JP2023085162A - Assistance method using a nursing care toilet combining a defecation and urine treatment device with a mattress - Google Patents
Assistance method using a nursing care toilet combining a defecation and urine treatment device with a mattress Download PDFInfo
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Abstract
【課題】乳幼児の育児から寝たきり状態の要介護者への排便尿処理、又は入院術後の医療現場で排便尿の処理や、排便尿後の廃棄処理に日夜に亘り介助や介護の労働環境が厳しく大変な排便尿処理に係る抜本的な改革と技術開発が課題であった。【解決手段】本願発明のマットレスと排便尿処理装置を一体とした介護用トイレによる介助方法により、悪臭伴う紙おむつ交換作業に関わる介護職員の労働環境が解消される。【選択図】なし[Problems] The work environment of nursing care and nursing care day and night, from childcare of infants to bedridden care recipients, treatment of excrement and urine at medical sites after inpatient surgery, and disposal after excretion and urine. Drastic reform and technological development related to severe and difficult defecation and urine treatment were challenges. SOLUTION: The working environment of care workers involved in changing paper diapers accompanied by foul odors can be eliminated by a care method using a care toilet that integrates a mattress and a defecation and urine treatment device according to the present invention. [Selection figure] None
Description
本発明は、マットレスと排便装置を組合せた介護用トイレによる介助方法に関する技術分野である。 TECHNICAL FIELD The present invention is a technical field related to an assistance method using a care toilet that combines a mattress and a defecation device.
本発明はマットレスと排便尿処理装置を一体とした介護用トイレによる介助方法で、赤ちゃん（乳幼児）の育児から車椅子など歩行困難者等要介護者がベッド上で寝た自然の状態で排便を容易に処理する方法に関するイノベーションである。 The present invention is a method of assistance using a care toilet that integrates a mattress and a defecation and urine disposal device, and facilitates defecation in a natural state of lying on a bed for nursing a baby (infant) or a person requiring nursing care such as a person with walking difficulties such as a wheelchair. innovation in how to process
本発明のマットレスと排便尿処理装置を一体に組合せた介護用トイレによる介助方法により課題を解決するものである。 The problem is solved by a method of assistance using a nursing care toilet in which the mattress of the present invention and a defecation and urine treatment device are combined.
本発明は、このような状況を鑑みて案出されたマットレスと排便尿処理装置を一体に組合せた介護用トイレによる介助方法に関する。 SUMMARY OF THE INVENTION The present invention relates to an assistance method using a nursing care toilet that integrates a mattress and a defecation and urine disposal device, which has been devised in view of such circumstances.
請求項１に記載の、排便尿を処理する排便尿処理装置（以下「排便装置」）をマットレス（以下「マット」）内に組込み、又、洗浄用給水タンク（袋）と排便尿処理タンク（袋）をマット外にセットし洗浄から処理まで一体的にこなす排便尿処理機能を備えた排便装置を寝たきりの介護用トイレとして用いるに当たり、
排便尿の処理機能をなす円形でU字型排便槽の内部底面に大便を砕く回転盤と、排便尿を処分する排出口とを備え、排便槽側面に大小便かを感知する便臭センサや尿臭センサ（以下「感知センサ」）を施した排便槽を組込んだ排便装置において、
排便尿初動時の便量に拘わらず排便尿臭の感知センサにより自動的に小水量を流出させその状態で、小便（尿）の際は中水量の流出で排出させ、又、大便の際は自動温水洗浄器により「おしりとビデ」を洗浄させた後、自動的に大水量の流出により排便槽から排便を放出させ、
排出口を介して排便尿処理タンクに一時的に収め、それを水洗トイレや排水処理場に持込み廃棄処分するシステムとした手段と、
寝た状態の身体腹（へそ）下表面に恥陰部を隠す陰部遮蔽板を付けた排尿飛散遮蔽帯は、
腹部体形幅に合うよう伸縮させた上で「へそ下腹部」表面に載せ装着させて用いる排便装置とし、
マット内部に組込んだ排便尿処理装置とマット外部に備えた洗浄用給水タンクと排便尿処理タンクから成る介護用トイレとして使うシステムとしたことを特徴の、マットレスと排便尿処理装置を組合せた介護用トイレによる介助方法に関する。
The defecation and urine processing device (hereinafter "defecation device") for processing defecation and urine according to claim 1 is incorporated in a mattress (hereinafter "mat"), and a water supply tank (bag) for washing and a defecation and urine processing tank ( When using a defecation device equipped with a defecation and urine processing function that integrates from washing to processing by setting a bag) outside the mat as a toilet for bedridden nursing care,
Equipped with a circular U-shaped excretion tank that functions to treat excrement and urine, and a rotary disc that crushes feces on the inner bottom surface and an outlet that disposes of excrement and urine. In a defecation device incorporating a defecation tank equipped with a urine odor sensor (hereinafter referred to as "sensing sensor"),
Regardless of the amount of stool at the time of the first movement of defecation and urine, a small amount of water is automatically discharged by the sensor that detects the odor of defecation and urine. After washing the "buttocks and bidet" with an automatic hot water washer, a large amount of water is automatically discharged from the excretion tank,
Means for temporarily storing waste in a defecation/urine treatment tank through an outlet, bringing it to a flush toilet or a wastewater treatment plant for disposal, and
A urination scattering shielding belt with a pubic area shielding plate that hides the pubic area on the lower surface of the body belly (navel) in a lying state,
It is a defecation device that is stretched to match the width of the body shape of the abdomen and is placed on the surface of the "navel lower abdomen" to be used as a defecation device,
Nursing care that combines a mattress and a defecation and urine processing device, characterized by a system used as a nursing care toilet consisting of a defecation and urine processing device built into the mat and a washing water tank and a defecation and urine processing tank provided outside the mat. It relates to a method of assisting with a toilet.
