JP2022112781A - Care correspondence support program and care correspondence support system - Google Patents

Abstract

To provide a care correspondence support program and a care correspondence support system, in which the care correspondence procedure can be easily confirmed by a care staff.SOLUTION: In a care correspondence support method according to a care correspondence support program, an image and a sound relating to the care correspondence procedure are inputted in an input step (Step S101). The operation of the care staff is accepted in an operation accepting step (Step S102). The image is displayed on a care staff terminal according to the operation of the care staff, and the sound is reproduced in a display step (Step S103).SELECTED DRAWING: Figure 7

Description

The present invention relates to a care support program and a care support system.

In Japan, life expectancy has increased remarkably due to improvements in living standards, sanitary environments, and medical standards that have accompanied the post-war period of rapid economic growth. For this reason, combined with the declining birth rate, Japan has become an aging society with a high rate of aging. In such an aging society, it is expected that there will be an increase in the number of people requiring nursing care and nursing care (hereinafter referred to as "care recipients") due to illness, injury, aging, etc. be. In facilities such as hospitals and welfare facilities for the elderly (hereinafter simply referred to as "facility"), caregivers, nurses, etc. (hereinafter referred to as "care staff") provide care, etc. to persons requiring care. there is

In recent years, there has been an increasing demand for meticulous care for care recipients. The care staff takes care of each person to be cared for according to a different procedure for each person to be cared for by appropriately referring to a pamphlet or the like that is placed at a care station or the like and describes the procedure. However, in such a support system for care staff, if there is an item that the care staff wants to confirm about the response procedure during the care of the person being cared for, it is necessary to stop the care and go to the care station to check it each time. This increases the burden on care staff. As a result, there is a possibility that the quality of care for the care recipient cannot be maintained.

In addition, for example, when the department in charge of care in the facility consists of several units on each floor, if there is a shortage of care staff in one unit due to a sudden shortage of personnel, , may call support care staff. In this case, the support care staff may not necessarily be familiar with the care for the individual care recipients, so it is necessary to provide effective response procedures for individual care recipients and overall care. There are times when you do not understand the response procedure (especially guidance, etc.). Therefore, if the support care staff does not know the response procedure, it may be necessary to move to the care station before or during the care and check the booklet describing the response procedure. As a result, there is a possibility that timely care cannot be given to the person being cared for, and waste such as having to go back and forth between the room of the person being cared for and the care station many times may occur. .

In relation to this, in Patent Document 1 below, a care procedure representing a home care procedure is stored in a center terminal so that a center person in charge of a home care system can give an accurate home care instruction to a patient. A system for displaying checklists is described (FIG. 12, paragraph [0033]).

JP-A-8-126617

However, although the technique of Patent Document 1 shows a care procedure checklist, it does not show the details of the home care procedure for each care recipient, and care staff who are not familiar with the care method for each care recipient can use it. There is a problem that it is insufficient to carry out care for the care recipient while looking at the care procedure checklist.

The present invention has been made in view of the above-described problems. SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a care support program and a care support system that allow care staff to easily confirm care support procedures.

The above problems of the present invention are solved by the following means.

(1) A care support program for causing a computer to execute a process including an input step of inputting an image regarding a care support procedure and a display step of displaying the image in accordance with user's operation.

(2) The care support program according to (1) above, wherein in the display step, the image is displayed on the mobile terminal of the user.

(3) The care support program according to (1) or (2) above, wherein in the input step, voice regarding the care support procedure is input, and in the display step, the image is displayed and the voice is reproduced. .

(4) The processing further includes, before the displaying step, an event receiving step of receiving an event and an operation receiving step of receiving the user's operation on the event, and the operation receiving step in the displaying step. The care support program according to any one of (1) to (3) above, wherein the image is displayed in accordance with the operation accepted in the above.

(5) The care according to any one of (1) to (4) above, wherein the care handling procedure includes at least one work procedure, and the image represents the content of the work procedure for each care recipient. Response assistance program.

(6) The care handling procedure includes a plurality of work procedures, and the processing includes, before the displaying step, an event receiving step of receiving an event, an operation receiving step of receiving the user's operation on the event, wherein in the operation accepting step, the user selects one of at least two different work procedures for the event, and in the displaying step, an image of the operating procedure selected in the operation accepting step is displayed; The care support program according to any one of (1) to (5) above.

(7) The care handling according to (6) above, wherein, in the operation receiving step, if the event is an event related to care handling, a work procedure for care handling for the care recipient related to the event is displayed. support program.

(8) The care handling procedure includes a plurality of work procedures, and in the display step, after displaying an image of the flow of a series of work procedures of the care handling procedure, an image representing the content of each of the work procedures is displayed. The care support program according to any one of (1) to (5) above, which displays

(9) The care handling procedure includes at least one work procedure, and in the displaying step, an image representing the content of all or at least a part of the work procedure included in the care handling procedure is displayed. ) to (8), the care support program according to any one of the above.

(10) The care support program according to (9) above, wherein, in the displaying step, the images are continuously displayed according to a predetermined display order for all or at least some of the work procedures for the care support.

(11) The care handling procedure includes a plurality of work procedures, and the display step displays an image representing the content of the work procedure specified by the user, among the work procedures included in the care handling procedure. The care support program according to any one of (1) to (9).

(12) The image is a moving image, and in the displaying step, display of the moving image being displayed is stopped and display of another moving image is started, or display of the moving image is resumed after the display of the moving image is finished. The care support program according to any one of (9) to (11) above, wherein the user selects whether to start.

(13) When the image is a moving image, the processing further includes an event receiving step of receiving an event before the displaying step, and a specific event is received during displaying the moving image in the displaying step , the care support program according to any one of the above (1) to (12), wherein the display of the moving image being displayed is paused according to the received event.

(14) The care support program according to any one of (1) to (13) above, wherein the processing further includes a changing step of changing the image.

(15) The care support program according to (14) above, wherein in the changing step, the image can be changed only when the image is permitted to be changed.

(16) The process further includes an evaluation receiving step of receiving an evaluation of the care staff regarding the care handling procedure, and in the changing step, the image is changed according to the evaluation received in the evaluation receiving step. 14) or the care support program according to (15).

(17) The care support program according to any one of (14) to (16) above, wherein the processing further includes a history storage step of storing a change history in the change step.

