The homebound elder amidst the struggle to age with dignity

Abstract

The growth of America's old-old population has resulted in increasing number of disabled elders requiring assistance. Homebound elders are those who are struggling to maintain independent lifestyles, but are forced to be dependent on formal and informal caregivers. The home care revolution is the result of increasing health care costs, technological advances, and consumer choice to remain at home. Factors such as social networks and environmental supports have been shown to be significant predictors of independent living versus institutionalization. In addition, perception of choice is also an integral component in the well-being of homebound elders. Studies have shown that home health care is disproportionately allocated to elders on the basis of gender, race, and income. Furthermore, trends such as fewer children to share in the care of elder parents and family disruption from migration impact the need for more comprehensive formal home care services. Intervention strategies that promote the strengths and capabilities and enrich life satisfaction are essential to enable to homebound elder to age with dignity.