The strongest predictors of being homebound included serious memory loss, being older, having more chronic conditions, taking more prescription medications and having multiple hospitalizations.
In simplified terms, being homebound or housebound means an individual is unable to leave their home without difficulty. And due to this difficulty, generally does not leave their home. It is usually due to advanced age, illness, or a disability.
As summarized in Table 1, the prevalence of completely homebound individuals was 1.12% (95% CI, 0.93%-1.34%), an estimated 395 422 people. The prevalence of mostly homebound individuals was 4.5% (95% CI, 4.0%-5.0%), an estimated 1 578 984 people.
Of the NHATS participants residing in the community, who represent 39 million Medicare beneficiaries over 65 years of age, approximately 4% are categorized as homebound, representing 1.6 million people. Among homebound older adults, 27% are male and 73% female.
Findings from a 2012 Institute of Medicine report highlight the growing crisis of dementia, substance abuse and mental illness, such as depression among America’s older adult population. The conditions are often stigmatized, resulting in an absence of institutional support for services meant to address them.
Medicare considers you homebound if: You need the help of another person or medical equipment such as crutches, a walker, or a wheelchair to leave your home, or your doctor believes that your health or illness could get worse if you leave your home.
A patient is housebound if they are unable to leave their home at all, or if they require significant assistance to leave the house due to illness, frailty, surgery, disability, mental ill health, or nearing end of life.
Read on for our top five tips to help your shut-in loved one.
If you are homebound and need to receive a COVID-19 vaccine, contact your healthcare provider or your state or local health department for information about accessing a COVID-19 vaccine. In many states, you may also dial 211 to connect to essential community services.
It is estimated that 20% of people age 55 years or older experience some type of mental health concern (6). The most common conditions include anxiety, severe cognitive impairment, and mood disorders (such as depression or bipolar disorder) (6). Mental health issues are often implicated as a factor in cases of suicide.
A rapidly aging population means there are fewer working-age people in the economy. An economy that cannot fill in-demand occupations faces adverse consequences, including declining productivity, higher labor costs, delayed business expansion, and reduced international competitiveness.
10 common elderly health issues