Studies on Care Management Involving End-stage Care for the Elderly

老年人终末期护理的护理管理研究

• 批准号: 16530391
• 负责人: SASAKI Takashi
• 金额: $ 2.24万
• 依托单位: University of Shizuoka,Shizuoka College
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16530391/
• 关键词: end-stage care; family being present; at the deathbed; care management; end-stage care support plan; social welfare resources; 高齢者; 介護保険

Methods of care management, with a focus on end-stage care for the elderly, are discussed in this report. The issue has surfaced from the current situation of providing end-stage care at nursing homes for the elderly in Japan.Through this research it became clear that the need for medical services, particularly for care at the end of life, tends to increase, and thus facility residents are often turned over to people engaged in medical care.Based on the above facts, the following three findings were obtained :1. The issues of end-stage care that the facilities for the elderly think they should improve are not necessarily the ones that the families of the residents want to see improved. Therefore certain disparities appear between them, which causes further deterioration in providing care services.2. Families of the residents want to hear from facility personnel a thorough explanation of the conditions at the end of a resident's life. The more frequently that explanations are given, the … More more satisfied the families are in their feelings about end-stage care services.3. In order to provide quality end-stage care to the residents at the facility, it is necessary that either the resident, or his family, or both, clearly show their intentions regarding the care they want to be provided, and that those intentions are sufficiently included in the facility's care plans.Together with these three findings, it also became clear through my research that there have been mounting problems in recent years that need to be solved in addition to the issue of improving end-stage care. One of them is the chronic shortage of care-givers at most facilities. Due to the shortage of staff, sufficient care-giving can not be practiced for residents.A care management program has been introduced to Japan by implementing the elderly care insurance system. In order to develop end-stage care of higher quality, it became clear through my studies that it is critical to immediately create a Care Management System with care managers taking a lead in the project, in which the following three aspects should be incorporated: the family's wishes; the facility's challenges; and social resources.As a part of my studies, ways to improve end-stage care at nursing homes is also discussed in this report. Less

这份报告讨论了护理管理的方法，重点是对老年人的终末期护理。这个问题是从日本养老院提供临终关怀的现状中浮出水面的。通过这项研究发现，对医疗服务的需求，特别是对临终关怀的需求有增加的趋势，因此设施居民往往被交给从事医疗护理的人。基于以上事实，得出以下三个发现：1.老人设施认为应该改善的临终关怀问题，并不一定是居民家庭希望看到改善的问题。因此，他们之间出现了一定的差距，这导致提供护理服务的情况进一步恶化。居民家属希望听到设施工作人员对居民生命末期情况的彻底解释。解释给出的频率越高，…家庭对临终关怀服务的满意度越高。为了向该设施的居民提供高质量的终末期护理，居民或其家人或两者都必须清楚地表明他们想要提供的护理的意图，并且这些意图充分包括在设施的护理计划中。结合这三个发现，我的研究也清楚地表明，除了改善终末期护理的问题外，近年来还存在越来越多的问题需要解决。其中之一是大多数设施长期缺乏照顾者。由于人员短缺，居民无法得到足够的照顾。日本通过实施老年护理保险制度，引入了护理管理计划。为了发展更高质量的终末期护理，通过我的研究发现，立即建立一个由护理管理者牵头的护理管理系统是至关重要的，其中应该包括以下三个方面：家庭的愿望；设施的挑战；以及社会资源。作为我研究的一部分，本报告还讨论了改善养老院终末期护理的方法。较少

项目成果

Studies of the Shopmobility system in Great Britain

英国商店流动系统研究

• 发表时间: 2006
• 期刊: Collection of abstracts from the 54^<th> national convention of the Japanese Society for the Study of Social welfare
• 作者: 中川正;廣岡秀一 他10名;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志;Takashi Sasaki;Takashi Sasaki;Takashi Sasaki
• 通讯作者: Takashi Sasaki

福祉マンパワー対策における労働市場の分析(3)

福利人力措施的劳动力市场分析 (3)

• 发表时间: 2006
• 期刊: 『環境と経営』・静岡産業大学経営研究所 第12巻・第2号
• 作者: 中川正;廣岡秀一 他10名;佐々木 隆志;佐々木 隆志;佐々木 隆志
• 通讯作者: 佐々木 隆志

Analyses of the labor market as countermeasures for human resources in welfare, No. 3

作为福利人力资源对策的劳动力市场分析第3期

• 发表时间: 2006
• 期刊: Shizuoka Sangyo University Institute of Management Kankyo to keiei (Environment and Management) Volume 12, No. 2
• 作者: 中川正;廣岡秀一 他10名;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志;Takashi Sasaki;Takashi Sasaki
• 通讯作者: Takashi Sasaki

イギリスのショップモビリティの研究-ベイスングトークを中心に-

英国商店流动性研究 - 以 Basing Talk 为中心 -

• 发表时间: 2007
• 期刊: 日本地域福祉学会21回大会 報告要旨集
• 作者: 中川正;廣岡秀一 他10名;佐々木 隆志
• 通讯作者: 佐々木 隆志

イギリスにおけるホスピス・ボランティアの教育・訓練に関する研究

英国临终关怀志愿者教育培训研究

• 发表时间: 2005
• 期刊: 静岡県立大学短期大学部研究紀要 第18号
• 作者: 中川正;廣岡秀一 他10名;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志;Takashi Sasaki;Takashi Sasaki;Takashi Sasaki;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志;佐々木 隆志
• 通讯作者: 佐々木 隆志