الفهرس 
Overview of Older AdultOnly 14 pages are availabe for public view
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Abstract
Elderly people need independence in making
decisions and managing their own lives to meet self-respect,
dignity and they need spiritual help. Bedridden is a form of
immobility that can present as the inability to move or even
sit upright. A bedridden older adult has some reason, to stay
in bed for a long period (paralysis, multiple trauma, fracture,
severe disease. Such a patient might quickly develop some of
those complications that might be life-threatening. Caring for
a bedridden older adult can be difficult, and requires a great
deal of patience and understanding. Most of these bedridden
elderly have a hard time adjusting to this lifestyle and may
develop significant health problems. The responsibility of the
caregiver is to help the bedridden older adults adjust – both
physically and mentally and also need to help the bedridden
older adults with numerous daily tasks (Pereira et al., 2017).
Aim of the study:
Aim of the study to assess health needs and problems of
bedridden older adults in geriatric homes through:
- Assess physical health status of bedridden older adults.
- Assess health needs of bedridden older adults in
geriatric homes.
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- Assess health problems of bedridden older adults in
geriatric homes.
- Assess geriatric home environment for bedridden older
adults.
Research questions:
- Is there a relation between physical health status and
health needs of bedridden older adults?
- Is there a relation between physical health status and
health problems of bedridden older adults?
- Is there a relation between physical health needs and
health problems of bedridden older adults?
- What are the differences between geriatric homes
environment?
Research Setting:
This study was conducted at Geriatric Homes in East
Cairo, which included the high rate of Bedridden Older
Adults Dar Fouad Habib in 32 kilo Masr Ismalia road has 64
bedridden older adults, Dar Al Marwa in Masr Elgedida has
50 bedridden older adults, and Dar Saidat Misr in Masr
Elgedida has 30 bedridden older adults
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Subjects of the study:
Convenience sample, of 144 Bedridden Older Adults
from previous mentioned settings according to the following
criteria.
Criteria of selection:
Both sexes, age over 60 years old, bedridden,
conscious client.
Tools of data collection:
Data were collected by using two tools:
First tool: A structured interviewing questionnaire designed
by the investigator that includes four parts:
Part I: Socio-demographic characteristic of bedridden older
adults includes (age, gender, marital status, educational level,
job, monthly income, source of income, number of children,
previous residence). It includes 9 questions Q1 to Q9.
Part II: Assess Physical health status of bedridden older
adults by observation and medical record, includes vital signs
(Bp., Temp, Respiration, Pulse), medications used. Physical
health status of bedridden older adult includes, (Respiratory
system, Gastrointestinal system, Urinary tract system,
Cardiovascular system, Blood disease, Nervous system, Skin,
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125
Muscular system, Endocrine glands, Bones). It includes 2
closed ended questions Q10 to Q12
Part III: Assess the health needs of bedridden older adults,
includes Physical needs (nutrition, bathing, wearing clothes,
defecation, urination and rest, sleep) Psychological needs
(safe, security), emotional needs (love, self-respect) and
Social needs (social relations, interesting from others). It
includes 4 questions Q13 to Q 16
Part V: Assess health problems of bedridden older adults, it
includes, physical health problems (heart problems, arthritis,
hypertension, digestive problems, urinary problems and
skin), psychological health problems (anxiety, dementia and
sleep disturbance), and social health problems (loneliness
and low income), it includes 11 questions Q17 to Q19.
Second tool:
Assessment of geriatric homes environment:
Assess the geriatric home surrounding of bedridden older
adults, It Includes, general lighting, external doors, stairs,
reception, bathrooms, kitchen, laundry room, drive ways, and
safety and security. Q1 to Q9.
The study findings: This study showed that the mean± SD
of age is 74.4±7.07, 58.3% of bedridden older adults were
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126
female and 67.4% of the study samples were a widow.
Besides, 67.0% of them had insufficient monthly income.
- Nearly half of bedridden older adults had high physical
needs, psychological needs, and emotional needs.
- More than half of bedridden older adults were had
severe physical problems.
- Nearly half of them were sever psychological
problems and sever social problems.
- There was a highly statistically significant association
between health status and health needs of the studied
bedridden older adults.
- There was a highly statistically significant association
between health status and health problems of the
studied bedridden older adults.
- Also, there was a highly statistically significant
association between health needs and health problems
of the studied bedridden older adults.
- There was a positive correlation and highly significant
between the total score of health needs, health
problems, and health status
- There was highly significant statistical differences in
total health needs according to bedridden older adult
level of education X2=25.49, P=0.001.
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- There was a significant statistical difference in total
health needs according to bedridden older adults‘
monthly income.
- There were significant statistical differences in total
health Status according to bedridden older adults age
group X2=9.63, P=0.002, and monthly income.
- There was a highly significant statistical difference in
total health problems according to bedridden older
adult‘s marital status.
Conclusion
After conduction of the present study; it concluded the
following:
The present study showed that there was a highly
statistically significant relation between health status and
health needs of the studied bedridden older adults. There was
a highly statistically significant relation between health status
and health problems of the studied bedridden older adults.
Also, there was a highly statistically significant relation
between health needs and health problems of the studied
bedridden older adults. Also, the current study indicated that
Dar Fouad Habib and Dar Saidat Misr were equal in external
environmental requirements criteria opposite to Dar Al
Marwa. Finally, the present study concluded that There was a
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128
positive correlation and highly significant between the total
score of health needs, health problems and health status.
In the light of these findings it was recommended that:
Periodic physical examination for older adults to
early identification and detection of health
problems and promote intervention.
Continuous assessment of needs and problems for
bedridden older adults.
Importance of follow-up care that offers the
bedridden older adult the best chance for recovery
and long-term survival.
Ensuring documentation systems related to finding
changes in the health of the elderly at geriatric
homes.
Future research about:
Needs to further explore health needs and problems for
bedridden older adults