本発明のマットレスと排便尿処理装置を一体に組合せた介護用トイレによる介助方法は、赤ちゃんのオムツ替えや歩行困難者の要介護者と入院術後の医療現場において、昼夜に亘る介助者は寝たきり人の排便尿は大変厄介な介助の一つである事から、排便尿を自動で処理する装置が求められていた。本願の排便装置は要介護者の陰部に恥陰部を隠す陰部遮蔽板を付けた排尿飛散遮蔽帯を付けることで、お互いが気兼ねなく排便尿でき、しかも介助人は「洗浄用給水タンク」と「排便尿処理タンク」の配置と処理作業のみで、資格がなくても誰にでも簡単に作業ができ、且つ、排便尿処理する装置とマットレスのセットでレンタリースにて使用できる様にし、コストも介護度要介護５の場合、介護保険による給付限度額1ヶ月分「３６２、１７０円」に対し、この給付限度額である1ヶ月分３６万円余の金額で、本願の排便装置を1年間使用できる低価格帯のレンタリース料で利用して頂く排便尿処理装置により要介護者の負担軽減を図り提供した。
従って、安心・安全で労力を大幅に省力化できる排便装置としたことで効率良い介護と介助に期待できる。
The assistance method using a nursing care toilet that integrally combines a mattress and a defecation and urine disposal device of the present invention is useful in changing diapers of babies, in hospitalization and post-operative care for patients requiring nursing care, and in medical settings where caregivers are bedridden day and night. Since human defecation and urine is one of the most troublesome nursing care, there has been a demand for a device that automatically treats defecation and urine. The defecation device of the present application is equipped with a urination scattering shielding belt with a genital shielding plate that hides the pubic area of the person requiring nursing care, so that both parties can defecate and urinate without hesitation. Only by arranging a defecation and urine processing tank and processing work, anyone can easily work even without qualifications, and a set of a defecation and urine processing device and a mattress can be rented and leased, and the cost is reduced. In the case of level of long-term care level 5, the defecation device of the present application is used for one year at the amount of 360,000 yen, which is the maximum benefit amount for one month, compared to the maximum benefit amount of 362,170 yen for one month under long-term care insurance. We have provided a defecation and urine treatment device that can be used at a low rental fee to reduce the burden on those requiring nursing care.
Therefore, efficient care and assistance can be expected by providing a defecation device that is safe and secure and that can greatly save labor.
乳幼児の育児から寝たきり状態の要介護者及び入院術後の医療現場における、排便尿を処理する排便尿処理装置（以下「排便装置」）をマットレス（以下「マット」）内に組込み、又、洗浄用給水タンク又は袋と排便尿処理タンク又は袋をマット外にセットし洗浄から廃棄まで一体的にこなす排便尿処理機能を備えた排便装置を寝たきりの介護用トイレとして用いるに当たり、排便尿の処理機能をなす円形でU字型排便槽の内部底面に大便を砕く回転盤と、排便尿を処分する排出口とを備え、排便槽側面に大小便かを感知する便臭センサや尿臭センサ（以下「感知センサ」）を施した排便槽で大人用（直径１６センチメートル、深さ１３センチメートル程）と乳幼児用（直径１２センチメートル、深さ１０センチメートル程）を組込んだ排便装置において、排便尿初動時の便量に拘わらず排便尿臭の感知センサにより自動的に小水量（０、０５リットル程）を流出させその状態で、小便（尿）の際は中水量（０、５リットル程）の流出で排出させ、又、大便の際は自動温水洗浄器から自動的に「おしりとビデ」を洗浄させ2秒～3秒程後に大水量の流出により排便槽から排便を放出させ排出口を介して排便尿処理タンクに一時的に収め、それを手に持ち水洗トイレや排水処理場に持込み流して廃棄処分するシステムとした手段とし、例えば回転盤において、羽根の高さ５ｍｍ程で4枚（十文字）、モーターで歯車又はベルトで低速回転させ用いるが、この際のモーター配置を排便槽から外した、温水洗浄器の下部側で排便槽と並べて設置することで、マットレスの厚さが１５センチメートル程度に抑え、しかも、電動ベッドの背上げ装置にも対応できる構造とする。
他方、寝た状態の人体腹（へそ）下表面に恥陰部を隠す陰部遮蔽板を付けた排尿飛散遮蔽帯は、腹部体形幅に合せ左右に伸縮させ調整の上で「へそ下腹部」表面に載せ装着させて用いる排便装置とし、マット内部に組込んだ排便尿処理装置とマット外部に備えた洗浄用給水タンク（袋）と排便尿処理タンク（袋）から成る介護用トイレとして使うシステムとしたことを特徴の、マットレスと排便尿処理装置を組合せた介護用トイレによる介助方法であり、一方、排便槽上部に寝る際には「馬蹄型」の便座器にお尻を載せ寝る時に、ズレ止めとして便座具器の裏面にズレ止め用として滑り止めテープ等を取付けた便座器を排便槽に被せて用い、寝る際でのお尻を便座器に載せ安定して排便尿ができる仕組みとした排便装置には、排出口を排便槽底部側面の左右に設け、ベッド設置場所により排出口を右か左側かを選択できる仕組みとし、この場合には、排便槽底部の排出口には面一にした密閉蓋（防水）に1か所にビス止め、ベッド設置時に便尿処理タンクを設置する方向の密閉蓋をドライバー等で取り除き、排便槽外部に取付けた排出口継ぎ短管にネジ込んで排出ホースを取付け用いる様にした排便槽とする。また排便尿を処分する排水処理タンク又は袋（１５リットル程の容量）とマットレス外部に設けた洗浄用給水タンク又は袋（１８リットル程の容量とし介助人が誰もが持てる「１８ｋｇ程」の重量で、タンクは１ｍ程の高さの台か吊ると水圧が上がる、又は小型水圧器を取付け事で大便の排出が一層容易になる）への水を補給するには、仮設などの配管で送水するか、又は別のタンクに入れて持ち運び補給する）ことから成る介護用トイレとして使う介助システムとしたことを特徴とした、マットレスと排便尿処理装置を一体とした介護用トイレによる介助方法であり、しかも、マットレスの裏側に排便槽と排出ホースの規格形状に合わせた型式のプラスチック容器を形成させ、介護現場で容易に組立て設置ができるように、マットレス裏側から取付ける様にすることで、既存の電動ベッド設置箇所で、排便装置付マットレスを短時間で不便を掛けないで交換できる。
A defecation and urine processing device (hereinafter referred to as "Defecation Device") is incorporated into a mattress (hereinafter referred to as "Mat") and cleaned for nursing care of infants, bedridden patients, and post-inpatient medical care facilities. When using a defecation device equipped with a defecation and urine processing function that integrally performs from cleaning to disposal by setting a water supply tank or bag and a defecation and urine processing tank or bag outside the mat as a bedridden nursing care toilet, the defecation and urine processing function A circular U-shaped excretion tank with a circular U-shaped excretion tank equipped with a rotating disk for crushing feces and an outlet for disposal of excreted urine on the inner bottom, and a feces odor sensor or urine odor sensor (hereinafter referred to as "Sensing sensor") for adults (about 16 cm in diameter and about 13 cm in depth) and for infants (about 12 cm in diameter and about 10 cm in depth). Regardless of the amount of stool at the time of initial movement of defecation and urine, a small amount of water (about 0.05 liters) is automatically discharged by a sensor that detects the odor of defecation and urine. In addition, when defecation, the automatic hot water washer automatically cleans the "buttocks and bidet", and after about 2 to 3 seconds, a large amount of water flows out to release the feces from the excretion tank. Temporarily put it in the excretion and urine treatment tank through the outlet, hold it in your hand, bring it to a flush toilet or a wastewater treatment plant, and dispose of it. 4 sheets (cross) are rotated at a low speed by a gear or a belt with a motor.In this case, the motor is removed from the excretion tank and placed side by side with the excretion tank on the lower side of the hot water washer to reduce the thickness of the mattress. is suppressed to about 15 cm, and the structure is designed to be compatible with the back raising device of the electric bed.
