Study to determine Necessity of QOL and ADL Evaluation and Care of Institutionalized Senile Elderly

我们参与了对该机构老年患者日常活动的观察，采用了评估方法并在观察中进行了研究。初步评价采用老年受试者多维观察量表（Multi-dimensional observation Scale for Elderly Subjects， MOSES），我们发现在排泄、进食和身体运动方面的评价存在问题。因此，我们决定制定修改后的鼻子，并将其用于评估。评估项目包括：1)照顾自己的能力，2)迷失方向的水平，3)抑郁的水平，4)脾气不好的水平，5)自我隔离的水平，以及排泄和饮食。这项研究的对象是各种身体、心理和沟通障碍的患者，他们在自己的家里很难得到照顾，而那些长期卧床不起、经历了一段时间的无意识或无法与我们沟通的患者……更多的人被排除在外。观察ADL能力，超过80%的患者表现出排泄困难增加，而良好的摄取率的恶化相对较轻。此外，患者自己穿衣服或洗澡的能力相当低，但身体活动似乎至少部分得到了维持。迷失方向和自我孤立的比例很高，而抑郁和病态气质的比例很低，似乎是可控的。在此期间观察到的老年老人表现出最高的护理需求，并且确定使用普通方法对其护理需求进行评估是困难的，因此在研究的最后一年创建了修订的护理需求评估量表。新比额表的适用性和充分性将是今后讨论的主题。此外，还监测了患者身体状况的变化，发现从患者卧床前3个月开始，BMI明显下降。我们能够使用BMI分数等于或小于17或18，加上体重减轻5-6%作为即将出现问题的信号。同时用脑电图检查患者的睡眠-觉醒节律。醒着时的脑电波显示出慢波的增加，但睡眠模式被证明是短而轻的，因此睡眠时间也很短。少

We have been involved in the observation of the daily activities of elderly patients suffering from senility in this institution, used conducted a study of evaluation methods and have in these Observation. Having used the Multi-dimensional observation Scale for Elderly Subjects (MOSES) in preliminary evaluations, we determined that there were problems in evaluating the areas of excretion, eating and physical movement. Therefore, we decided to draw up a revised noses and put it to use in evaluation. Items covered in evaluation are as follows:1)Ability to care for oneself, 2)level of disorientation, 3)level of depression,4) level of ill- temperament, and 5)level of self-isolation, as well as excretion and eating. Subject in the study were patients with all types of physical, psychological, and communication handicaps who had difficulty receiving care in their own homes, however patients that were permanently bed-ridden, suffered periods of unconsciousness or were unable to communicate we … More re excluded.Looking at ADL ability, over 80% of the patients showed increasing difficulty with excretion, yet deterioration in good intake rates was comparatively light. Additionally, patients' ability to dress or bathe themselves was quite low, but physical movement seemed to be at least partially maintained. Disorientation and self-isolation was quite high, yet depression and ill temperament were at a low rate and seemed to be controlled.The senile elderly observed during this period showed the highest need of care, and it was determined that evaluation of their care needs would be difficult using ordinary methods, therefore a revised care need evaluation scale was created in the final year of the study. The application and adequacy of the new scale will be a topic for future discussion. In addition, changes in the physical condition of the patients were monitored, and it was found that a significant decrease in BMI became evident from 3 months before a patients becoming bed-ridden. We were able to use a BMI score of equal or less than 17 or 18 coupled with a 5-6% loss of body weight as a signal of impending problems. The sleep-awake rhythms of the patients were also checked with an electroencephalogram. Brain waves during waking hours showed an increase in slow wave, yet sleep patterns proved to be short and light, therefore periods of sleep were also short. Less