(18) In the input step, the input image related to the care support procedure is stored in a storage unit of the mobile terminal of the user, and in the display step, the image stored in the storage unit is displayed. 2) Care response support program described in.

(19) The care support program according to any one of (1) to (18) above, wherein in the display step, display of the image is switched from a moving image to a still image.

(20) The above (1), wherein the process further includes an obtaining step of obtaining information about the care staff, and the displaying step selects an image and sound based on the information and displays the selected image. The care support program according to any one of (19).

(21) A care support system comprising a control unit that executes the care support program according to any one of (1) to (20) above, and a display unit that displays an image regarding a care support procedure.

(22) A care staff terminal having a control unit for executing the care support program according to any one of (1) to (20) above, and a display unit for displaying an image relating to care support procedures, and care support. and a management server that provides images related to procedures to the care staff terminal.

According to the present invention, an image related to the care handling procedure is displayed according to the care staff's operation, so the care staff can easily check the care handling procedure.

It is a figure which illustrates the whole watching system composition concerning a 1st embodiment. FIG. 3 is a schematic diagram illustrating detection units installed around a bed in a living room of a person to be cared for; 2 is a block diagram illustrating a schematic configuration of a detection unit shown in FIG. 1; FIG. 2 is a block diagram illustrating a schematic configuration of a management server shown in FIG. 1; FIG. 2 is a block diagram showing a schematic configuration of an information manager terminal shown in FIG. 1; FIG. It is a block diagram which shows schematic structure of the care staff terminal shown in FIG. It is a flow chart which illustrates a processing procedure of a care correspondence support method in a 1st embodiment. It is a schematic diagram which illustrates a care correspondence menu. FIG. 10 is a schematic diagram illustrating an example of display of an image regarding a care handling procedure; It is a flow chart which illustrates a processing procedure of a care correspondence support method in a 2nd embodiment. It is a figure which illustrates the event for every care subject, a care correspondence procedure, and a work procedure. FIG. 10 is a schematic diagram illustrating a case of selecting one of work procedures included in care correspondence for an event; It is a schematic diagram which illustrates the image showing the flow of a series of work procedures of a care correspondence procedure. FIG. 10 is a schematic diagram illustrating a case of designating a work procedure included in care handling for an event; FIG. 4 is a schematic diagram illustrating control buttons for a moving image being played; It is a flow chart which illustrates a processing procedure of a care correspondence support method in a 3rd embodiment. FIG. 14 is a flowchart illustrating a processing procedure of a care support method according to the fourth embodiment; FIG.

Hereinafter, embodiments of the present invention will be described with reference to the drawings. In the drawings, the same elements are denoted by the same reference numerals, and redundant description is omitted. Also, the dimensional ratios in the drawings are exaggerated for convenience of explanation, and may differ from the actual ratios.

<First embodiment>
FIG. 1 is a diagram illustrating the overall configuration of the monitoring system according to the first embodiment, and FIG. 2 is a schematic diagram illustrating the detectors installed around the bed in the living room of the care recipient.

As shown in FIG. 1 , the watching system 1 includes a plurality of detection units 10 , a management server 20 , an information manager terminal 30 and one or more care staff terminals 40 . These are connected by wire or wirelessly so as to be able to communicate with each other via a network 50 such as a LAN (Local Area Network), a telephone network, or a data communication network. Network 50 may include repeaters, such as repeaters, bridges, routers, or cross-connects that relay communication signals. In the example shown in FIG. 1, the detection unit 10, the management server 20, the information manager terminal 30, and the care staff terminal 40 are connected to each other via a wireless LAN including the access point 51 (for example, a LAN conforming to the IEEE802.11 standard). They are communicably connected by a network 50 .

The watching system 1 is arranged at an appropriate place according to the person to be cared 70 . The care recipient 70 is, for example, a patient who needs nursing care due to illness or injury, a cared person who needs care due to a decline in physical ability due to old age, a solitary person living alone, or the like. In particular, from the viewpoint of enabling early detection and early treatment, the person to be cared for 70 can be a person who needs detection when a predetermined inconvenient event such as an abnormal condition occurs to the person. Therefore, the watching system 1 is preferably installed in buildings such as hospitals, welfare facilities for the elderly, and dwelling units according to the type of the person to be cared for 70 . In the example shown in FIG. 1, the monitoring system 1 is placed in a facility that includes a plurality of rooms (residential rooms) in which a plurality of care recipients 70 reside and a plurality of rooms including a care station.

The detection unit 10 is arranged in each living room, which is the observation area of the care recipient 70 . In the example shown in FIG. 1, four detection units 10 are arranged in the living rooms of persons A, B, C, and D who are care recipients 70, respectively. As shown in FIG. 2, the observation area of the detector 10 includes a bed 60 . Care staff (users) 80 who provide nursing or nursing care to the care recipient 70 each carry a care staff terminal 40, which is a portable terminal. However, the position, the number, and the like of each component included in the watching system 1 are not limited to the example shown in FIG. 1 . For example, management server 20 may not be located at the care station, but may be an external server unit connected to network 50 .

In addition, the care broadly includes care provided by the care staff 80 to the care subject 70, for example, living assistance such as eating, water intake, excretion, bathing, cleaning, and vital checks (body temperature, blood pressure, pulse, etc.). measurement).

(Detector 10)
FIG. 3 is a block diagram showing a schematic configuration of the detector. As shown in the figure, the detection unit 10 includes a control unit 11, a communication unit 12, a camera 13, a care call unit 14, and an audio input/output unit 15, which are interconnected by a bus.

The control unit 11 includes a CPU (Central Processing Unit), RAM (Random Access Memory), ROM (Read Only Memory), and other memories, and performs control and arithmetic processing of each unit of the detection unit 10 according to a program. Note that the control unit 11 may further include a HDD (Hard Disk Drive) or an SSD (Solid State Drive) as memory.

The communication unit 12 is an interface circuit (such as a LAN card) for communicating with other devices such as the management server 20, the information manager terminal 30, or the care staff terminal 40 via the network 50. FIG.

The camera 13 is arranged, for example, on the ceiling or the upper part of the wall of the living room, photographs the bed 60 of the care recipient 70 directly below as an observation area, and outputs a photographed image (image data). The captured images include still images and moving images. Although the camera 13 is a near-infrared camera, a visible light camera may be used in place of this, or these may be used in combination.