On the other hand, the urination scattering shielding belt, which has a genital shielding plate that hides the pubic area on the lower surface of the sleeping human belly (navel), stretches left and right according to the width of the abdominal body shape, and is adjusted to the "lower navel abdomen" surface. It is a defecation device that is placed on and attached, and is a system that can be used as a nursing care toilet consisting of a defecation and urine processing device built into the mat, a water tank (bag) for cleaning and a defecation and urine processing tank (bag) provided outside the mat. Characteristically, it is a nursing care toilet that combines a mattress and a defecation and urine disposal device. A toilet seat device attached with a non-slip tape or the like to prevent slipping on the back of the toilet seat device is used as a defecation tank. The device has discharge ports on the left and right sides of the bottom of the excrement tank, and the discharge port can be selected from the right or left depending on the bed installation location.In this case, the discharge port at the bottom of the excrement tank is flush Screw the airtight lid (waterproof) in one place, remove the airtight lid in the direction in which the excreta disposal tank is installed when installing the bed with a screwdriver, etc., and screw it into the discharge port connecting short pipe attached to the outside of the excrement tank to screw in the discharge hose. is installed and used as a defecation tank. In addition, a wastewater treatment tank or bag (capacity of about 15 liters) for disposal of defecation and urine, and a water tank or bag for washing provided outside the mattress (capacity of about 18 liters, and a weight of "about 18 kg" that any caregiver can carry So, if you hang the tank on a stand about 1m high, the water pressure will increase, or if you install a small water pressure device, the discharge of feces will become easier). or put it in a separate tank and carry and replenish it). Moreover, a plastic container is formed on the back side of the mattress in a model that matches the standard shape of the defecation tank and the discharge hose. To replace a mattress with a defecation device in a short time and without causing inconvenience at a place where an electric bed is installed.
温水洗浄において温水洗浄後にペーパーでお尻を拭いてほしい場合等などに用いるために、枕元に呼出しボタンを備えボタンを押しヘルパーに音量か点灯点滅等で呼ぶ方法と、又は、排便槽の中に人感センサを設置し、排便尿後に自動的に温水洗浄したお尻を感知し、体温で乾きが遅く、気になる要介護者は、押しボタンで無線通信を介して保護者や介護者（ヘルパー）に知らせお尻を紙等で拭いてもらうこともできる排便尿処理機能を備えた排便装置とする。 In order to use it when you want to wipe your buttocks with paper after hot water washing in warm water washing, there is a method of providing a call button at the bedside and pressing the button to call the helper with volume or flashing lights, etc., or in the excrement tank. A motion sensor is installed to automatically detect the buttocks that have been washed with hot water after defecation and urine. This defecation device has a defecation and urine processing function that can notify a helper to wipe the buttocks with paper or the like.
排便槽の寸法は直接１５センチメートル程、深さ１３センチメートル程とし、下部と上部の外側に洗浄水の口孔を各々５箇所程に設け、小水量と中水量の洗浄水は上部口孔から放出させ、大水量の洗浄水は下部口孔から排出口に向けて放出させる。この時は洗浄水給水タンクからの本管から排便槽の外径近くに分岐接手又はサドル付き分水栓で下部側と上部側に配管させ排便槽外周り管から先端放出口を継なぎ、排水便尿を洗いながす。
一方、回転盤は排便時の大便を排出処理するに当たり硬便や軟便を問わず、粉便状に解いてから排出するのに用いるもので、皿型状の平盤に羽根を付け十文字型にやや高く（５ｍｍ程）した形状の羽根を設け、排便時に排便槽の側面や底面に付着し粘り付かない様に大便を処理するため、用便初動や兆候時の微量により排便尿臭を感知し自動的に小水量を流出させ、その状態で排便が小便の時には中水量程の水流を放出させその水力で小便を排出させる、又は、大便の際は少量の排尿も伴うことから自動温水洗浄器で「おしりとビデ」を自動的に洗浄させた後、２秒～3秒程後に自動的に大水量の放出により排便槽から排便を放出させ、その廃棄便をマットレス外部に設けた排出口に接続させ取付けた排水タンクか袋に収め処分するシステムとした介護用トイレである。
本願発明の排便装置は、特願２０１７－５３９２３のマットレス内収納のオムツ着脱式トイレ装置をベースにしたもので専用の穴開け「シーツと敷きパッド」を使用し、従来のマットレス内に洗浄水タンクとを一体にした構造を、本願の発明は、洗浄水タンクをマットレスから切り離してマットレス外部の洗浄用給水タンクとした事で、洗浄後の処理水は排出口を介して排水タンクに収め処理するシンプルなシステムとした構造にした排便装置である。
尚、マットレスの裏側に排便槽と排出ホースの規格形状に合わせた枠型に成形のプラスチック容器をマットレス裏側から取付ける様にし、介護現場で該マットレスに排便装置を取付ける作業を容易にすることで、既存の電動ベッド設置箇所で、排便装置付マットレスを短時間で不便を掛けないで交換できる。
The size of the direct defecation tank is about 15 centimeters and the depth is about 13 centimeters. Five openings for washing water are provided on the outside of the lower part and the upper part. and a large amount of wash water is discharged from the bottom opening toward the discharge port. At this time, connect the main pipe from the flushing water supply tank to the outer diameter of the excrement tank with a branch joint or a diversion tap with a saddle to connect the lower and upper sides of the pipe, connect the tip outlet from the excrement tank outer pipe, and drain. Wash off feces and urine.
