JP3889189B2 - Care plan generation system for nursing care services - Google Patents

Description

[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a care plan generation system for care services.
[0002]
[Prior art]
There are many problems that need to be solved when the care insurance system is enhanced in the face of a super-aging society, and one of them is the training and securing of excellent care managers who perform care management. However, care management is now facing major challenges. That is, it takes a very long time to create a care service plan. In such a situation, it is expected that considerable confusion will occur in the actual care management operation. At the same time, if care management takes time and effort, there is a risk that a uniform care plan created by the service provider will be pushed regardless of the needs of the elderly who are clients. In nursing care, detailed and human services are expected according to the client's situation, but this cannot be achieved with a uniform care plan created from the viewpoint of the service provider.
[0003]
[Problems to be solved by the invention]
As described above, in the care service, it takes a very long time to create a care plan according to the needs of the client.
[0004]
The present invention has been made to solve the above-described problems, and an object of the present invention is to provide a care plan generation system for a care service capable of creating a care plan of a certain level or more regardless of the experience of the care manager. There is.
[0005]
[Means for Solving the Problems]
A care plan generation system for a care service according to the present invention includes a main complaint accepting unit that accepts a complaint of a main problem of a care target person as a main complaint item, a needs storage unit that stores the main complaint item and a needs item in association with each other. Based on the main complaint item received by the main complaint receiving means, the main complaint-needs extracting means for extracting the need items of the care target person from the needs storage means, the needs items and the assessment items related to the needs items are associated with each other Selected from the plurality of assessment items , the assessment item storage means for storing the assessment items, the assessment item presentation means for presenting a plurality of assessment items belonging to the needs items extracted by the needs extraction means from the assessment item storage means, needs to match the combination pattern of assessment items were Assessment extracting the eyes - and needs extraction means, the combination pattern of assessment items to be selected from said plurality of assessment items and assist target storage means for storing in association with the aid target that matches the combination pattern, a plurality of Based on a combination pattern of assessment items selected from the assessment items, assistance target extracting means for extracting assistance target items from the assistance target storage means, and care including at least one of the extracted assistance target items And a care plan output means for outputting a plan.
[0006]
Further, the present invention according to the system is also established as a method invention, and the present invention according to the method further includes a computer-readable recording of a care plan generation program for a care service for causing a computer to realize a function corresponding to the invention. It can also be established as a possible recording medium.
[0007]
In the present invention, a part of the assistance target item is associated with the combination of the assessment items, and the assistance target item is extracted. At this time, the plan generation work can be made more efficient and the time can be greatly shortened by sequentially searching the combination of the selected assessment items from the combination pattern of the assessment items and extracting the corresponding combinations.
[0008]
DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, embodiments of the present invention will be described with reference to the drawings.
[0009]
(First embodiment)
FIG. 1 is a diagram showing a hardware configuration of a care plan generation system for care service according to the first embodiment of the present invention. This care plan generation system includes a bus 2 that is programmed with a built-in OS (Operating System) that controls the entire system, and a RAM 3 that stores necessary data such as programs or data to be executed. , An input means 4 comprising a pointing device such as a keyboard and a mouse, an input data monitor, an output means 5 for outputting various tabulation results and other search data, and the search data and programs communicated with other terminals Communication means 6 is connected. Further, a data storage unit 8 is connected to the bus 1 through a data control unit 7, and a program storage unit 10 is connected through a program control unit 9.
[0010]
The data storage unit 8 and the program storage unit 10 are storage means such as a hard disk, a flexible disk, or an optical disk, and store various data tables or programs created to implement this care service. Specifically, the data storage unit includes a needs data table 11 in which main complaint data and needs data are associated, an assessment data table 12 in which needs data and assessment data are associated, and assistance in which assessment data is associated with assistance target data. A target data table 13, a care content data table 14 in which assistance target data and care content data are associated, and an attention point data table 15 in which assessment data and attention point data are associated are stored. The program storage unit 10 stores a main program 21, a main complaint acceptance program 22, a needs extraction program 23, an assessment extraction program 24, an assistance target extraction program 25, an attention point extraction program 26, and a care content extraction program 27. . The programs 22 to 27 are routineized, and an application for executing the programs 22 to 27 is the main program 21. The function of each program will be described later.
[0011]
The main complaint data is data indicating the troubles of the care target person and is composed of a plurality of main complaint items. Needs data indicates a state in which it is difficult to carry out social life, and is composed of a plurality of needs items. The assessment data is data indicating various situations faced in the social life of the care target person, and is composed of a plurality of assessment items. Each assessment item constituting assessment data is roughly divided into three types of items: physical function, mental psychology, and social environment. Need items have arisen based on the overall connection of these three types of items. The assistance target data is data indicating a target / result for solving the troubled state, and includes a plurality of assistance target items. The care content data is data indicating the care content of the care target person and includes a plurality of care content items. The attention point data is data indicating points that should be particularly noted when the care manager creates a care plan, and is composed of a plurality of attention point items.
