JP2001101279A - System for creating care plan for care service - Google Patents

Abstract

PROBLEM TO BE SOLVED: To efficiently create a care plan on a level being equal to or more than a fixed standard based on the needs of a user in a short time. SOLUTION: A plurality of assessment items are selected from assessment data consisting of the plurality of assessment items which indicate a state where a person to be cared is in trouble (S34). Needs items corresponding to the selected assessment items are extracted based on a combination pattern for recording the combination of the assessment items and on a date table where the combination pattern is made to correspond to at least one of needs items which indicate the needs of the person to be cared (S35). The desired needs item is selected from the extracted needs items (S36), a support target item corresponding to the needs item is extracted (S37) and the desired support target item is selected(S38). A care contents item is extracted, which is made to correspond to the selected support target item and which indicates the care contents of the person to be cared (S39), and then service contents are derived (S40).

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

[0001] The present invention relates to a care plan generation system for a care service.

[0002]

2. Description of the Related Art There are a number of problems to be solved in order to enhance the nursing care insurance system in the aging society, and one of them is to develop and secure excellent care managers who perform care management. However, care management is now facing major challenges. In other words, it takes a very long time to create a care service plan. Under such circumstances, considerable confusion is expected to occur in the actual care management operation.
At the same time, if care management takes time and effort, there is a danger that a uniform care plan created by the service provider will be imposed regardless of the needs of the elderly as clients. In nursing care, detailed and personalized services are expected according to the situation of the client, but this cannot be realized with a uniform care plan created from the perspective of the service provider.

[0003]

As described above, in a nursing care service, it takes a very long time to create a care plan according to the needs of the client.

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems, and an object of the present invention is to provide a care plan generation system for a care service capable of creating a care plan of a certain level or more regardless of the experience of a care manager. Is to provide.

[0005]

A care plan generating system for a care service according to the present invention includes a chief complaint receiving means for accepting, as a chief complaint item, a main complaint of a care recipient, and a chief complaint item and a need item. A needs storage means for storing in association with the main complaint, a chief complaint-needs extraction means for extracting a need item of a care recipient from the needs storage means based on the chief complaint item received by the chief complaint reception means,
An assessment item storage unit that stores the needs item in association with the assessment item relating to the needs item; and an assessment that presents a plurality of assessment items belonging to the needs item extracted by the needs extraction unit from the assessment item storage unit. Item presenting means, assessment-needs extracting means for extracting a need item that matches the combination pattern of the plurality of assessment items, and associating the combination pattern of the plurality of assessment items with the assistance target matching the combination pattern Based on the assistance target storage means to be stored and the combination pattern of the plurality of assessment items,
The system includes: a support target extracting unit for extracting a support target item from the support target storage unit; and a care plan output unit for outputting a care plan including at least one of the extracted support target items. It is characterized by.

The present invention relating to the system is also realized as an invention of a method, and the present invention relating to the method further records a care plan generation program for a care service for causing a computer to realize a function corresponding to the invention. It is also realized as a computer-readable recording medium.

In the present invention, a part of the assistance target item is associated with the combination of the assessment items to extract the assistance target item. At this time, the combination of the selected assessment items is sequentially searched from the combination pattern of the assessment items, and the corresponding combinations are extracted, so that the efficiency of the plan generation work can be improved and the time can be significantly reduced.

[0008]

Embodiments of the present invention will be described below with reference to the drawings.

(First Embodiment) FIG. 1 is a diagram showing a hardware configuration of a care plan generation system for a care service according to a first embodiment of the present invention. The care plan generation system includes a bus 1 on which a CPU 2 having a built-in OS (Operating system) or the like for controlling the whole system is integrated, and a RAM 3 for storing required data such as programs or data to be executed. Input means 4 consisting of a pointing device such as a keyboard and a mouse
And an output unit 5 for monitoring input data and outputting various tabulated results and other search data, and a communication unit 6 for communicating these search data, programs and the like to other terminals. The bus 1 further includes a data control unit 7.
And a program storage unit 10 via a program control unit 9.

