and help the family with the decision as to when hospitalization is appropriate. The specific medical cause for the patient being housebound had little effect on the process of home visiting.  (+info)

(2/56) The prevalence of faecal incontinence in older people living at home.

BACKGROUND: faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE: to ascertain the prevalence of faecal incontinence and to identify health and socio-demographic characteristics of patients with this problem. DESIGN: a sample of 3000 older people, living at home in the UK, randomly selected from three Family Health Service Authorities. PARTICIPANTS: we interviewed 2818 men and women aged > or =65 years in their own homes: a response rate of 94%. RESULTS: 78 respondents (3%) reported faecal incontinence. There was a small but non-significant association with increasing age: 38 (2%) of those reporting incontinence were aged 65-74 years; 40 (3%) were aged > or =75 years. Faecal incontinence was significantly associated with sex, with reports from 15 men (1%) versus 63 women (4%; P<0.0005). It was also significantly associated with anxiety and with depression (P<0.00001) and very significantly associated with increasing disability (P<0.00001). Forty-six (59%) of those who had faecal incontinence had severe disability, compared with 426 (16%) of those who did not (P<0.00001). The association with urinary incontinence was also strong: 54 (69%) of those with faecal incontinence (2% of the total sample) had coexistent urinary incontinence. Over 50% had not discussed their problems with a healthcare professional. CONCLUSIONS: a reluctance to report symptoms and a significant association between faecal incontinence and symptoms of anxiety, depression and disability suggest that older people should be asked about faecal incontinence. Increasing the awareness of the scale of the problem among health- and social-care professionals, older people and their carers may lead to more appropriate management and effective provision of care.  (+info)

(3/56) Planning for death but not serious future illness: qualitative study of housebound elderly patients.

OBJECTIVE: To understand how elderly patients think about and approach future illness and the end of life. DESIGN: Qualitative study conducted 1997-9. SETTING: Physician housecall programme affiliated to US university. PARTICIPANTS: 20 chronically ill housebound patients aged over 75 years who could participate in an interview. Participants identified through purposive and random sampling. MAIN OUTCOME MEASURES: In-depth semistructured interviews lasting one to two hours. RESULTS: Sixteen people said that they did not think about the future or did not in general plan for the future. Nineteen were particularly reluctant to think about, discuss, or plan for serious future illness. Instead they described a "one day at a time," "what is to be will be" approach to life, preferring to "cross that bridge" when they got to it. Participants considered end of life matters to be in the hands of God, though 13 participants had made wills and 19 had funeral plans. Although some had completed advance directives, these were not well understood and were intended for use only when death was near and certain. CONCLUSIONS: The elderly people interviewed for this study were resistant to planning in advance for the hypothetical future, particularly for serious illness when death is possible but not certain.  (+info)

(4/56) Inadequate nutrient intakes among homebound elderly and their correlation with individual characteristics and health-related factors.

BACKGROUND: The prevalence of inadequate nutrient intakes among the homebound elderly and their correlation with individual characteristics and health-related factors remain poorly understood. OBJECTIVE: We assessed the extent of inadequate dietary intakes of key nutrients among the homebound elderly by using the newly released dietary reference intakes and examined the associations of individual characteristics and health-related factors with low nutrient intakes. DESIGN: This was a cross-sectional examination of data collected during the baseline assessment of a prospective study of nutrition and function among a randomly recruited sample of cognitively eligible recipients of home-delivered meals who completed a home visit and three 24-h dietary recalls (n = 345). Nutrient analysis was performed with the NUTRITION DATA SYSTEM software, and associations were identified through multiple regression models. RESULTS: In multiple regression models, lower intakes of specific nutrients were associated with subjects who were women, who were black, who reported a low income and limited education, and who did not usually eat breakfast. On the basis of the estimated average requirement standard for nutrient inadequacy, the intake of >/= 6 nutrients was inadequate in 27% of subjects, of 3-5 nutrients in 40% of subjects, and of 1-2 nutrients in 29% of subjects. On the basis of the adequate intake standard, a less than adequate intake of calcium was reported by 96% of subjects and of vitamin D by 99% of subjects. CONCLUSIONS: The findings suggest that home-delivered meals programs should target specific subgroups of participants with interventions, such as a breakfast meal or more-nutrient-dense meals, tailored to increase nutrient intakes and reduce the prevalence of nutrient inadequacy.  (+info)

(5/56) Summary measure of dietary musculoskeletal nutrient (calcium, vitamin D, magnesium, and phosphorus) intakes is associated with lower-extremity physical performance in homebound elderly men and women.

BACKGROUND: Nutritional intake has been overlooked as a possible contributing factor to lower-extremity physical performance, especially in homebound elderly persons. OBJECTIVES: Our objectives were to examine the association of a summary measure of calcium, vitamin D, magnesium, and phosphorus intakes with 1) the inability to perform lower-extremity physical performance tests and 2) declining levels of summary lower-extremity physical performance. DESIGN: Baseline data from the Nutrition and Function Study were used to calculate a summary musculoskeletal nutrient (SMN) score as a measure of nutrient intake (factor analysis) and to examine the association of SMN intake with physical performance (multivariable regression models) among recipients of home-delivered meals who completed an in-home assessment (anthropometric measures and performance-based physical tests) and three 24-h dietary recalls. RESULTS: Among the 321 participants, elderly age, black race, body mass index (in kg/m2) > or = 35, arthritis, frequent fear of falling, and lowest SMN intake were independently associated with being unable to perform functional tests. The lowest SMN intake and the highest BMI were both significantly associated with increasingly worse levels of lower-extremity physical performance, after adjustment for health and demographic characteristics. CONCLUSIONS: Considering the importance of identifying short- and long-term outcomes that help elderly persons maintain adequate nutritional status and remain functionally independent at home, the results of this study suggest the need to identify intervention strategies that target the improvement of dietary intake and physical performance. Further investigation is indicated to identify the manner in which nutritional status contributes to the preservation or deterioration of physical performance in homebound elderly persons.  (+info)

(6/56) Risk and presence of food insufficiency are associated with low nutrient intakes and multimorbidity among homebound older women who receive home-delivered meals.