[0012]
Each data shown above is made into a data table so as to connect them. FIG. 2 shows a needs data table 11 in which main complaint data and needs data are associated with each other. FIG. 3 shows an assessment table 12 in which needs data and assessment data are associated with each other. Shown in
[0013]
Note that the term “association” used in the present embodiment and the following embodiments means that a predetermined item constituting a certain data or a combination thereof corresponds to a predetermined item constituting another data or a combination thereof. Indicates that
[0014]
The main complaint item is associated with the assessment item, and the need data table 11 and the assessment data table 12 are used for this association. Specifically, as shown in FIG. 2 in the needs data table 11, a plurality of main complaint items are listed in the right column, and a plurality of needs items are listed in the left column corresponding thereto. Needs items are associated. Next, in the assessment data table 12, as shown in the left part of FIG. 3, the upper column lists a plurality of assessment items, and the left column lists the needs items corresponding to the assessment items. Items are associated. As a result, the main complaint item and the assessment item are associated with each other.
[0015]
The assessment data table 12 also functions to extract needs items from the selected assessment items. As shown in FIG. 3, a data correspondence table is set in the lower column of the assessment item, and patterns 1 to 31 are shown in the example of FIG. The case where flag 1 is set in the column corresponds to the item. For example, when the selected assessment items are “meal intake” and “dementia criteria,” pattern 4 is selected and the need item “can't eat” is extracted. Of the assessment items in the upper column, the three items are “meal intake”, “assistance requiring assistance / planning for ingestion assistance”, and “ingestion assistance assistance plan”. The subordinate items are from “dementia criteria” to “one person during the day”. The upper item is an assessment item essential for extracting the needs item, while the lower item can be omitted. Further, “meal intake” to “joint movement” are background assessment items. The detailed contents will be described later.
[0016]
Next, as shown in FIG. 3, the assistance target data table 13 for associating the assessment data with the assistance target data includes an assessment data table 12 on the left side, an assistance target item on the right in the upper column, and a data correspondence table on the lower column. It consists of and. A pattern is set in the same manner as the assessment data table 12. For example, when the pattern 4 is selected in the assessment data table 12, the assistance target item in which the flag 1 is set in the column of the pattern 4 is selected.
[0017]
Although not shown, the care content data table 14 associates the assistance target data with the care content data as in FIG. As in FIG. 3, at least one care content item is associated with one assistance target item. In addition, attention point data associates assessment data with attention point data.
[0018]
Next, the care plan generation procedure according to the present embodiment will be described with reference to FIGS. 4 to 9 together with the functions of the respective parts constituting the system. FIG. 4 is a flowchart illustrating a care plan generation procedure according to the present embodiment. 5 to 9 are diagrams showing examples of display screen changes in the output means 5 in each procedure.
[0019]
First, the CPU 2 reads the main program 21 from the program storage unit 10 via the program control unit 9 and the bus 1 and stores it in the RAM 3. The main program 21 first reads out the main complaint acceptance program 22 by input to the input means 4 of the care manager. Similarly, the main complaint receiving program 22 is stored in the RAM 3. In the following description, detailed operations such as reading of each program are the same as those described above, and will be omitted.
[0020]
The care manager inputs the corresponding main complaint item of the care subject by the input means 4 (S31). The screen of the output means 5 at the time of selecting the main complaint is shown in FIG. As shown in FIG. 5, the present embodiment shows a case where the main complaint “I'm having trouble with meals” is selected. Then, the selected main complaint item is output to the CPU 2. The CPU 2 extracts the need items associated with the selected main complaint item by the assessment extraction program 24 (S32). Further, assessment items associated with the extracted need items are extracted (S33) and displayed on the output means 5. A screen displaying the assessment items corresponding to this chief complaint is shown in FIG. The care manager selects an assessment item corresponding to the care target person from among the plurality of displayed assessment items (S34) and inputs the assessment item. Data including the input assessment item is output to the CPU 2. The CPU 2 extracts a need item corresponding to the input assessment item by the need extraction program 23 (S35). Specifically, in the assessment data table 12, the patterns 1 to 31 are scanned, and the pattern corresponding to the selected assessment item is extracted. Then, the need items in which the flag 1 is set in the corresponding pattern are extracted and displayed on the screen of the output means 5. FIG. 7A shows a screen on which the extracted need items are displayed. “Meals”, “Nutrition management”, “Swallowing”, “Housework” and “Caregiver burden” are extracted needs items. At this time, if the background button set at the right end of the needs item is selected, the background of needs as shown in FIG. 7B is displayed (S35 ′). This background is based on the assessment item selected in advance, and is the background assessment item in FIG. When the background assessment item is displayed, an evaluation value is displayed together with the background assessment item for the item input in the assessment. By displaying the assessment items as the background in this way, it becomes easier to organize the care manager's thoughts in grasping the life problem.