Data storage unit 8 and program storage unit 10
Is a storage means such as a hard disk, a flexible disk, or an optical disk, and stores various data tables or programs created for implementing the present nursing care service. Specifically, the data storage unit stores a needs data table 11 in which chief complaint data and needs data are associated, an assessment data table 12 in which needs data and assessment data are associated, and an assistance in which assessment data and assistance target data are associated. A target data table 13, a care content data table 14 that associates assistance target data with care content data, and a point of interest data table 15 that associates assessment data with point of interest data are stored. Further, the program storage unit 10 stores a main program 21, a chief complaint reception program 22, a needs extraction program 23, an assessment extraction program 24, and an aid target extraction program 2.
5, an attention point extraction program 26 and a care content extraction program 27 are stored. Each program 22-2
7 are routineized, and each of these programs 22
The application for executing the steps 27 to 27 is the main program 21. The function of each program will be described later.

[0011] The chief complaint data is data indicating the trouble of the care recipient and is composed of a plurality of chief complaint items. The needs data indicates a state in which it is difficult to perform a social life, and is composed of a plurality of needs items. The assessment data is data indicating various situations facing the social life of the care recipient and is composed of a plurality of assessment items. Each assessment item that makes up the assessment data consists of three parts: physical function, psychological psychology, and social environment.
They are roughly divided into species. Under the overall connection of these three items, the needs items have arisen. The assistance target data is data indicating a goal / result to solve a troubled state, and includes a plurality of assistance target items. The care content data is data indicating the care content of the care recipient, and includes a plurality of care content items. The point of interest data is data indicating points of particular interest when the care manager creates a care plan, and is made up of a plurality of point of interest items.

Each of the data shown above is formed into a data table so as to link each data. Needs data table 1 associating chief complaint data with needs data
2 is shown in FIG. 2, and an assessment table 12 in which the need data and the assessment data are associated with each other is shown in the left part of the row in FIG.

The term “association” used in the present embodiment and the following embodiments means that a predetermined item or a combination of certain data is replaced with a predetermined item or a combination of other data. Indicates support.

The main complaint items are associated with the assessment items, and the needs data table 11 and the assessment data table 12 are used for this association.
Specifically, in the needs data table 11, as shown in FIG. 2, a plurality of chief complaint items are listed in the right column, and a plurality of needs items are listed in the left column correspondingly. Needs items are associated. Next, in the assessment data table 12, as shown in the left part of FIG. 3, a plurality of assessment items are listed in the upper column, and the need items corresponding to the assessment items are described in the left column. Items are associated. As a result, the main complaint item and the assessment item are associated with each other.

The assessment data table 12 also has the function of extracting needs items from the selected assessment items. As shown in FIG. 3, a data correspondence table is set in the lower column of the assessment item. In the example of FIG. 3, patterns 1 to 31 are shown. Flag 1 in column
Indicates that the item corresponding to the item corresponds to the item. For example, when the selected assessment items are “meal intake” and “dementia judgment criteria”, pattern 4 is selected, and the need item “cannot eat” is extracted. Of the assessment items in the upper column, the three items of “meal intake”, “intake assistance assistance / plan” and “intake assistance assistance plan” are the top items. In addition, the items from "dementia criterion" to "one person during the day" are low-order items. The upper item is an assessment item that is indispensable for extracting the needs item, whereas the lower item can be omitted. Further, items from "meal intake" to "joint movement" are background assessment items. The details will be described later.

Next, the assistance target data table 13 for associating the assessment data with the assistance target data is, as shown in FIG.
And an aid target item in the upper right column, and a data correspondence table in the lower column. A pattern is set similarly to the assessment data table 12. For example, when the pattern 4 is selected in the assessment data table 12, the assistance target item in which the flag 1 is set in the column of the pattern 4 is selected.

Although not shown, the care content data table 14 associates the assistance target data with the care content data as in FIG. As in FIG.
At least one care content item is associated with one assistance target item. In addition, the assessment data and the attention point data correspond to the attention point data.

