Development of the footcare programs for supporting the zest for living of demented elderly

在这项研究中，我们分析了70名老年患者的足部状况，他们能够站立，有认知障碍，住在养老院，以及为这些患者提供的足部护理。许多老年患者的脚表现出脚趾变形和指甲异常，使他们无法支撑站立姿势的体重。我们的研究结果表明，护理计划的养老院应寻求改善病人的脚的状况，而不是调整护理的生活方式的老年人，认知障碍患者。而且，很多工作人员在病人清醒或睡觉的时候，都在观察病人的脚部，却没有发现异常。工作人员缺乏知识，缺乏评估方法的准备，以及缺乏时间，阻碍了适当的足部护理实施。建立一个适当的观察和报告期间，在每个设施，培训领导谁可以解释护理的基础上，并制定方法，沟通足部护理的有效性，以工作人员都被认为是有效的护理的延续。

In this study, we analyzed the condition of the feet of 70 elderly patients capable of standing, who had cognitive impairment and were living in a nursing home, as well as the foot care provided to these patients. The feet of many of these elderly patients exhibited deformations of the toes and abnormalities of the nails, making them unable to support their weight in a standing position. Our results suggested that the care program of a nursing home should seek to improve the condition of the patients’ feet, instead of adjusting the care to the lifestyle of elderly, cognitively impaired patients. Moreover, many of the staff were observing the feet of the patients at the time of waking or sleeping, but they had not noticed the abnormalities. The lack of knowledge among the staff, lack of preparation for a method of assessment, and lack of time prevented proper foot care implementation. Establishing a period for proper observation and reporting in each facility, training a leader who can explain the basis for care, and devising methods to communicate the effectiveness of foot care to the staff were all found to be effective in the continuation of the care.