[0021]
The care manager selects a need item based on the background of this need (S36). When the assistance target button is selected on the screen shown in FIG. 7A, the assistance target item associated with the selected needs item is extracted by the assistance target extraction program 25 (S37), and the output means. 5 is displayed. FIG. 8 is an example of a screen on which the extracted assistance target items are displayed, and five items are displayed in the right column. At this time, when the reference button provided corresponding to the need item in FIG. 8 is selected, the attention point item shown in FIG. 9 is extracted and displayed by the attention point extraction program 26 (S37 ′). In this operation, the CPU 2 displays the point of interest specified based on the data table. When the point of interest is displayed, an evaluation value is displayed together with the point of interest for the item input in the assessment. When an assistance target item is selected with reference to the point of interest (S38), the care content extraction program 27 extracts the care content item associated with the item (S39) and displays it on the output means 5. Finally, by selecting necessary items from the care content items, specific service content is derived (S40), and care plan generation ends.
[0022]
As described above, in the present embodiment, care plans are generated according to a process in which care management is systematized, so that plan generation work can be made more efficient and time can be reduced.
[0023]
In addition, by linking the main complaint data and the needs data, it is possible to create a care plan by asking questions from the assessment items corresponding to the main complaint. In this way, even in Japanese society where assessment habits have not taken root, it is possible to realize a user-oriented care management method that leads to difficulties in living together with clients while enhancing communication with clients. It becomes possible.
[0024]
In addition, since at least two assistance target items are extracted based on a combination of assessment items rather than a single assessment item, even inexperienced care managers may reflect the needs of users. It is possible to generate a care plan without any problem.
[0025]
In addition, since multiple needs items correspond to assessment items consisting of three types of physical function, psychology and social environment, it is possible to omit complicated work to guide the needs, and care due to differences in the qualities of the care manager It can prevent the deterioration of the plan quality.
[0026]
The care plan generation system shown in the present embodiment is created based on the conceptual diagram shown in FIG. In FIG. 10, reference numerals 101a to 101c denote assessment items, and these three items correspond to the above-mentioned assessment upper items. Based on the assessment item, the need item 102 is selected. Further, 103a to 103m are attention point items, 101a to 101c and 104a to 104m are background assessment items, and 105a to 105o are assistance target items.
[0027]
(Second Embodiment)
This embodiment relates to a modification of the first embodiment, and is characterized in that the need items are extracted with priorities based on the input assessment items. Other care plan generation procedures are the same as those in the first embodiment, and a description thereof will be omitted.
[0028]
FIG. 11 is a diagram for explaining a care plan generation method according to the present embodiment. In this embodiment, a weighting factor is assigned to each assessment item. When the care manager selects an assessment item, a need item is selected as in the first embodiment. For example, if the assessment item “moving in / out of bathtub” is assigned a weighting factor of 1 point, “separating caregiver” is 2 points, and “paralysis leg” is assigned a weighting factor of 1 point, all three of these care managers are assigned. If you select this assessment item, you get 4 points. Therefore, the need item “can't take a bath” has an importance of 4 points. Similarly, when the importance is calculated for the needs items “can't eat” and “health care burden is large” and becomes 6 points and 2 points respectively, the needs are displayed in the order of importance corresponding to each needs item. The
[0029]
In this way, by prioritizing when displaying the need items, it is possible to easily select the need items that are often extracted in many cases.
[0030]
(Third embodiment)
The present embodiment relates to a modification of the first embodiment, and is characterized in that care contents are extracted with priorities based on selected assistance target items and assessment items. Other care plan generation procedures are the same as those in the first embodiment, and a description thereof will be omitted.
[0031]
FIG. 12A is a diagram for explaining a care plan generation method according to the present embodiment. In this embodiment, a weighting factor is assigned to each assessment item and assistance target item. The care manager selects a predetermined assessment item and gives each item its value. Then, the need item “can't eat” associated with the assessment item is extracted. When “can't eat” is selected, a corresponding assistance target item is displayed from among a plurality of assistance target items, and “make meals safe” is selected. The selected assessment items, needs items, and aid target items are given weighting factors as shown in FIG. Therefore, a value obtained by multiplying this weighting factor for each assessment item is the importance of the care content. In this case, the importance of the content of care “meal watching” is 50 points. Similarly, when the importance is calculated by weighting other needs items, other assistance targets, and the like, the selected care content items are displayed in order of importance as shown in FIG. Therefore, care content can be selected according to the obtained importance.
