What is it about?

Local confinement and bedridden are important phenomena in nursing care. Nevertheless, conceptual definitions and appropriate nursing diagnoses are missing in the current nursing classification systems. An integrative review was conducted to provide the basis for a conceptual definition. There are a variety of English-language terms of location confinement and bedridden. The concepts of homebound, wheelchairbound and bedridden form of local confinement and bedridden most extensively. Local confinement and bedridden are to be viewed through the definition of boundedness.

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Why is it important?

Our findings show the central concept of boundedness. The antecedents (instability, immobility) must be diagnosed to derive adequate interventions to avoid or alleviate the consequences. The conceptual definition of boundedness is the basis for a concept analysis for submission a new nursing diagnosis into the NANDA-International-Nursing-Diagnosis-Classification.

Perspectives

Boundedness should not be seen as an irreversible destiny become. Risk factors of instability and immobility is to counteract.

Johannes Schirghuber
Universitat Wien

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This page is a summary of: Ortsfixierung und Bettlägerigkeit im Kontext von Gebundenheit (boundedness), Pflege, January 2018, Hogrefe Publishing Group,
DOI: 10.1024/1012-5302/a000606.
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