Next, the procedure of generating a care plan according to the present embodiment will be described with reference to FIGS. 4 to 9 together with the functions of the components constituting the system. FIG. 4 is a diagram showing a flowchart of a care plan generation procedure according to the present embodiment.
FIGS. 5 to 9 are diagrams showing examples of changes in the display screen of the output unit 5 in each procedure.

First, the main program 2 is executed by the CPU 2.
1 is read from the program storage unit 10 via the program control unit 9 and the bus 1 and stored in the RAM 3. The main program 21 first reads out the chief complaint receiving program 22 by inputting to the input means 4 of the care manager. Similarly, the chief complaint reception program 22 is stored in the RAM 3. In the following description, detailed operations, such as reading of each program, are the same as those described above, and a description thereof will be omitted.

The care manager inputs the corresponding chief complaint item of the care recipient using the input means 4 (S31). FIG. 5 shows a screen of the output means 5 when the main complaint is selected. As shown in FIG. 5, in the present embodiment, the chief complaint is “I am in trouble with a meal”.
Shows the case where is selected. Then, the selected chief complaint item is output to the CPU 2. The CPU 2 extracts a need item associated with the selected chief complaint item by the assessment extraction program 24 (S32). Further, an assessment item associated with the extracted needs item is extracted (S33) and displayed on the output means 5. FIG. 6 shows a screen displaying assessment items corresponding to this chief complaint. The care manager selects an assessment item to which the care recipient applies, from the plurality of displayed assessment items (S34), and inputs the assessment item using the input unit 4. Data including the input assessment item is output to the CPU 2. The CPU 2 uses the needs extraction program 23 to
A need item corresponding to the input assessment item is extracted (S35). Specifically, in the assessment data table 12, patterns 1 to 31 are scanned, and a pattern corresponding to the selected assessment item is extracted. Then, the flag 1
Needs items in which are marked are extracted and displayed on the screen of the output means 5. FIG. 7A is a screen on which the extracted needs items are displayed. “Diet”, “Nutrition Management”,
“Swallowing”, “housework” and “caregiver burden” are extracted needs items. At this time, when the background button set at the right end of the needs item is selected, the background of the needs as shown in FIG. 7B is displayed (S35 '). This background is based on pre-selected assessment items,
It is a background assessment item in FIG. When the background assessment item is displayed, an evaluation value is displayed for the item that has been input in the assessment together with the background assessment item. By displaying the assessment items serving as the background in this way, it becomes easier to organize the thoughts of the care manager in grasping the living tasks.

The care manager selects a need item based on the background of the need (S36). When the user selects the assistance target button on the screen shown in FIG. 7A, the assistance target extraction program 25 extracts an assistance target item associated with the selected need item (S).
37) is displayed on the output means 5. FIG. 8 is an example of a screen on which the extracted assistance target items are displayed, and five items are displayed in the right column for the assistance target items. At this time, when the reference button provided corresponding to the needs item in FIG. 8 is selected, the attention point item shown in FIG. 9 is extracted and displayed by the attention point extraction program 26 (S37 '). In this operation, the CPU 2 displays the point of interest specified based on the data table. When the attention point is displayed, an evaluation value is displayed together with the attention point for the item that has been input in the assessment. When the assistance target item is selected with reference to the attention point (S38), the care content extraction program 2
Numeral 7 extracts a care content item associated with the item (S39) and displays it on the output means 5. Finally, by selecting the required items in this care content item,
The specific service content is derived (S40), and the care plan generation ends.

As described above, in the present embodiment, since the care plan is generated according to the process of systematizing the care management, the efficiency of the plan generation work and the time can be shortened.

Further, by associating the chief complaint data with the needs data, it is possible to make a care plan by asking the care recipient a question from the assessment item corresponding to the chief complaint. As a result, even in a Japanese society where the habit of assessment itself has not been established, it is possible to realize a user-oriented care management method that leads to problems in life with the client while enhancing communication with the client. It becomes possible.

