| Co-Investigator(Kenkyū-buntansha) |
SHIMIZU Yoko The Japanese Red Cross College of Nursing, School of Nursing, Lecturer, 看護学部, 講師 (90288069)
FUKUSHIMA Michiko The Japanese Red Cross College of Nursing, School of Nursing, Professor, 看護学部, 教授 (40201743)
SASAKI Akiko Saitama Prefectural University, School of Health and Social Service, Associate professor, 保健医療福祉学部, 助教授 (20167430)
NAKATANI Hisae Shimane Medical University, School of Medicine, Associate professor, 医学部, 助教授 (90280130)
KONO Ayumi Tokyo Medical and Dental University, Faculty of Medicine, Lecturer, 医学部, 講師 (00313255)
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| Research Abstract |
We conducted research on "Care Plan and Evaluation for Supporting Independence of Basic ADL in Home Care" from 1998 to 2000.
In 1998, we analyzed conditions which enabled independence of ADL.Result was that items, which could be improved in two months, were cloth changing, medication, pain, and mental and/or physical fatigue of caregiver. In the same year, we analyzed solution of needs or problems, depending on whether or not care plan was implemented and by amending plan. As a result, the other of highly-rated need solution was (1) implementation of care plan after amending in accordance with needs, (2) imp1ementation of care plan, (3) no implementation. The order of factor for amendment was client condition, service providing condition and care manager.
In 1999, we conducted home care evaluation using outcome items of ADL change, centering on OASIS (The Outcome Assessment Information Set) which was compulsory to Medicare home care agencies in U.S.A.combining with Japanese version of home care assessment sheet which we developed. Then based on these, we implemented care plan in five agencies (visiting nursing stations).
In 2000, we finalized outcome items evaluated contents and satisfaction degree of dependence change and care process, developed the method to make plan and evaluate outcome and plan again after implementation, developed method to evaluate ability development of service provider and organizational ability improvement of these agencies, then manualized them.
In addition, regarding client outcome, we conducted collaboration with Finland.
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