On the other hand, the turntable is used to dispose of stools during defecation, regardless of whether it is hard or loose stool, and is used to break it into powder before excreting it. Slightly high (approximately 5 mm) blades are provided to treat feces so that they do not stick to the sides and bottom of the defecation tank during defecation. An automatic warm-water washer that automatically discharges a small amount of water and, in that state, releases a medium amount of water flow when the defecation is urination, and discharges urine with the hydraulic force, or because a small amount of urination is accompanied by urination during defecation. After automatically washing the "buttocks and bidet" with the , after about 2 to 3 seconds, a large amount of water is automatically released to release the feces from the feces tank, and the waste feces is discharged to the discharge port provided outside the mattress. This is a nursing care toilet with a system for disposal by putting it in a connected drainage tank or a bag.
The defecation device of the present invention is based on the diaper detachable toilet device stored in the mattress of Japanese Patent Application No. 2017-53923, and uses a special hole "sheet and bed pad" to create a washing water tank in the conventional mattress. In the invention of the present application, the washing water tank is separated from the mattress and used as a water tank for washing outside the mattress, and the treated water after washing is stored in the drainage tank through the discharge port for treatment. It is a defecation device with a simple system structure.
In addition, by attaching a plastic container molded into a frame shape matching the standard shape of the defecation tank and the discharge hose from the back side of the mattress to facilitate the work of attaching the defecation device to the mattress at the nursing care site, To replace a mattress with a defecation device in a short time and without inconvenience at an existing electric bed installation location.
介護の問題、高齢化と核家族化が進む中、社会全体の課題となっているのが「介護問題」です。
平均寿命が延びるにつれて深刻になってきたのが高齢者同士による「老老介護」と「認認介護」及び「ヤングケアラー介護」であります。
・老老介護とは、６５歳以上の高齢者を同じく６５歳以上の高齢者が介護している状態のことで、「高齢の妻が高齢の夫を介護する」「６５歳以上の子供がさらに高齢の親を介護する」などのケースがあります。
・認認介護とは、老老介護の中でも、認知症の要介護者を認知症の介護者が介護していることを認認介護といいます。
・ヤングケアラー介護とは、障害や病気又は要介護者を抱えていてケアを要する家族がおり、家事や家族の世話などを行う１８歳未満の子供を指す言葉です。なお、２０代、３０代までの子供を含めて「若者ケアラー」と呼ぶこともあります。
Nursing care problem, aging and nuclear family is progressing, and "nursing care problem" has become an issue for society as a whole.
As the average life expectancy increases, it is becoming more and more serious that elderly people need to care for the elderly, recognize care, and care for young people.
・Elderly care refers to the state in which an elderly person aged 65 or older is cared for by an elderly person aged 65 or older. There are cases such as caring for elderly parents.
・Cognitive nursing care refers to the fact that caregivers with dementia take care of people with dementia who require nursing care.
・Young carer care is a term that refers to children under the age of 18 who have a family member who needs care due to a disability, illness, or a person who requires care, and who performs housework and care for the family. In addition, children in their twenties and thirties are sometimes called “youth carers”.
寝たきり状態による排泄での介助は要介護レベル２の判断基準の一つになっていますが、レベル１であっても、支援が必要な場合もあります。
寝たきりで生活している成人の場合、紙おむつの１日の交換回数は５回以上必要です。大人用の紙おむつとなると、紙パンツタイプであっても、サイズや高い機能性を求めると、価格が高くなります。また、介護レベルが高い人の場合、紙おむつに加え、尿取りパッドや介護用シーツ、おしりふきといったのも必要になってきました。１か月のオムツ代は、紙パンツタイプのみで、１０，０００円以上、場合によっては３０，０００円近くの出費が見込まれている方がいいでしょう。1ヶ月でかかる介護のおむつ代がどれくらいの金額になるのかを計算してみましょう。
高齢者の排泄量は1回につき１００～１５０CC、排泄する回数は８～１０回。それを踏まえて、おむつメーカーの商品も、高齢者が1回に排泄する尿量を１５０ｍIと見積もっており、２回分の３００ｍＩをカバーできるものが多いといえます。したがって、おむつは基本的に排尿２回につき１回の取り替えが必要で、１日でするおむつ交換は４～５回ほど必要になってくるとわかります。また、複数のおむつメーカーによると、おむつ１枚当たりの値段は平均５０～６０円程。
すると一日あたり２００～３００円、1ヶ月だと６，０００～９，０００円程のおむつ代が必要になるといえます。毎日使う消耗品で、たとえ少額であっても、長期間だと経済的な負担となってしまうことから、市区町村などの地方自治体は、介護用の紙おむつや排泄用品の現物支給や助成金支給などを実施しています。制度の対象者となるのは、以下に該当する方です。
・５６歳以上の第1号被保険者。・要介護レベル３以上。・おむつが日常的に必要とされる方。
介護保険のおむつ支給の支給額の平均額は５，０００～１０，０００円となっています。
介護保険サービスでおむつ交換をヘルパーが行ったときの負担額、介護サービスの費用は地域によって異なっています。・２０分未満・・・１６５円。・２０～３０分未満・・・２４５円。
・３０～１時間未満・・・３８８円。例えば、ヘルパーによる「２０～３０分未満のおむつ交換」が１日２回行われた場合、一週間では２４５円×２回×７日＝３，４３０円となります。
また、1日おむつ5枚を１袋２０Ｌ入１枚×３０日＝３０枚×12ヶ月＝３６０枚×４０円／１枚＝１４、４００円。おむつ費用、ゴミ袋１枚２７、４円×３６０枚＝９、８６４円。処分１枚当たり０、７５円×３６０枚＝２７０円、計２４、５３４円。介護レベルが高い人は紙おむつに加え、尿とりパッドや介護用シート、おしりふきといったものが必要になり、月額３０、０００円かかる。即ち、１年間の要介護費用1人当たり：ゴミ袋代１４、４００円、＋ヘルパー交換費用等１５６、０００円＋処分費用１０、１３４円＋介護レベル高い人、２４０、０００円、その他サービス以外の支出３４、０００円＝合計４５４、５３４円の費用がかかっているのが現実であります。
Assistance with excretion due to bedridden state is one of the judgment criteria for level 2 long-term care need, but even at level 1, there are cases where assistance is required.