The control unit 11 recognizes the behavior of the care recipient 70 from the captured image captured by the camera 13 . The behaviors to be recognized include "getting up" from the bed 60, "getting out of bed" from the bed 60, and "falling" to fall on the floor or the like.

The control unit 11 detects image silhouettes (hereinafter referred to as “person silhouettes”) from a plurality of captured images (moving images). A human silhouette can be detected, for example, by extracting a range of pixels having a relatively large difference based on a time difference obtained by subtracting images captured at different times. A person silhouette may be detected by a background subtraction method in which a background image is subtracted from a captured image. Recognition of getting up, leaving the bed, and falling is performed based on the posture of the care recipient 70 (for example, standing, sitting, lying down, etc.) from the detected human silhouette, and from the position relative to the bed 60 or other installations in the living room. Recognize the difference between leaving the bed and falling (falling). These recognitions may be performed by a program processed by the CPU of the control unit 11, or may be performed by a built-in processing circuit.

In the present embodiment, the change in the state recognized by the detection unit 10 regarding the care recipient 70, such as getting up, getting out of bed, falling, abnormal micromovement, etc., is an event that should be reported (notified) to the care staff 80. is called an event. This event also includes a care call by the care call unit 14 . That is, the detection unit 10 may detect a care call by the care recipient 70 as the movement of the care recipient 70 in the observation area. The detection unit 10 transmits information on the event that has occurred to the management server 20 .

Here, when the work of the care staff 80 is nursing care work for the person to be cared for 70, the content of correspondence regarding each event will be described. "Wake-up" is determined as an event, and if the determination is within a predetermined time (wake-up time set in the facility (for example, 7:00 to 8:00 am)), morning care is performed. This morning care may include, for example, vital check, face washing, tooth brushing assistance, denture wearing, dressing assistance, bed to wheelchair transfer, and the like. In addition, if it is an event of "getting out of bed", it may be necessary to move from a bed to a wheelchair and walk. Regular (regular) events other than the events determined by the detection unit 10 include beverages, meal assistance, excretion assistance, transfer to a wheelchair, walking assistance, and position change (bedsore prevention). For these periodic events, the care call unit 14 or the like may generate an alert at the scheduled time.

The care call unit 14 includes a push-button switch, and detects a care call (nurse call) when the care recipient 70 pushes the switch. A voice microphone may be used to detect a care call instead of the push-button switch. When the switch of the care call unit 14 is pressed, that is, when a care call is detected, the control unit 11 transmits a notification of the care call to the management server 20 or the like via the communication unit 12 and the network 50 .

The voice input/output unit 15 is, for example, a speaker and a microphone, and enables voice communication by transmitting and receiving voice signals to and from the information manager terminal 30 via the communication unit 12 . Note that the voice input/output unit 15 may be connected to the detection unit 10 via the communication unit 12 as an external device of the detection unit 10 .

Further, the detection unit 10 includes a Doppler shift type body motion sensor that transmits and receives microwaves to and from the bed 60 and detects the Doppler shift of microwaves caused by body motion (for example, respiratory motion) of the person to be cared 70. You may have more. This body motion sensor detects the body motion of the chest (vertical motion of the chest) associated with the respiratory motion of the care subject 70, and detects disturbances in the cycle of the body motion of the chest and the above-mentioned chest motion that is equal to or less than a preset threshold. When the amplitude of the body motion is detected, it is recognized as a micro-motion anomaly.

(Management server 20)
FIG. 4 is a block diagram showing a schematic configuration of the management server. The management server 20 includes a control section 21 , a communication section 22 and a database 23 . This management server 20 may be provided in the same building as the living room for the care recipient 70, or may be provided in a remote location and connectable via a network. For example, the management server 20 may be a cloud server virtually constructed by a plurality of servers arranged on a network such as the Internet. Each component is communicatively connected to each other by a bus.

Since the control unit 21 and the communication unit 22 have functions similar to those of the components of the detection unit 10, detailed description thereof will be omitted.

The database 23 stores an event list, information about the care recipient 70, information about the care staff 80, care records, and images and sounds about care response procedures.

The event list includes information on various events including events that are performed regularly every day and predetermined events that may lead to accidents of the care recipient 70 (for example, falling events). The information about the care recipient 70 includes, for example, the name of the care recipient 70, date of birth, ID number, room number, usual meal amount, water intake other than meals, past diseases, level of care required, current Information such as outpatient status is included. The information about the care staff 80 includes, for example, the name of the care staff 80, the staff ID, the date of birth, the length of service (career years), and the like.

A care record is a document that records information on care for the care recipient 70 at the facility. For example, based on a nursing care plan prepared for each care subject 70, the care staff 80 provides the care subject 70 with various living assistance such as eating, water intake, excretion, bathing, cleaning, etc. Perform a vital check (measurement of body temperature, blood pressure, pulse, etc.). Care such as assistance and vital checks performed by the care staff 80 for the care subject 70, and the behavior and state of the care subject 70 are recorded in the care record. The care record is updated by inputting care information for the care recipient 70 by the care staff 80 . Care records are input through the input unit 44 of the care staff terminal 40, for example.

The care handling procedure is a care handling procedure for the care subject 70 by the care staff 80 . Normally, a standard procedure for each type of care is defined in a facility, but the procedure may be adjusted or changed for each person to be cared 70 according to the health condition and wishes of the person to be cared 70 . A care response procedure may include at least one work procedure. In many cases, a care response procedure may include multiple work procedures. For example, the care for moving the care recipient 70 from the bed to the wheelchair includes a work procedure for preparing the wheelchair so that the care recipient 70 can sit, and the care staff 80 holding the care recipient 70 in their arms to actually move the care recipient 70 from the bed to the wheelchair. It is subdivided into work procedures, etc., and may include two or more work procedures.

Further, the work contents of the care staff 80 may vary depending on the health condition and wishes of the person to be cared 70 . For example, a particular posture or movement may be difficult due to the health condition of the care recipient 70 . In such a case, the care staff 80 is required to select a work procedure suitable for the care recipient 70 while looking at the care recipient 70 .

In this embodiment, work content is input in the form of images and sounds and stored in the database 23 . Images include still images such as photographs, charts, illustrations, and pictures, and moving images such as live-action images and animations. An image can be prepared for each work procedure. Further, even when the work purpose is the same, the work content may differ for different care recipients 70 . In such a case, an image of the work procedure can be prepared for each care recipient 70 . In addition, different images can be prepared for each health condition and desire of the person to be cared 70 .