In addition, since at least two assistance target items are extracted not based on a single assessment item but on the basis of a combination of assessment items, even the inexperienced care manager reflects the needs of the user more. It is possible to generate a care plan without leakage.

Further, since a plurality of needs items correspond to the three types of assessment items of physical function, psychological psychology, and social environment, complicated work for guiding the needs can be omitted, and the quality of the care manager can be reduced. It is possible to prevent the quality of the care plan from deteriorating due to the difference.

The care plan generation system shown in this embodiment is created based on the conceptual diagram shown in FIG. In FIG. 10, 101 a to 101 c are assessment items, and these three items correspond to the above-described assessment upper items. The needs item 102 is selected based on this assessment item. Also, 103
a to 103 m are point of interest items, 101 a to 101 c
And 104a to 104m are background assessment items, 10
5a to 105o are assistance target items.

(Second Embodiment) This embodiment relates to a modification of the first embodiment, and is characterized in that needs items are prioritized and extracted based on input assessment items. Other care plan generation procedures are the same as in the first embodiment, and a description thereof will be omitted.

FIG. 11 is a diagram for explaining a care plan generation method according to the present embodiment. In the present embodiment, a weighting factor is assigned to each assessment item. When the care manager selects an assessment item,
A need item is selected as in the first embodiment. For example, assuming that the assessment items “bath tub in / out operation” are assigned a weighting factor of 1 point, “caregiver separation” is assigned 2 points, and “paralyzed lower limb” is assigned 1 point weighting factor,
If the care manager selects all three of these assessment items, they will receive 4 points. Therefore, the need item “cannot take a bath” has a importance of 4 points. Similarly, the importance is calculated for the needs items “I can't eat” and “The care burden is large”, and when the points are 6 points and 2 points, respectively, the needs are displayed in the order of importance corresponding to the respective needs items. You.

As described above, priorities are set when displaying the need items, and in many cases, the need items that are extracted in many cases can be easily selected.

(Third Embodiment) The present embodiment relates to a modification of the first embodiment, and is characterized in that the contents of care are extracted with priorities based on the selected assistance target items and assessment items. There is. Other care plan generation procedures are the same as in the first embodiment, and a description thereof will be omitted.

FIG. 12A is a diagram for explaining a care plan generation method according to the present embodiment. In the present embodiment, a weighting factor is assigned to each of the assessment item and the assistance target item. The care manager selects predetermined assessment items and gives each item its value. Then, the need item “cannot eat” corresponding to the assessment item is extracted. When "cannot eat" is selected, the corresponding assistance target item among the plurality of assistance target items is displayed, and "ensure safe eating" is selected. Each of the selected assessment item, needs item, and assistance target item is given a weight coefficient as shown in FIG. Therefore, a value obtained by multiplying the weighting factor for each assessment item is the importance of the content of the care. In this case, the importance of the nursing care content "watch meal" is 50 points.
Similarly, when the weights are calculated for the other needs items, the other assistance targets, and the like and the importance is calculated, the selected care content items are displayed in the order of the importance, as shown in FIG. Therefore, the care content can be selected according to the obtained importance.

As described above, the care manager can easily select the care content by objectively displaying the prioritization of the care content.

The present invention is not limited to the above embodiment. For example, as shown in the flowchart shown in FIG. 4, first, the chief complaint is input and the corresponding assessment item is displayed, but this is not always necessary.
All assessment items may be displayed, and the relevant assessment item may be selected from the displayed items. In the above embodiment, the items of the assessment data and the point-of-interest data are common, but they may be created by items different from the assessment items. It is not always necessary to use chief complaint data and attention point data. When the chief complaint data is not used, an assessment item is selected first, and a needs element associated with the assessment item is extracted. Subsequent steps are the same as in the above embodiment.