[0032]
Thus, the care manager can easily select the care content by objectively displaying the prioritization of the care content.
[0033]
The present invention is not limited to the above embodiment. For example, as shown in the flowchart of FIG. 4, the main complaint is first input and the corresponding assessment items are displayed. However, it is not always necessary to display this, and all assessment items are displayed. Appropriate assessment items may be selected. Moreover, although the items of assessment data and attention point data are common in the said embodiment, you may produce by the item different from an assessment item. In addition, the main complaint data and attention point data are not necessarily used. When the chief complaint data is not used, an assessment item is first selected, and a need element associated with the assessment item is extracted. The subsequent steps are the same as in the above embodiment.
[0034]
Furthermore, although the data table shown in the said embodiment was created based on care manager's experience, you may create the data table according to the occurrence frequency based on statistics, for example. In this case, it is possible to generate a care plan based on statistics by setting a weighting coefficient for each item according to the occurrence frequency. Moreover, although the case where the weighting coefficient was set for every assessment item was shown, a weight can also be set for every combination pattern of an assessment item.
[0035]
In the above embodiment, the care plan generation program is stored in the program storage unit 10 and the plan generation is realized. However, the care plan generation program is recorded on the recording medium, and the CPU 2 executes the recording from the recording medium. Of course, it may be realized by reading a program. Of course, the data storage unit 8 and the program storage unit 10 may be omitted, and such a program and data may be downloaded and executed by the communication unit 6 via the Internet.
[0036]
【The invention's effect】
As described above in detail, according to the present invention, a care plan is generated in accordance with a process that systematizes care management. Efficiency and time reduction.
[Brief description of the drawings]
FIG. 1 is a diagram showing a hardware configuration of a care plan generation system for a care service according to a first embodiment of the present invention.
FIG. 2 is a view showing a needs data table in which main complaint data and needs data are associated with each other.
FIG. 3 is a diagram showing an assistance target data table in which assessment data and assistance target data are associated with each other.
FIG. 4 is an exemplary flowchart showing a care plan generation procedure for a care service according to the embodiment;
FIG. 5 is an exemplary view showing a change example of the display screen in the display means in the care plan generation procedure according to the embodiment.
FIG. 6 is a view showing a change example of the display screen in the display means in the care plan generation procedure according to the embodiment.
FIG. 7 is a view showing a change example of the display screen in the display means in the care plan generation procedure according to the embodiment.
FIG. 8 is a view showing a change example of the display screen in the display means in the care plan generation procedure according to the embodiment.
FIG. 9 is a view showing a change example of the display screen in the display means in the care plan generation procedure according to the embodiment.
FIG. 10 is a conceptual diagram of a care plan forming method according to the embodiment.
FIG. 11 is a diagram for explaining a care plan generation method according to the second embodiment of the present invention.
FIG. 12 is a diagram for explaining a care plan generation method according to a third embodiment of the present invention.
[Explanation of symbols]
1 ... Bus 2 ... CPU
3 ... RAM
4 ... Input means 5 ... Output means 6 ... Communication means 7 ... Data control unit 8 ... Data storage unit 9 ... Program control unit 10 ... Program storage unit

Claims (3)

The main complaint acceptance means that accepts complaints of the main troubles of the care recipient as the main complaint item,
Needs storage means for storing the main complaint item and the needs item in association with each other;
Based on the main complaint item received by the main complaint receiving means, a main complaint-needs extraction means for extracting the needs item of the care target person from the needs storage means;
An assessment item storage means for storing the needs item and an assessment item related to the needs item in association with each other;
Assessment item presenting means for presenting a plurality of assessment items belonging to the needs item extracted by the needs extraction means from the assessment item storage means;
An assessment-needs extraction means for extracting a need item that matches a combination pattern of assessment items selected from the plurality of assessment items ;
Assistance target storage means for associating and storing a combination pattern of assessment items selected from the plurality of assessment items and an assistance target that matches the combination pattern;
Assistance target extraction means for extracting assistance target items from the assistance target storage means based on a combination pattern of assessment items selected from the plurality of assessment items ;
A care plan output means for outputting a care plan including at least one of the extracted assistance target items;
A care plan generation system for a care service, comprising:   The system further stores attention point data composed of a plurality of attention point items, a data table in which the attention point items are associated with the assessment items, and attention point items corresponding to the selected assessment items are extracted. The care plan generation system for care service according to claim 1.   The care plan according to claim 1, wherein the assessment item and the assistance target item are each weighted, and the needs item or the care content item is prioritized according to the weighting. Generation system.

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