Image data and audio data relating to care procedures are managed by a person who has the authority to manage images relating to care procedures in the facility (hereinafter referred to as "image manager"). Storing the image data and sound data in the database 23 and changing the stored data require approval by the image manager. The image manager can be, for example, information manager 90 . An information manager 90 is a manager who supervises a plurality of care staffs 80 . The information manager 90 may comprehensively manage the care staff 80 working not only at one facility but also at a plurality of facilities. It should be noted that in the present embodiment, changing an image can include adding a new image to the database 23, replacing, updating, correcting, and deleting a stored image.

In addition, in the present embodiment, in order to realize a detailed care response to the care target person 70, a photograph or image of the care target person 70 is taken into consideration with the consent of the care target person 70 and the care target person 70, with consideration for the privacy of the care target person 70. may also be used as images for care response procedures. In this case, an image manager or the like appropriately manages the images.

The management server 20 determines which care recipient 70 the event detected by the detection unit 10, such as getting up, getting out of bed, falling, care call, etc., relates to, either alone or in cooperation with the detection unit 10. to (identify) This determination determines the care recipient 70 (ie, the resident of the room) associated with the room number in which the detection unit 10 that detected the event is installed. Then, the determined event type and the care recipient 70 are associated with each other and added to the event list of the database 23 . In this embodiment, when the care subject 70 carries an IC tag, the care subject 70 is determined by reading the IC tag with an RFID reader provided in each room. good too. If a plurality of care recipients 70 exist in one room, such as a shared room, the care recipient 70 may be determined by arranging the detector 10 for each bed 60 .

(Information manager terminal 30)
FIG. 5 is a block diagram showing a schematic configuration of the information manager terminal. The information manager terminal 30 is a so-called PC (Personal Computer), and includes a control section 31, a communication section 32, a display section 33, an input section 34, and an audio input/output section 35, which are interconnected by a bus. . The control unit 31 has a configuration similar to that of the control unit 11 of the detection unit 10, and includes a CPU, a RAM, a ROM, and the like.

The communication unit 32 is an interface for various local connections such as a network interface for wired communication based on standards such as Ethernet (registered trademark) and an interface for wireless communication based on standards such as Bluetooth (registered trademark) and IEEE 802.11. It communicates with each terminal connected to 50 .

The display unit 33 is, for example, a liquid crystal display, and displays various information. The display unit 33 displays an image captured by the detection unit 10, for example.

The input unit 34 includes a keyboard, numeric keypad, mouse, etc., and inputs various information.

The voice input/output unit 35 is, for example, a headset equipped with a speaker and a microphone.

In this embodiment, the information manager terminal 30 is used as a terminal for the information manager 90, displays various information in the facility to the information manager 90, and receives instructions. Further, voice communication with the care staff 80 or the like is enabled by transmitting and receiving voice signals to and from the detection unit 10 or the care staff terminal 40 via the communication unit 32 .

In addition, the care staff 80 or the technical staff, etc., through the information manager terminal 30, when the detection unit 10 is attached to each room (living room), associate the room number and the detection unit 10, the bed 60, etc. Positional information of objects installed in the living room, that is, calibration and designation of outline information in an upward view by the camera 13 on the ceiling are performed. In addition, identification information such as the name and ID number of the care recipient 70 who is hospitalized or resides in the room is associated with each room number.

(Care staff terminal 40)
FIG. 6 is a block diagram showing a schematic configuration of a care staff terminal. The care staff terminal 40 includes a control section 41, a wireless communication section 42, a display section 43, an input section 44, and an audio input/output section 45, which are interconnected by a bus. The control unit 41 has a configuration similar to that of the control unit 11 of the detection unit 10, and includes a CPU, a RAM, a ROM, and the like. The RAM functions as a storage unit and stores image data and audio data relating to care support procedures downloaded from the management server 20 .

The wireless communication unit 42 enables wireless communication using standards such as Wi-Fi and Bluetooth (registered trademark), and wirelessly communicates with each device via the access point 51 or directly. The display unit 43 and the input unit 44 are touch panels, and a touch sensor as the input unit 44 is superimposed on the display surface of the display unit 43 made of liquid crystal or the like. The display unit 43 and the input unit 44 display a care response menu for each care recipient 70, a list of work procedures, and the like, and receive various operations through the operation screen. In addition, the display unit 43 displays an image regarding the care support procedure. When the care staff 80 cares for the care recipient 70 , the care staff 80 inputs information on care for the care recipient 70 into the care record through the input unit 44 . Also, the care staff 80 can input an evaluation regarding the care response procedure to the care staff terminal 40 .

The voice input/output unit 45 is, for example, a speaker and a microphone, and enables voice communication by the care staff 80 with another care staff terminal 40 via the wireless communication unit 42 . In this embodiment, the control unit 41 outputs audio regarding the care support procedure through the speaker of the audio input/output unit 45 . The care staff terminal 40 is a device that functions as a user interface of the monitoring system 1, and can be configured by portable communication terminal devices such as tablet computers, smart phones, or mobile phones.

The care staff 80 performs login authentication processing through the assigned care staff terminal 40 at the start of work. The care staff 80 inputs the staff ID and password through the touch panel (display unit 43, input unit 44) of the care staff terminal 40, and transmits them to the management server 20. FIG. The management server 20 compares the authentication information stored in the database 23 and transmits the authentication result corresponding to the authority of the care staff 80 to the care staff terminal 40, thereby completing the login authentication.

Note that the detection unit 10, the management server 20, the information manager terminal 30, and the care staff terminal 40 may include components other than the above components, or may not include some of the above components. good too.

(Care response support method)
Next, with reference to FIG. 7, an overview of the processing procedure of the care support method according to the present embodiment will be described. FIG. 7 is a flowchart illustrating the processing procedure of the care support method according to this embodiment. The processing of the flowchart of FIG. 1 is realized by the CPU of the control unit 41 alone or by the CPU of the control unit 21 and the CPU of the control unit 41 cooperating to execute the care support program. FIG. 8 is a schematic diagram illustrating an example of a care response menu, and FIG. 9 is a schematic diagram illustrating an example of display of an image regarding a care response procedure.