Adults who are bedridden need to change disposable diapers at least 5 times a day. When it comes to adult disposable diapers, even if they are the paper pants type, if size and high functionality are required, the price will be high. In addition, in addition to disposable diapers, people who require a high level of care need urine pads, nursing care sheets, and baby wipes. You should expect to spend 10,000 yen or more, and in some cases close to 30,000 yen, for diapers for one month only for paper pants type. Let's calculate how much the diaper fee for nursing care will be in one month.
Elderly people excrete 100 to 150 cc per time, and the frequency of excretion is 8 to 10 times. Based on this, the products of diaper manufacturers also estimate the amount of urine excreted by the elderly at one time as 150mI, and it can be said that many of them can cover 300mI for two times. Therefore, it can be seen that diapers basically need to be changed once for every two urinations, and that diapers need to be changed 4 to 5 times in a day. Also, according to several diaper manufacturers, the average price per diaper is about 50 to 60 yen.
Therefore, it can be said that the diaper fee is 200 to 300 yen per day, and 6,000 to 9,000 yen per month. Consumables that are used every day, even if the amount is small, can become an economic burden over a long period of time. We are making payments, etc. The following persons are eligible for the system.
・Primary insured persons aged 56 and over.・Nursing care level 3 or higher.・Those who need diapers on a daily basis.
The average amount of nursing care insurance diaper payment is 5,000 to 10,000 yen.
The cost of nursing care services and the cost of nursing care services vary depending on the area.・Less than 20 minutes: 165 yen.・Less than 20 to 30 minutes: 245 yen.
・30 to less than 1 hour: 388 yen. For example, if a helper changes diapers for less than 20 to 30 minutes twice a day, the cost per week is 245 yen x 2 x 7 days = 3,430 yen.
Also, 5 diapers per day, 1 bag containing 20L x 30 days = 30 sheets x 12 months = 360 sheets x 40 yen/1 sheet = 14,400 yen. Diaper cost, 27 yen per garbage bag x 360 sheets = 9,864 yen. 0.75 yen per sheet x 360 sheets = 270 yen, totaling 24,534 yen. In addition to disposable diapers, people with a high level of nursing care need urine absorption pads, care sheets, and baby wipes, which cost 30,000 yen per month. That is, the cost per person requiring long-term care for one year: 14,400 yen for garbage bags + 156,000 yen for helper replacement costs + 10,134 yen for disposal costs + 240,000 yen for those with a high level of care, and other non-service costs The actual cost is 34,000 yen = 454,534 yen in total.
介護保険には、1ヶ月に利用できる上限金額があります、介護度が重いほど限度額が大きくなります。それ以上のサービスを受けたい場合は、全額自己負担となりますが、受けられないということではありません。介護度別・支給限度額（月間）、１割負担～３割負担まであります。
要支援１：５０、３２０円．要支援２：１０５、３１０円。要介護１：１６７、６５０円。
要介護２：１９７、０５０円。要介護３：２７０、４８０円。要介護４：３０９、３８０円。
要介護５：３６２、１７０円。例えば、要介護費用が月額４５４、５３４円かかった場合には、１割負担となりますが、給付限度額が要介護５の場合３６２、１７０円までとなっておりますので、この場合の自己負担額は９２、３６４円（１割負担の場合）となります。
これら現状の要介護に係る費用について、段落０００７に記載した介護度要介護５の場合、介護保険による給付限度額1ヶ月分「３６２、１７０円」に対し、この給付限度額である1ヶ月分３６万円余の金額で、本願の排便装置を1年間使用できる低価格帯のレンタリース料で利用して頂く排便尿処理装置により要介護者の負担軽減を図り提供するのが目的である。
Long-term care insurance has a maximum amount that can be used in a month. If you want to receive more services than that, you will have to pay the full amount yourself, but that doesn't mean you can't receive them. There is a limit of 10% to 30% of the amount (monthly), depending on the degree of nursing care.
Support required 1: 50, 320 yen. Support required 2: 105, 310 yen. Long-term care 1: 167,650 yen.
Nursing care 2: 197,050 yen. Nursing care 3: 270, 480 yen. Care required 4: 309, 380 yen.
Care required 5: 362, 170 yen. For example, if the cost of long-term care required is 454,534 yen per month, you will be responsible for 10%, but if the maximum amount of benefits is 362,170 yen for level 5 of long-term care, you will have to bear the cost yourself. The amount will be 92,364 yen (in the case of 10% copayment).
Regarding the current costs for long-term care, in the case of long-term care level 5 described in paragraph 0007, the maximum amount of benefits for one month under long-term care insurance is "362,170 yen". The purpose is to reduce the burden on people requiring nursing care by using a defecation and urine treatment device that can be used for one year at a low rental fee that allows the defecation device of the present application to be used for 360,000 yen or more.
要介護度とは、「要支援１～２」「要介護者１～５」に区分されており、要介護者が１～５になるにつれ症状は重くなります。また要支援、要介護が認定されると介護保険が適用され、それぞれの要介護度の上限範囲内で介護保険給付を受けることができます。
要支援・要介護別の標準的な状態について、
１）要支援１，２とは、社会的支援を要する→日常生活の一部において、なにかしらの介助を必要とし、複雑な動作に介助を必要とする。認定者数（経過的要介護含む）：１７５、７万人。
２）要介護度１とは、部分的な介助を要する→日常生活の一部において、なにかしらの介護を必要とし、複雑な動作や移動に介助を必要とする。認定者数：１２６、３万人。
３）要介護度２とは、軽度の介助が必要→日常生活の一部において、なにかしらの介助を必要とし、複雑な動作や移動に何かしらの介助を必要とする。認定者数：１１０、６万人。
４）要介護度３とは、中程度の介助が必要→日常生活での複雑な動作や排泄が一人ではできず、移動の動作にも介護を必要とする。また問題行動や理解の低下がみられる場合もあります。認定者数：８３、６万人。
５）要介護度４とは、重度の介護が必要→日常生活での複雑な動作や排泄、移動などもほとんどできず介護を必要とする。また多くの問題行動や全般的な理解の低下がみられることがあります。認定者数：７６、８万人。
６）要介護度５とは、最重度の介護が必要→日常生活での複雑な動作や排泄、移動などもほとんどできず介護を必要とする。また多くの問題行動や全般的な理解の低下がみられることがあります。認定者数：６０、１万人。
The level of care required is divided into 1 to 2 support required and 1 to 5 people requiring care. In addition, long-term care insurance is applied when support or long-term care is certified, and long-term care insurance benefits can be received within the upper limit of each level of long-term care required.