This study examined the independent association of food sufficiency status with lowest nutrient intakes and multimorbidity among homebound older women who received home-delivered meals. Baseline data from the Nutrition and Function Study were used to identify three categories of food sufficiency status [food sufficient (FS), risk of food insufficiency (RFI) and food insufficient (FI)], calculate summary measures of musculoskeletal (calcium, vitamin D, magnesium and phosphorus) and overall nutrient intakes, and examine, using multivariable logistic regression models, the association of food sufficiency status with nutrition and health outcomes among 279 women who received regular home-delivered meals service (5 weekday meals/wk) and completed an in-home assessment and three 24-h dietary recalls. Independent of income and other variables, the adjusted odds for reporting lowest intakes in individual and multiple nutrients (> or = 2 musculoskeletal and > or = 5 overall) were significantly greater among women who reported RFI [odds ratio (OR) = 1.96 to 2.91] and FI (OR = 2.85 to 5.21). In addition, FI women were more likely to report a burden of multimorbidity (OR = 3.69). Considering the importance of home-delivered meals as a primary source of food assistance to homebound older women, the results of this study suggest the need to reevaluate the traditional model of home-delivered meals and to include measures of food sufficiency status as an integral component of program assessment and evaluation for the targeting and monitoring of new, innovative and cost-effective strategies to alleviate risk and the presence of food insufficiency.  (+info)

(7/56) Increasing fruit and vegetable intake in homebound elders: the Seattle Senior Farmers' Market Nutrition Pilot Program.

INTRODUCTION: Diets that are high in fruits and vegetables lower an individual's risk of chronic disease and contribute to healthy aging. Homebound seniors often have low intake of fruits and vegetables and limited access to fruits and vegetables with the most protective nutrients and phytochemicals. From June through October 2001, the Seattle Senior Farmers' Market Nutrition Pilot Program delivered bi-weekly market baskets that included a variety of fresh, locally grown produce to 480 low-income Meals on Wheels participants. The purpose of this study was to determine if the program increased fruit and vegetable intake in individuals who received the baskets. METHODS: One hundred basket recipients were recruited to complete a telephone survey before and at the end of the farmers' market basket season. Fifty-two low-income homebound seniors who lived outside the project service area were recruited to serve as control respondents. Fruit and vegetable intake was determined with modified versions of the 6 fruits and vegetables questions in the Behavior Risk Factor Surveillance System. RESULTS: Seniors who received the baskets reported consuming an increase of 1.04 servings of fruits and vegetables. The difference between the mean servings in the seniors who received the baskets compared to the controls was 1.31 (95% CI, 0.68-1.95, P < .001). At baseline, 22% of the basket recipients were consuming 5 or more servings of fruits and vegetables per day, but by the end of the season, 39% reported consuming 5 or more per day. CONCLUSION: Home delivery of fruits and vegetables is an effective way to increase fruit and vegetable intake in homebound seniors.  (+info)

(8/56) Qualitative assessment of participant utilization and satisfaction with the Seattle Senior Farmers' Market Nutrition Pilot Program.

INTRODUCTION: The Seattle Senior Farmers' Market Nutrition Pilot Program delivered fresh fruits and vegetables to homebound seniors in King County, Washington, from June through October 2001. A primary objective of the program was to increase participants' intake of fruits and vegetables. A qualitative study was conducted to examine the impact of the program on participating homebound seniors. METHODS: Semi-structured interviews were performed with 27 participants in their homes to identify benefits and barriers they encountered and to measure their use and sense of satisfaction with the program. RESULTS: Analysis of the transcribed interviews revealed several common themes: Participants appreciated the variety and quality of the fresh fruits and vegetables. Some participants would not have had access to fresh fruits and vegetables without the program. Home-delivered baskets of fresh fruits and vegetables brought participants joy, stimulated interest in healthy foods, and improved quality of life. The program newsletter supported consumption of fresh produce. CONCLUSION: Program success was rooted in the multiple ways the program addressed potential barriers and reinforced behavioral intent.  (+info)


  • There is an interest for intervention studies aiming at the prevention of disability in community-dwelling physically frail older persons, though an overview on their content, methodological quality and effectiveness is lacking. (biomedcentral.com)
  • Trials that included community-dwelling frail older persons based on physical frailty indicators and used disability measures for outcome evaluation were included. (biomedcentral.com)
  • There is an indication that relatively long-lasting and high-intensive multicomponent exercise programs have a positive effect on ADL and IADL disability for community-living moderate physically frail older persons. (biomedcentral.com)
  • Future research into disability prevention in physical frail older persons could be directed to more individualized and comprehensive programs. (biomedcentral.com)
  • Longitudinal examination of homebound older adults who experience heightened food insufficiency: effect of diabetes status and implications for service provision. (biomedsearch.com)
  • This study examines whether homebound older adults with diabetes were at greater risk for heightened food insufficiency over 1 year, despite regular receipt of home-delivered meals. (biomedsearch.com)
  • DESIGN AND METHODS: This was a longitudinal study of a randomly recruited sample of 268 homebound older adults in the Nutrition and Function Study (NAFS) who regularly received home-delivered meals and completed baseline and 1-year in-home assessments. (biomedsearch.com)