First, in the input step, an image and voice regarding the care support procedure are input (step S101). For example, image data and audio data relating to care handling procedures for each care recipient 70 are input to the management server 20 from an imaging device, a server, or the like arranged outside the monitoring system 1 through the network. The input image data and audio data are stored in the database 23 .

Next, in the operation reception step, the operation of the care staff 80 is received (step S102). The care staff 80 visits room 201 and inputs to the care staff terminal 40 that care for Mr. A will be started. As shown in FIG. 8, for example, the control unit 41 receives an input to start care for Mr. A, and displays a care response menu for Mr. A ("room 201 Mr. A's care response menu" 401). In the example shown in the figure, the care response menu includes "vital check", "dressing assistance", "moving from bed to wheelchair", "excretion care", "posture change", and the like.

For example, when the care staff 80 wants to know the procedure for changing the position of Mr. A, the care staff 80 touches the "change position" on the care response menu 401 with the hand 501 to select (operate) "change position" (FIG. 8). ). For example, the management server 20 reads the image data and voice data related to Mr. A's "posture change" from the database 23 and transmits (provides) them to the care staff terminal 40 according to the selection of "posture change". The care staff terminal 40 receives image data and audio data relating to postural change from the management server 20 . The received image data and audio data are stored in the RAM of control unit 41 .

Next, returning to FIG. 7 again, in the display step, an image is displayed on the care staff terminal 40 and voice is reproduced in accordance with the operation of the care staff 80 (step S103). The control unit 41 reads the image data stored in the RAM, and controls the display unit 43 to display an image related to postural change. As shown in FIG. 9, if the image is animated, a capture image 402 of the animation and a control area 403 with at least one control button for controlling the display of the animation may be displayed. For example, the control unit 41 controls to display a play button 601 as a control button in the control area 403 before playing (displaying) the moving image. When the care staff 80 touch-operates the play button 601, the play of the moving image regarding the postural change is started. As a result, the care staff 80 can easily check the care handling procedure on the care staff terminal 40 at hand without moving to the care station.

In addition, the control unit 41 displays an image related to the care support procedure, and at the care staff terminal 40, uses the speaker of the voice input/output unit 45 to reproduce voice related to postural change. The voice can be, for example, a narration explaining the procedure of Mr. A's posture change. By reproducing the sound in addition to the image regarding the care handling procedure, the care staff 80 can deepen their understanding of the care handling.

In this way, in the process of the flowchart illustrated in FIG. 7, image data and audio data relating to care support procedures are input to the management server 20 . The care staff terminal 40 receives an operation by the care staff 80, downloads image data and audio data from the management server 20 in response to the operation, displays images, and reproduces audio.

In the above example, image data and audio data relating to the care handling procedure for each care recipient 70 are input to the management server 20 from an imaging device, server, or the like arranged outside the monitoring system 1 through the network. Although described, it is not limited to such cases. For example, an image manager may input image data and audio data to the management server 20 through the information manager terminal 30 .

In addition, according to the selection (operation) of the care response menu 401 , image data and voice data relating to Mr. A's specific care response procedure (“position change”) are read from the management server 20 and transmitted to the care staff terminal 40 . Although the case has been described, it is not limited to such a case. For example, the management server 20 may be configured to collectively transmit image data and voice data relating to Mr. A's care support procedures to the care staff terminal 40 in response to the start of care for Mr. A. Moreover, before starting care for Mr. A, image data and voice data regarding Mr. A's care handling procedures may be input in advance to the care staff terminal 40 .

Further, in the above example, the case where an image and a sound related to the care support procedure are obtained and the image is displayed and the sound is reproduced is described. It may be configured as

Further, in the above example, a moving image has a larger amount of information than a still image and can include detailed contents of the care handling procedure. One or more still images (for example, photographs, illustrations, etc.) may be displayed instead of moving images.

In addition, the control unit 41 can switch the display from a moving image to a still image when the network environment is unstable, such as when the network communication connection is interrupted during playback of the moving image. In this case, the still image relates to the same care response procedure as the moving image, but contains at least the information necessary for the work procedure, and the data volume is smaller than the moving image, so even if the network communication connection is unstable. , the possibility that the image can be received at the care staff terminal 40 increases. Therefore, the care staff 80 can obtain information necessary for care by checking the still image.

Also, in the above example, the case where an image related to the care handling procedure is displayed on the display of the display unit 43 of the care staff terminal 40 has been described, but the present invention is not limited to such a case. For example, when a terminal connected to the monitoring system 1 through the network 50 and having a display unit having a display with a screen larger than that of the display unit 43 is installed in the living room of the care recipient 70 (for example, Mr. A), The display can also be configured to display images relating to care response procedures. As a result, the care staff 80 can confirm the images related to the care support procedures on a screen larger than that seen on the care staff terminal 40 .

According to the monitoring system 1 of this embodiment described above, an image related to the care response procedure is displayed according to the operation of the care staff 80, so the care staff 80 can easily check the care response procedure.

<Second embodiment>
1st Embodiment demonstrated the case where the image regarding the care handling procedure which the care staff 80 selected (operated) from the care handling menu was displayed. In the second embodiment, a case will be described in which the care staff terminal 40 receives an event and displays an image according to the operation of the care staff 80 for the event. In order to avoid duplication of description, detailed description of the same configuration as in the first embodiment will be omitted.

FIG. 10 is a flowchart illustrating the processing procedure of the care support method according to the second embodiment. The processing of the flowchart of FIG. 1 is realized by the CPU of the control unit 41 alone or by the CPU of the control unit 21 and the CPU of the control unit 41 cooperating to execute the care support program. Also, FIG. 11 is a diagram illustrating an event, a care response procedure, and a work procedure for each care subject 70, and FIG. It is a diagram.

First, in the input step, an image and voice regarding the care support procedure are input (step S201). As shown in FIG. 11, in this embodiment, image data and audio data relating to care handling procedures for a plurality of care recipients 70, including Mr. A in room 201 and Mr. B in room 202, are displayed for each care recipient 70. Input to the management server 20 .

For example, Mr. A's care procedures a1 to a3 each include one or more work procedures. The care handling procedure a1 corresponds to, for example, a morning care procedure and includes work procedures a11 to a13. a11 is "vital check" and the image is "still image". Audio data is not prepared for a11. In addition, a12 and a13 are "dressing assistance" and "move from bed to wheelchair", respectively, and both images are "moving images" and voices are prepared. In addition, the care handling procedure a2 consists of three work procedures (“guidance to the toilet”, “undressing/dressing assistance”, and “other”), and the care handling procedure a3 consists of one work procedure (“posture change ”).