Regarding the standard conditions for needing support and long-term care,
1) Requirement of support 1 and 2 means that social support is required → Some assistance is required in part of daily life, and assistance is required for complex movements. Number of certified people (including transitional long-term care needs): 175,700 people.
2) Level 1 of nursing care requires partial assistance → Some kind of nursing care is required in part of daily life, and assistance is required for complex movements and movements. Number of certified people: 126,30,000.
3) Care level 2 requires mild assistance → Some kind of assistance is required in part of daily life, and some kind of assistance is required for complex movements and movements. Number of certified people: 1,100,600 people.
4) Care level 3 means that moderate assistance is required → unable to perform complex movements in daily life and excretion by oneself, and needs care even for moving movements. There may also be behavioral problems and decreased comprehension. Number of certified people: 830,000 and 60,000.
5) Level 4 of nursing care requires severe nursing care → requires nursing care because complex movements, excretion, and movement in daily life can hardly be performed. There may also be many problematic behaviors and a general decline in understanding. Number of certified people: 760,000 to 80,000.
6) Care level 5 means that the most severe care is required → the patient is hardly able to perform complex movements, excretion, and movement in daily life, and needs care. There may also be many problematic behaviors and a general decline in understanding. Number of certified people: 60, 10,000.
国内での紙おむつ（乳幼児用と大人用）の生産数量と消費に伴うゴミの廃棄費用、紙おむつの生産数量は乳幼児用・大人用ともに増加傾向にあり、２０１８年の生産数量は、乳幼児用では１５１億円億枚、大人用では８４億枚となっている。
国内で消費された紙おむつは、し尿を吸収して重量が４倍になり、国内処理量は２２４～２４１万トンあり、うち一般廃棄物２０６～２２３万トン、産業廃棄物１８万トンになると推計される。
将来、２０３０年には、家庭系排出量２０２～２２９万トン、事業系排出量８８万トンにおいて、一般産業廃棄物２６４～２９０万トン、産業廃棄物処理量２６万トンと推計している。
家庭や施設から出るゴミはゴミステーションに投棄し、そこから回収した廃棄物は焼却施設で処理するまでの、1トン当たりの費用は４，９万円／トンとのデータから、一般廃棄物：１００９億円～１１２２億円、産業廃棄物８８億円、の廃棄処理費用がかかっています。
一方、紙おむつの1枚当たりの処分費用は０、７５円、とのデータから、乳幼児用では１５１億円億枚×０、７５円＝１１３億円、大人用では８４億枚＝６３億円の廃棄処分費用がかかっています。これらの焼却時に二酸化炭素も発生しますので、本願のマットレスに排便尿処理装置を組合せた介護用トイレによる介助方法により、紙おむつ代や交換手間に係る経費や廃棄処理の負担が軽減される。
The production volume of disposable diapers (both for infants and adults) in Japan, the cost of waste disposal associated with consumption, and the production volume of disposable diapers for both infants and adults are on the rise.In 2018, the production volume for infants was 151. 100 million yen and 8.4 billion for adults.
Disposable diapers consumed domestically absorb night soil and quadruple their weight, and the domestic disposal volume is estimated to be 2.24 to 2.41 million tons, of which 2.06 to 2.23 million tons are general waste and 180,000 tons are industrial waste. be done.
It is estimated that in 2030, household emissions will be 2.02 to 2.29 million tons, business emissions will be 880,000 tons, general industrial waste will be 2.64 to 2.9 million tons, and industrial waste treatment will be 260,000 tons.
From the data that the cost per ton is 49,000 yen/ton, which is the cost of dumping garbage from households and facilities at a garbage station and processing the collected waste at an incineration facility, general waste: It costs 100.9 billion yen to 112.2 billion yen and 8.8 billion yen for industrial waste.
On the other hand, from the data that the disposal cost per disposable diaper is 0.75 yen, it is 15.1 billion yen for infants x 0.75 yen = 11.3 billion yen, and 8.4 billion sheets for adults = 6.3 billion yen. There is a disposal fee. Since carbon dioxide is also generated when these are incinerated, the cost of disposable diapers, the cost of changing diapers, and the burden of waste disposal can be reduced by the assistance method using a nursing care toilet that combines a defecation and urine disposal device with the mattress of the present application.
寝たきり状態で介護用トイレを活用すると予想される人は、２０２０年度のデータによると、要介護・要支援認定者（約６６６万人）と入院手術する患者（約１６８万人）と車椅子、身体障害者（約３５６万人）と、入院し治療に専念する癌患者（約９０万人）と新生児（約８０万人）がいることから、介助する多くの人々に役立って頂きたい介護用トイレであり、介助要員の仕事（食事、入浴、排便尿処理）での内、一番面倒な排便尿処理が軽減され、強いては労働時間つまり勤務時間の短縮により人材不足としている介護職員の対策にも期待できる。 According to 2020 data, the number of bedridden people who are expected to use nursing care toilets is approximately 6.66 million people certified as needing nursing care or support, patients undergoing inpatient surgery (approximately 1.68 million people), wheelchairs, and physical There are people with disabilities (about 3.56 million), cancer patients (about 900,000) who are hospitalized and dedicated to treatment, and newborns (about 800,000). Among the work of care workers (eating, bathing, excretion and urine processing), the most troublesome defecation and urine processing is reduced, and if forced to do so, it will be a countermeasure for nursing care workers who are facing a shortage of human resources due to shortened working hours. can also be expected.
本発明のマットレスと排便尿処理装置を一体とした介護用トイレによる介助方法は、乳幼児の育成から車椅子等歩行困難者の要介護者と入院術後の医療現場等での介護分野における産業上の利用が可能である。
The assistance method using a nursing care toilet that integrates a mattress and a defecation and urine disposal device of the present invention is useful in the field of nursing care, such as nursing care for people with walking difficulties such as wheelchairs, and post-hospitalization medical care. Available.