Further, although the data table shown in the above embodiment is created based on the experience of the care manager, a data table corresponding to the frequency of occurrence may be created based on statistics, for example. In this case, by setting the weighting factor of each item according to the frequency of occurrence, it is possible to generate a care plan based on statistics. Although the case where the weight coefficient is set for each assessment item has been described, the weight may be set for each combination pattern of the assessment items.

In the above-described embodiment, a case has been described in which the care plan generation program is stored in the program storage unit 10 to realize the plan generation. However, this care plan generation program is recorded on a recording medium, and From CPU
2 may be realized by reading a program. In addition, the data storage unit 8 and the program storage unit 10 may be omitted, and such a program and data may be downloaded via the Internet by the communication unit 6 and executed.

[0036]

As described above in detail, according to the present invention, since a care plan is generated according to a systematized process of care management, a care plan of a certain level or more based on a user's needs is generated. It is possible to make the work more efficient and shorten the time.

[Brief description of the drawings]

FIG. 1 is a diagram showing a hardware configuration of a care plan generation system for a care service according to a first embodiment of the present invention.

FIG. 2 is a diagram showing a needs data table in which chief complaint data and needs data are associated with each other.

FIG. 3 is a diagram showing an assistance target data table in which assessment data and assistance target data are associated with each other.

FIG. 4 is an exemplary flowchart showing a care plan generation procedure of the care service according to the embodiment.

FIG. 5 is an exemplary view showing an example of a change in the display screen of the display means in the care plan generation procedure according to the embodiment.

FIG. 6 is an exemplary view showing an example of a change in the display screen of the display means in the care plan generation procedure according to the embodiment.

FIG. 7 is an exemplary view showing a change example of the display screen of the display means in the care plan generation procedure according to the embodiment.

FIG. 8 is an exemplary view showing an example of a change in the display screen of the display means in the care plan generation procedure according to the embodiment.

FIG. 9 is an exemplary view showing a change example of the display screen of the display means in the care plan generating procedure according to the embodiment.

FIG. 10 is a conceptual diagram of a care plan forming method according to the embodiment.

FIG. 11 is a diagram illustrating a care plan generation method according to a second embodiment of the present invention.

FIG. 12 is a diagram illustrating a care plan generation method according to a third embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Bus 2 ... CPU 3 ... RAM 4 ... Input means 5 ... Output means 6 ... Communication means 7 ... Data control part 8 ... Data storage part 9 ... Program control part 10 ... Program storage part

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Toyohiro Oura 3-5-112 Imabashi, Chuo-ku, Osaka-shi, Osaka Within Nippon Life Insurance Company (72) Inventor Asako Yonezawa 1-1-1, Yurakucho, Chiyoda-ku, Tokyo No. F-term in Nissay Basic Research Laboratories Co., Ltd. (reference)

Claims (3)

[Claims] 1. A chief complaint receiving means for receiving, as a chief complaint, a complaint about a main problem of a care recipient; a needs storage means for storing the chief complaint item and a need item in association with each other; A chief complaint-needs extraction unit for extracting a need item of a care recipient from the needs storage unit based on the chief complaint item; and an assessment item storage unit for storing the needs item and an assessment item related to the needs item in association with each other. An assessment item presenting means for presenting a plurality of assessment items belonging to the needs item extracted by the needs extracting means from the assessment item storage means; and extracting a needs item matching a combination pattern of the plurality of assessment items. Assessment-needs extraction means; and the plurality of assessments Target storage means for storing the combination pattern of the support items in association with the support target matching the combination pattern, and extracting the support target items from the support target storage means based on the combination pattern of the plurality of assessment items. An assistance target extracting unit that performs at least one of the extracted assistance target items
And a care plan output means for outputting a care plan including a care plan. 2. The system further stores attention point data including a plurality of attention point items, and a data table in which the attention point items and the assessment items are associated with each other, and an attention point corresponding to the selected assessment item. The care plan generating system for a nursing care service according to claim 1, wherein items are extracted. 3. The assessment item according to claim 1, wherein the assessment item and the assistance target item are respectively weighted, and the need item or the care content item is prioritized according to the weighting. A care plan generation system for nursing care services.