Next, in the event reception step, an event is received (step S202). As described above, events include, for example, getting up, getting out of bed, meal assistance, excretion assistance, wheelchair transfer, walking assistance, position change, and the like. For example, in the present embodiment, it is assumed that the care staff terminal 40 receives a "wake up" event for Mr. A.

Next, in the operation reception step, the operation of the care staff 80 is received (step S203). The care staff 80 visits room 201 where Mr. A resides, and inputs to the care staff terminal 40 that care for Mr. A will be started. When the event received in the event receiving step is an event related to care handling, the work procedure of care handling for Mr. A who is the care recipient 70 related to the event is displayed.

For example, as shown in FIG. 12, the control unit 41 receives an input to start care for Mr. A, and receives a care response procedure for Mr. A ("Care response procedure for Mr. A's 'waking up' event in room 201" 404). display. In the example shown in the figure, the care procedure includes "vital check", "help to change clothes", and "move from bed to wheelchair".

As described above, the work content of the care staff 80 may vary depending on the health condition and desires of the person to be cared 70 . Therefore, depending on the health condition and wishes of the person to be cared 70, not all work procedures included in the care response procedure can be performed, and the care staff 80 may check only some of the work procedures. . For example, when the care staff 80 wants to confirm the procedure for assisting Mr. A in changing clothes, he or she touches with the hand 502 and selects (operates) "help changing clothes" in the care response menu. For example, the management server 20 reads out image data and voice data relating to the procedure for helping Mr. A to change clothes from the database 23 and transmits the data to the care staff terminal 40 in response to the care staff 80 selecting “help changing clothes”.

Next, in the display step, an image is displayed on the care staff terminal 40 and voice is reproduced in accordance with the operation of the care staff 80 (step S204). The care staff terminal 40 receives the image data and the voice data from the management server 20 and stores them in the RAM of the control section 41 . The control unit 41 causes the display of the display unit 43 to display an image related to the procedure for assisting Mr. A in changing clothes (not shown). In addition, the control unit 41 uses the speaker of the audio input/output unit 45 to reproduce audio relating to the procedure for assisting Mr. A in changing clothes.

In this way, in the process of the flowchart illustrated in FIG. 10, image data and audio data relating to care support procedures are input to the management server 20 . The care staff terminal 40 receives an event, accepts an operation by the care staff 80 for the event, downloads image data and audio data from the management server 20 according to the operation, displays the image, and reproduces the audio. In the example shown in FIG. 12, the care staff 80 is made to select one of a plurality of work procedures for the event, the image of the selected work procedure is displayed, and the sound is reproduced.

(Modification)
FIG. 13 is a schematic diagram illustrating an example of an image representing the flow of a series of work procedures of care support procedures. When the care handling procedure includes a large number of work procedures, it takes time and effort for the care staff 80 to check the images of the work procedures one by one, and it becomes difficult to grasp the whole image of the care handling procedure. On the other hand, if the care staff 80 is unfamiliar with caring for the person to be cared for 70, it may be necessary to confirm all work procedures included in the care handling procedures.

Therefore, when the care handling procedure includes a plurality of work procedures, in the display step (step S204 in FIG. 10), as shown in FIG. An image showing the contents of each work procedure is displayed. For example, the care response procedure for Mr. A's "wake-up" event is as follows: (1) perform a vital check (body temperature and blood pressure measurement) while lying on his back, (2) change from pajamas to loungewear, (3) get out of bed It consists of a series of work procedures such as moving to a wheelchair. After displaying the image 405 of the list listing these series of work procedures, the control unit 41 sequentially displays the images of the work procedures of "vital check", "dressing assistance", and "moving from bed to wheelchair". can be displayed.

As a result, the care staff 80 can first roughly grasp the flow of a series of work procedures in the care response procedure, and then confirm the details of the individual work procedures, so that the care staff 80 can grasp the overall picture of the care response procedure. becomes easier.

In the above example, the case where a series of work procedures is displayed as a list was exemplified. may be displayed using

It is also possible to display only images of all work procedures included in the care response procedure, or some work procedures specified by the care staff 80 . FIG. 14 is a schematic diagram illustrating a case of designating a work procedure included in care handling for an event.

For example, the control unit 41 receives an input to start care for Mr. A, and displays a care response procedure for Mr. A ("Care response to Mr. A's 'wake-up' event in room 201" 406) on the display of the display unit 43. control to In the example shown in the figure, the care response includes items of "vital check", "help to change clothes", and "moving from bed to wheelchair", and each item has a check box for selection. . The care staff 80 designates the work procedure by checking the check box of the item of the work procedure that the care staff 80 wants to confirm. When the check box is checked, the image of the work procedure corresponding to the checked item is registered in the display list. In the example shown in the figure, check boxes for the items "dressing assistance" and "move from bed to wheelchair" are checked and registered in the display list.

Then, when care staff 80 touches "display" button 701 with hand 503, control unit 41 continuously displays images of work procedures registered in the display list in accordance with a predetermined display order. The display order can be, for example, a rule-based order preset according to the facility's business rules for performing work procedures. In this case, the work procedure items of the care response procedures 406 are displayed in rule-based order. However, the display order of the images is not limited to the rule-based order. For example, the images can be displayed in the order set by any method, such as the order of registration (checked order) in the work procedure display list.

When displaying the images of the work procedures registered in the display list according to the display order, after the display of one image is finished and before the display of the next image is started, the care staff 80 will display the next image. It can also be configured to confirm whether it is okay to start displaying the

In addition, when receiving a specific event during playback of a moving image, the care staff terminal 40 can pause playback of the moving image being displayed according to the operation of the care staff 80 for the received event. Specific events include, for example, emergency events such as care calls. More specifically, for example, when a specific event is received during playback of a moving image, the control unit 41 causes the display unit to display an icon indicating that the specific event has been received (for example, a banner-like image). 43 display. Then, the control unit 41 pauses the reproduction of the moving image being reproduced according to the care staff 80's operation on the icon. Thus, if the care staff 80 needs to attend to a specific event of urgency and is unable to watch the video, the video will advance while the care staff is handling the specific event. It is possible to prevent a situation in which the user 80 loses track of how far the video has been viewed.