乳幼児の育児から寝たきり状態の要介護者及び入院術後の医療現場において、排便尿を処理する排便尿処理装置（以下「排便装置」）をマットレス（以下「マット」）内に組込み 、洗浄用給水タンク又は給水袋と、排便尿処理タンク又は処理袋をマット外にセットし洗浄から廃棄まで一体的にこなす排便尿処理機能を備えた排便装置を寝たきりの介護用トイレとして用いるに当たり、排便尿の処理機能をなす円形でU字型排便槽の内部底面に大便を砕く回転盤と、排便尿を処分する排出口とを備え、排便槽側面に大小便かを感知する便臭センサや尿臭センサ（以下「感知センサ」）を施した排便槽で大人用（直径１６センチメート ル、深さ１３センチメートル程）と乳幼児用（直径１２センチメートル、深さ１０センチ メートル程）を組込んだ排便装置において、排便尿初動時の便量に拘わらず排便尿臭の感知センサにより自動的に小水量（０、０５リットル程）を流出させその状態で、小便（尿 ）の際は中水量（０、５リットル程）の流出で排出させ、又、大便の際は自動温水洗浄器から自動的に「おしりとビデ」を洗浄させ2秒～3秒程後に大水量の流出により排便槽から 排便を放出させ排出口を介して排便尿処理タンクに一時的に収め、それを手に持ち水洗トイレや排水処理場に持込み流して廃棄処分するシステムとした手段とし、例えば回転盤において、羽根の高さ５ｍｍ程で4枚（十文字）、モーターで歯車又はベルトで低速回転させ用いるが、この際のモーター配置を排便槽から外した、温水洗浄器の下部側で排便槽と並べて設置することで、マットレスの厚さが１５センチメートル程度に抑え、しかも、電動ベッドの背上げ装置にも対応できる構造とする、一方、寝た状態の人体腹（へそ）下表面に恥陰部を隠す陰部遮蔽板を付けた排尿飛散遮蔽帯は、腹部体形幅に合せ左右に伸縮させ調整の上で「へそ下腹部」表面に載せ装着させて用いる排便装置とし、マット内部に組込んだ排便尿処理装置とマット外部に備えた洗浄用給水タンク（袋）と排便尿処理タンク（袋）から成る介護用トイレとして使うシステムとしたことを特徴の、マットレスと排便尿処理装置を組合せた介護用トイレによる介助方法であり、介護用トイレの機能をする排便槽上部に寝る際には「馬蹄型」の便座器にお尻を載せ寝る時に、ズレ止めとして便座器の裏面にズレ止め用として滑り止めテープ等を取付けた便座器を排便槽に被せて用い、寝る際にはお尻を便座器に載せ安定して排便尿ができる仕組みとした排便装置には、排出口を排便槽底部側面の左右に設け、ベッド設置場所により排出口を右か左側かを選択できる仕組みとし、この場合には、排便槽底部の排出口には面一（つらいち）にした密閉蓋（防水）にはビス止めしておき、ベッド配置時に便尿処理タンクを設置する方向のみを、密閉蓋をドライバー等で取り除き、排便槽外部に取付けた排出口継ぎ短管にネジ込んで、用意した専用の排出ホー ス（呑口側・吐口側双方に接続させ取付け出来る様に加工した専用の排出ホースを言う）を取付け使用する仕組みの排便槽とする。また排便尿を処分する排水処理タンク又は袋（ １５リットル程の容量）とマットレス外部に設けた洗浄用給水タンク又は袋（１８リット ル程の容量）とし介助人の誰もが持てる「１８ｋｇ程」の重量で、タンクは１ｍ程の高さの台か吊るす事で水圧が上がる、又は小型水圧器を取付け事で大便の排出が一層容易になる、水を補給するには仮設などの配管で送水するか、又は別のタンクに入れて持ち運び補給することから成る介護用トイレとして使う介助システムとしたことを特徴とした、マットレスと排便尿処理装置を一体とした介護用トイレによる介助方法であり、しかも、マットレスの裏側に排便槽と排出ホースの規格形状に合わせた型式のプラスチック製型枠にする事で介護現場でも容易に組立て設置ができ、且つマットレス裏側から取付ける様にすることで、既存の電動ベッド設置場所で、排便装置付マットレスを短時間で組立て不便を掛けないで交換できる。 A defecation and urine disposal device (hereinafter referred to as "Defecation Device") that treats defecation and urine is incorporated into a mattress (hereinafter referred to as "Mat") and washed in medical settings such as nursing infants, bedridden patients, and post-operative hospitalization. When using a defecation device equipped with a defecation water tank or water supply bag and a defecation and urine processing tank or processing bag outside the mat and performing integrally from washing to disposal as a bedridden nursing care toilet, Equipped with a circular U-shaped excrement tank that has a function of processing , a rotary disc that crushes feces on the inner bottom and a discharge port that disposes of excreted urine. A defecation tank equipped with a sensor (hereafter referred to as "sensing sensor") for adults (approximately 16 cm in diameter and 13 cm in depth) and for infants (approximately 12 cm in diameter and 10 cm in depth). In the defecation device, a small amount of water (about 0.05 liters) is automatically discharged by a sensor that detects the odor of defecation and urine regardless of the amount of stool at the time of initial movement of defecation and urine. 0.5 liters), and when defecation, the automatic hot water washer automatically cleans the "buttocks and bidet", and after about 2 to 3 seconds, a large amount of water flows out and the feces are discharged from the excrement tank. is released and stored temporarily in the excretion and urine treatment tank through the discharge port, and then held in the hand and carried to a flush toilet or a wastewater treatment plant for disposal. 4 pieces (cross) of about 5 mm are used by rotating at a low speed with a gear or belt with a motor. The thickness of the mattress is kept to about 15 centimeters, and the structure is designed to be compatible with the back-raising device of the electric bed. The attached urinary scattering shielding belt is stretched left and right according to the width of the body shape of the abdomen, and is used as a defecation device that is placed on the surface of the "navel lower abdomen" and used as a defecation device. It is a method of assisting with a nursing care toilet that combines a mattress and a defecation and urine processing device, characterized by a system that is used as a nursing care toilet consisting of a water tank (bag) for cleaning and a defecation and urine processing tank (bag) provided for When sleeping on the upper part of the toilet bowl that functions as a toilet for nursing care , when you put your buttocks on the "horseshoe-shaped" toilet seat, you can put anti-slip tape on the back of the toilet seat to prevent it from slipping. The toilet seat is placed over the toilet bowl, and when sleeping, the buttocks can be placed on the toilet seat to stably defecate and urinate. Depending on the location, the discharge port can be selected to be on the right or left side . At the time of placement , remove the sealing lid only in the direction in which the excreta disposal tank is to be installed. A dedicated discharge hose that has been processed so that it can be connected to both sides) is installed and used . In addition, a wastewater treatment tank or bag (capacity of about 15 liters) for disposal of defecation and urine and a water tank or bag (capacity of about 18 liters) for washing provided outside the mattress are provided, and each caregiver can carry "about 18 kg". The weight of the tank can be increased by hanging it from a stand about 1m high, or by attaching a small water pressure device to make it easier to discharge feces. An assistance method using a nursing care toilet that integrates a mattress and a defecation and urine disposal device, characterized in that the assistance system is used as a care toilet by supplying water or carrying and replenishing in a separate tank. In addition, by using a plastic formwork that matches the standard shape of the defecation tank and the discharge hose on the back of the mattress, it can be easily assembled and installed even at nursing care sites, and by attaching it from the back of the mattress, existing products can be installed. The mattress with a defecation device can be assembled in a short time and replaced without inconvenience at the place where the electric bed is installed.
請求項1の記載において、寝たきり状態で排泄する排便尿を処理する排便尿処理装置（以下「排便装置」）をマットレス内に組込み一体に構成した排便装置を介護用トイレとして用いるに当たり、
排便尿の処理機能をなすU字型排便槽の内部底面に大便を砕く回転盤と、小便を処分する排出口とを備えた排便装置において、
排便尿を洗い流し処分する排出口を排便槽底部側面の右左側に設け、その排出口ある排便槽の内側に密閉蓋を付けビス止めをしておき、ベッド設置場所に応じ排出口を右か左側かを選択出来るようにし、ベッド配置時に排便処理タンクの設置する方向（片方）のみの密閉蓋を取り除いた後に、
排便槽外側に取付けていた排出口との継なぎ短管に、排出ホースをねじ込み取付けて使用する仕組みの排便装置とし、
更に、マットレスの裏側（背面）に排便槽と感知センサー及び回転盤用モーターと温水洗浄器具を組合わせた排便装置や排出ホースの規格形状に合わせ成形した型枠（容器）を取付けて置き、この容器に排便装置や排出ホースを組込んだ後に介護用トイレとして介護現場で用いるもので、
その際は、排便尿を処分する排水処理タンク（袋）と、マットレス外部に設けた洗浄用給水タンク（袋）とから成る介護用トイレとして使う介助システムを特徴とした、マットレスと排便尿処理装置を一体とした介護用トイレによる介助方法に関する。
In the description of claim 1, when using a defecation device as a toilet for nursing care, in which a defecation and urine processing device (hereinafter referred to as "defecation device") for treating defecation and urine excreted in a bedridden state is integrated into a mattress,
A defecation device comprising a rotating disk for crushing feces on the inner bottom surface of a U-shaped defecation tank that functions to treat defecation and urine, and a discharge port for disposing of urine ,
A discharge port for washing and disposing of excreted urine is provided on the right and left side of the bottom of the excretion tank, and the inside of the excretion tank where the discharge port is located is sealed with a lid and screwed. After removing the sealing lid only in the direction (one side) where the defecation treatment tank is installed when arranging the bed ,
A defecation device that is used by screwing a discharge hose into a short pipe that connects to the discharge port attached to the outside of the defecation tank,
In addition, a defecation device that combines a defecation tank, a detection sensor, a rotary disk motor and a hot water washing device, and a formwork (container) molded according to the standard shape of the discharge hose are attached to the back side (back) of the mattress. After incorporating a defecation device and discharge hose into the container, it is used as a nursing care toilet at nursing care sites.
In that case , the mattress and the excretion and urine treatment device are characterized by an assistance system that can be used as a nursing care toilet consisting of a wastewater treatment tank (bag) for disposal of excrement and urine and a water supply tank (bag) for washing provided outside the mattress. It relates to a method of assistance by a nursing care toilet integrated with.
Claims (1)
排便尿の処理機能をなす円形でU字型排便槽の内部底面に大便を砕く回転盤と、排便尿を処分する排出口とを備え、排便槽側面に大小便かを感知する便臭センサや尿臭センサ（以下「感知センサ」）を施した排便槽を組込んだ排便装置において、
排便尿初動時の便量に拘わらず排便尿臭の感知センサにより自動的に小水量を流出させその状態で、小便（尿）の際は中水量の流出で排出させ、又、大便の際は自動温水洗浄器により「おしりとビデ」を洗浄させた後、自動的に大水量の流出により排便槽から排便を放出させ、
排出口を介して排便尿処理タンクに一時的に収め、それを水洗トイレや排水処理場に持込み廃棄処分するシステムとした手段と、
寝た状態の身体腹（へそ）下表面に恥陰部を隠す陰部遮蔽板を付けた排尿飛散遮蔽帯は、
腹部体形幅に合うよう伸縮の上で「へそ下腹部」表面に載せ装着させて用いる排便装置とし、
マット内部に組込んだ排便尿処理装置とマット外部に備えた洗浄用給水タンクと排便尿処理タンクから成る介護用トイレとして使うシステムとしたことを特徴の、マットレスと排便尿処理装置を組合せた介護用トイレによる介助方法。
A defecation and urine processing device (hereinafter referred to as "defecation device") is incorporated into the mattress (hereinafter referred to as "mat"), and a water tank (bag) for cleaning and a defecation and urine processing tank (bag) are set outside the mat. When using a defecation device equipped with a defecation and urine processing function that integrally performs from washing to processing as a bedridden nursing care toilet,
Equipped with a circular U-shaped excretion tank that functions to treat excrement and urine, and a rotary disc that crushes feces on the inner bottom surface and an outlet that disposes of excrement and urine. In a defecation device incorporating a defecation tank equipped with a urine odor sensor (hereinafter referred to as "sensing sensor"),
Regardless of the amount of stool at the time of the first movement of defecation and urine, a small amount of water is automatically discharged by the sensor that detects the odor of defecation and urine. After washing the "buttocks and bidet" with an automatic hot water washer, a large amount of water is automatically discharged from the excretion tank,
Means for temporarily storing waste in a defecation/urine treatment tank through an outlet, bringing it to a flush toilet or a wastewater treatment plant for disposal, and
A urination scattering shielding belt with a pubic area shielding plate that hides the pubic area on the lower surface of the body belly (navel) in a lying state,
It is a defecation device that is stretched to fit the width of the body shape of the abdomen and is placed on the surface of the "navel lower abdomen".
Nursing care that combines a mattress and a defecation and urine processing device, characterized by a system used as a nursing care toilet consisting of a defecation and urine processing device built into the mat and a washing water tank and a defecation and urine processing tank provided outside the mat. How to assist with the toilet.
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