(Operations related to video playback)
FIG. 15 is a schematic diagram illustrating control buttons for a moving image being played (displayed). When a video is playing, control area 407 may display control buttons such as previous video button 602 , stop button 603 , pause button 604 , next video button 605 , and/or repeat button 606 .

A previous moving image button 602 is a control button for stopping the reproduction of the moving image currently being reproduced and instructing the reproduction of the image of the work procedure registered in the display list that is one image before in the display order. . When the previous moving image button 602 is touched, the control unit 41 stops reproducing the moving image being reproduced, and then starts reproducing the previous image. For example, when the care staff 80 wants to check the previous moving image again, the previous moving image button 602 can be used to reproduce the previous moving image again.

A stop button 603 is a control button for instructing to stop playing a moving image that is currently being played. When the stop button 603 is touched, the control unit 41 stops playing the moving image being played.

A pause button 604 is a control button for instructing pause of reproduction of a moving image currently being reproduced. When the pause button 604 is touched, the control unit 41 pauses reproduction of the moving image being reproduced, and displays a capture image of the moving image.

A next moving image button 605 is a control for stopping the reproduction of the moving image currently being reproduced and instructing the reproduction of the image of the work procedure registered in the display list and having the next (after one) display order. is a button. When the next moving image button 605 is touched, the control unit 41 stops reproducing the moving image being reproduced, and then starts reproducing the next image. If there is no need for the care staff 80 to check all the work procedures included in the care response procedure, such as when the care subject 70 has sufficient skills and knowledge regarding care response, the next video button 605 makes confirmation unnecessary. It is possible to skip viewing the work procedure.

A repeat button 606 is a control button for instructing to repeat the moving image currently being reproduced. When the repeat button 606 is touched, the control unit 41 starts reproducing the same moving image after finishing the reproduction of the moving image being reproduced. For example, when the skills and knowledge of the care staff 80 are not sufficient for a specific work procedure, or when the care staff 80 cannot understand the video just by watching it once, the repeat button 606 is used to repeatedly display the video. can be made

In this manner, the control buttons in control area 407 allow the display of animations to be skipped or repeated, depending on the skill and knowledge of care staff 80 .

(Third embodiment)
In the third embodiment, in addition to each step in the first embodiment, a step of changing an image related to a care support procedure stored in the database 23 and a step of storing an image change history will be described. .

FIG. 16 is a flow chart illustrating the processing procedure of the care support method according to the third embodiment. The processing of the flowchart of FIG. 1 is realized by the CPU of the control unit 21 and the CPU of the control unit 41 working together to execute the care support program. In order to avoid duplication of description, detailed description of the same configuration as in the first embodiment will be omitted.

First, in the input step, an image and sound related to the care handling procedure are input to the management server 20 (step 301), and in the operation acceptance step, the care staff terminal 40 accepts the operation of the care staff 80 (step S302), and the display step , an image is displayed and a sound is reproduced according to the operation (step S303). Steps S301 to S303 are the same as steps S101 to S103 in the first embodiment, respectively, so detailed description of steps S301 to S303 will be omitted.

Next, in the evaluation reception step, the evaluation of the care staff 80 is received with respect to the care handling procedure (step S304). For example, the care staff 80 confirms the image regarding the care handling procedure, and then inputs the presence or absence of a problem with the current care handling procedure, comments, etc. to the care staff terminal 40, thereby performing evaluation (feedback) of the care handling procedure. . As a result, it is possible to easily share problems, points to be improved, etc. in the care response procedure within the facility. In addition, a log of images viewed by the care staff 80 is left, which can be used to aggregate the viewing frequency by a plurality of care staffs 80 in a predetermined period, or to calculate statistics about the images. The viewing frequency and statistics can be used by an image manager to manage images.

Next, in the change step, the image is changed according to the evaluation by the care staff 80 (step S305). For example, the images in the database 23 can be changed by adding new images to the database 23 or modifying the stored images in view of the content of the evaluation by the care staff 80 . For example, an image that is viewed very infrequently by the care staff 80 is highly likely to have inappropriate content for various reasons, so the image in the database 23 can be changed by deleting it or replacing it with the latest image. . It should be noted that it is preferable that the modification of the image is permitted only when the approval of the image manager is obtained. In this case, in the change step (step S305 in FIG. 16), the control section 21 can change the image in the database 23 if the change of the image is permitted.

Next, in the history storage step, the image change history is stored (step S306). The control unit 21 stores the history of image changes in the change step (step S305 in FIG. 16). Since the change history of the image makes it easy to know later how the image was changed, useless changes such as re-adding an image that was once deleted can be prevented or suppressed.

In this way, in the processing of the flowchart illustrated in FIG. to change It also stores the image change history.

Although the case where the image is changed according to the evaluation by the care staff 80 has been described, this is only an example, and the image is changed according to changes in the health condition of the care subject 70, attributes of the image (for example, creation date and time), and the like. You may change the image.

(Fourth embodiment)
In the fourth embodiment, a case will be described in which an image to be displayed is selected according to information about the care staff 80. FIG.

FIG. 17 is a flow chart illustrating a processing procedure of a care support method according to the fourth embodiment. The processing of the flowchart in FIG. 1 is realized by the CPU of the control unit 21 and the CPU of the control unit 41 cooperating to execute the care support program. In order to avoid duplication of description, detailed description of the same configuration as in the first embodiment will be omitted.

First, in the obtaining step, information about the care staff 80 is obtained (step S401). The care staff terminal 40 acquires information such as the name, date of birth, and length of service (career years) of the care staff 80 based on the staff ID input at the time of login authentication.

Next, in the input step, an image and voice regarding the care support procedure are input (step S402). For example, since it is considered that the care staff 80's skill level of care for the care recipient 70 varies depending on the length of service of the care staff 80, image data and voice data are prepared in advance according to the length of service of the care staff 80. FIG. For example, for the care staff 80 with long service years, a part of the work procedure is omitted or an image related to the simplified care handling procedure is prepared, and for the care staff 80 with short service years, part of the work procedure Alternatively, an image may be prepared for a more specific overall care response procedure. Also, the image data and the audio data may be classified in advance by the image manager according to the level of skill of the target staff member 80 . The control unit 21 inputs these image data and audio data to the database 23 . Attribute information of the image data and the audio data including level classification of the image data and the audio data is transmitted to the care staff terminal 40 .

Next, in the operation acceptance step, the care staff terminal 40 accepts the operation of the care staff 80 (step S403), and in the display step, displays an image and reproduces sound according to the operation (step S404). In the present embodiment, when downloading image data and audio data from the database 23 in response to an operation by the care staff 80, the control unit 41 downloads image data suitable for the care staff 80 based on information about the care staff 80. and audio data to download. For example, the control unit 41 selects image data and audio data suitable for the skill level of the care staff 80 . Note that instead of the control unit 41 selecting image data and audio data suitable for the care staff 80, the control unit 21 receives information regarding the care staff 80, and based on this information, selects image data and sound data suitable for the care staff 80. It may be configured to select audio data.

In this way, in the process of the flowchart illustrated in FIG. 17, information about the care staff 80 is obtained, and image data and audio data about the care support procedure are input to the management server 20 . The care staff terminal 40 receives an operation by the care staff 80, downloads image data and audio data from the management server 20 according to the operation, displays images, and reproduces audio. When downloading, the care staff terminal 40 selects image data and audio data suitable for the care staff 80 based on information about the care staff 80 .

The present invention is not limited to the above-described embodiments, but can be modified in various ways within the scope of the claims.

For example, the flowcharts described above may omit some steps or may add other steps. Also, part of each step may be executed simultaneously, or one step may be divided into a plurality of steps and executed.

Further, the care support program may be provided by a computer-readable recording medium such as a USB memory, a flexible disk, a CD-ROM, or may be provided online via a network such as the Internet. In this case, the program recorded on the computer-readable recording medium is usually transferred and stored in memory, storage, or the like. Further, this care support program may be provided as independent application software, or may be incorporated in the software of each device as one function of the server.

Also, part or all of the processing executed by the program in the embodiment can be executed by replacing it with hardware such as a circuit.

1 monitoring system,
10 detection unit,
11 control unit,
12 communication unit,
13 camera,
14 Care Call Department,
15 voice input unit,
20 management server,
21 control unit,
22 communications department,
23 databases,
30 information manager terminal,
40 care staff terminals,
41 control unit,
42 wireless communication unit,
43 display unit,
44 input section,
45 audio input/output unit,
50 network,
51 access points,
60 beds,
70 subject of care,
80 care staff.

Claims (22)

an input step of inputting images relating to care response procedures;
a display step of displaying the image according to a user's operation;
A care response support program that causes a computer to perform processing including 2. The care support program according to claim 1, wherein in said display step, said image is displayed on said user's portable terminal. inputting a voice regarding the care response procedure in the input step;
3. The care support program according to claim 1, wherein said display step displays said image and reproduces said sound. Before the displaying step, the processing includes:
an event reception step for receiving an event;
an operation receiving step of receiving the user's operation on the event;
4. The care support program according to any one of claims 1 to 3, wherein, in said display step, said image is displayed in accordance with said operation accepted in said operation acceptance step. The care response procedure includes at least one work procedure,
5. The care support program according to any one of claims 1 to 4, wherein said image represents the content of work procedures for each person to be cared for. The care response procedure includes a plurality of work procedures,
Before the displaying step, the processing includes:
an event reception step for receiving an event;
an operation receiving step of receiving the user's operation on the event;
causing the user to select one of at least two different work procedures for the event in the operation accepting step;
6. The care support program according to any one of claims 1 to 5, wherein, in said display step, an image of the work procedure selected in said operation reception step is displayed. 7. The care support program according to claim 6, wherein, in said operation receiving step, when said event is an event related to care support, a work procedure for care support for a care recipient related to said event is displayed. The care response procedure includes a plurality of work procedures,
6. The method according to any one of claims 1 to 5, wherein, in said display step, after displaying an image of a flow of a series of work procedures of said care support procedure, an image representing the contents of each of said work procedures is displayed. care support program. The care response procedure includes at least one work procedure,
9. The care support program according to any one of claims 1 to 8, wherein, in said display step, an image representing the contents of all or at least part of work procedures included in said care support procedure is displayed. 10. The care support program according to claim 9, wherein, in said display step, said images are continuously displayed according to a predetermined display order for all or at least some of said care support procedures. The care response procedure includes a plurality of work procedures,
10. The care support program according to any one of claims 1 to 9, wherein, in said display step, an image representing the content of a work procedure specified by said user among work procedures included in said care support procedure is displayed. . the image is a video,
In the displaying step, causing the user to select whether to stop displaying the moving image being displayed and start displaying another moving image, or restart displaying the moving image after the end of displaying the moving image; The care support program according to any one of claims 1 to 11. the image is a video,
The processing further includes, prior to the displaying step, an event receiving step of receiving an event;
13. The method according to any one of claims 1 to 12, wherein in said displaying step, when a specific event is received while said moving image is being displayed, display of said moving image being displayed is paused according to said received event. care support program. The processing is
14. The care support program according to any one of claims 1 to 13, further comprising a changing step of changing said image. 15. The care support program according to claim 14, wherein in said changing step, said image can be changed only when said image is permitted to be changed. The processing is
further comprising an evaluation receiving step for receiving care staff evaluations of the care response procedures;
16. The care support program according to claim 14, wherein in said changing step, said image is changed according to the evaluation received in said evaluation receiving step. The processing is
17. The care support program according to any one of claims 14 to 16, further comprising a history storage step of storing a change history in said change step. in the input step, storing an image related to the input care support procedure in a storage unit of the mobile terminal of the user;
3. The care support program according to claim 2, wherein, in said display step, an image stored in said storage unit is displayed. 19. The care support program according to any one of claims 1 to 18, wherein in said display step, display of said image is switched from a moving image to a still image. The processing further includes an obtaining step of obtaining information about the care staff,
20. The care support program according to any one of claims 1 to 19, wherein, in said display step, an image and sound are selected based on said information, and the selected image is displayed. A control unit that executes the care support program according to any one of claims 1 to 20;
A care support system, comprising: a display unit for displaying images related to care support procedures. A care staff terminal having a control unit that executes the care support program according to any one of claims 1 to 20, and a display unit that displays images related to care support procedures,
and a management server that provides the care staff terminal with an image related to a care response procedure.

Images