JP7362065B2 - Information display system - Google Patents

Description

Application of Article 30, Paragraph 2 of the Patent Act 1 July 8, 2018 Presented at the 2018 Regional Activities Department Tokai/Hokuriku Block Training Session 2 August 25, 2018 2018 Hokkaido Nutritionist Association Presented at the Medical Dietitians Council Regional Training Session (Tokachi) 3 September 27, 2018 Presented at the Toyama Prefecture Elderly Welfare Facility Council Training Session 4 October 20 and 21, 2018 Toyama Prefecture Dental Association Presented at the FY2018 Home Dental Care Training Session 5 November 18, 2018 Presented at the Yamanashi Prefectural Dental Association Training Project on Food Support (Eating and Swallowing) for the Elderly 6 December 16, 2018 FY2018 Presented at the Ishikawa Prefectural Dental Association Elderly Dietary Support Advanced Course Training Session 7 January 13, 2019 Presented at the 4th Gifu Prefectural Dental Hygienist Association Training Session 8 March 22, 2019 Nutrition in FY2018 Management system improvement project Presented at food support collaboration seminar 9 April 6, 2019 MRI training session “What you need to know! Elderly people's ability to eat” and medication support - Visualization of “ability to eat” and functional decline 10 April 14, 2019 Presentation at the 3rd Shokuryoku no Kai Open Seminar ``Workshop using the Itomuru Card'' 11 April 17, 2019 Elderly people Thinking about adherence Presented at inKAGA 12 June 6th, 7th, 8th, 2020 Exhibited at the 31st General Meeting of the Japan Gerontological Society

TECHNICAL FIELD The present invention relates to a card set, a program, an information display system, and a method for grasping the condition, for example, for supporting meals of a person suspected of having a dysphagia.

When providing meal support to a person suspected of having a swallowing disorder, as disclosed in Patent Document 1, an observer such as a doctor or caregiver observes the person receiving meal support (hospitalized patient, elderly person) and determines the relevant person. The patient's condition was ascertained, and a method of dietary support (oral maintenance plan) for the patient was considered based on the identified condition.

JP2018-180956A

In order to appropriately consider methods of dietary support for the above-mentioned subjects, it is necessary to accurately grasp the condition of the above-mentioned subjects. However, Patent Document 1 does not take into consideration the point of accurately grasping the condition of the subject.

The present invention provides a card set, a program, and an information display system that assist in accurately understanding the condition of a person receiving meal support, and a method for understanding the condition of a person receiving meal support. The purpose is to provide.

(1) In order to achieve the above object, the card set according to the first aspect of the present invention includes:
A card set (for example, card set 110) including a plurality of sets of cards (for example, card groups 111A to 111E),
Each of the plurality of sets of cards is composed of a plurality of cards (for example, cards C1 to C25) that are the same among the plurality of sets of cards,
Each of the plurality of cards represents a plurality of candidates for possible conditions of a person with dysphagia (for example, cards C1 to C25 in FIG. 2).

According to the above configuration, it is possible to support the recipient of meal support so that the condition of the recipient can be accurately grasped.

(2) In order to achieve the above object, the card set according to the second aspect of the present invention includes:
A card set (for example, a card set consisting of one card group 111A) including a plurality of cards (for example, cards C1 to C25),
Each of the plurality of cards represents a plurality of candidates for possible conditions of a person with dysphagia (for example, cards C1 to C25 in FIG. 2).

According to the above configuration, it is possible to support the recipient of meal support so that the condition of the recipient can be accurately grasped.

(3) The candidates for each of the plurality of cards are expressed by at least pictures and words (for example, cards C1 to C25 in FIG. 2);
You can do it like this.

According to the above configuration, it is possible to intuitively understand the candidates represented by the cards.

(4) In order to achieve the above object, the program according to the third aspect of the present invention:
A computer (for example, information display device 150 or information display device 150A) used with the card set,
A certain number (for example, all of them, a predetermined number of more than a majority, or two people) of the plurality of observers to whom the plurality of sets of cards have been dealt one set each, selects from among the plurality of cards, When the same card is selected as a candidate card determined to correspond to the condition of the observation subject, inputting the selected card (for example, selecting a card displayed on the display 154, reading a predetermined image printed on the card) ),
Based on the card whose input is accepted by the reception means, information regarding the observation target (for example, information in the "What can you think about?" column, information in the "Let's consider this countermeasure" column, radar chart R1 ) on a display unit (for example, display 154);
function as

The computer may be a personal computer, a smartphone, a tablet, etc., and may be a processor inside these that can execute the program.

According to the above configuration, it is possible to support the recipient of meal support so that the condition of the recipient can be accurately grasped. Furthermore, by displaying information related to the observation target (for example, information used to consider meal support methods, etc.), the computer user (observer, etc.) can obtain information regarding the observation target.

(5) The reception means:
a first means for displaying the plurality of cards as images on the display unit (for example, see the screens in FIGS. 9(D) to (H));
Accepting an operation for selecting the selected candidate card from among the plurality of cards displayed on the display unit (for example, an operation for selecting a card on the screen of FIGS. 9(D) to (H)). a second means;
The display control means may be configured to display a plurality of pieces of first information corresponding to each of the plurality of cards (for example, a "selection item" in a selection item database), and when a corresponding card among the plurality of cards is selected. a plurality of second information indicating at least one of matters to be considered (for example, "things to be considered" in the selection item database) and matters to be considered (for example, "things to be considered"), and a storage means that stores them in association with each other; (For example, the second information corresponding to the first information corresponding to the card selected by the operation accepted by the second means is acquired from the non-volatile storage device 151) and displayed on the display unit ( For example, information in the column "What can I think about?" and information in the column "Let's consider these countermeasures" are displayed on the display 154),
You can do it like this.

The first information may be information that specifies the corresponding card (for example, card number data) in addition to information that specifies the above-mentioned candidates represented by the corresponding card (for example, selection items).

According to the above configuration, in addition to being able to help accurately understand the condition of the recipient of meal support, it is also possible to provide support for meal support (especially methods for meal support) by displaying things that can be considered and matters to be considered. (examination).

(6) A predetermined image (for example, a predetermined image G such as a two-dimensional code) is printed on each of the plurality of cards,
The predetermined image represents the card on which the predetermined image is printed,
The receiving means receives input of the selected card by reading the predetermined image printed on the selected card (for example, by photographing a predetermined image G).
You can do it like this.

The predetermined image may represent the card by representing a candidate represented by the card on which the predetermined image is printed.

According to the above configuration, it is possible to support the recipient to accurately grasp the condition of the person receiving meal support, and it is also easy to input the card.

(7) In order to achieve the above object, the information display system according to the fourth aspect of the present invention includes:
An information display system (for example, information display device 100) having the card set and an information display device (for example, information display device 150 or information display device 150A),
The information display device includes:
A certain number (for example, all of them, a predetermined number of more than half, or two people) of the plurality of observers to whom each set of the plurality of cards has been dealt, selects one set of cards from among the plurality of cards. , input of the selected card when the same card is selected as a candidate card determined to correspond to the condition of the observation subject (for example, selection of a card displayed on the display 154, input of a predetermined image printed on the card) a reception means (for example, the CPU 153 of the information display device 150 or the information display device 150A, the display 154, and the input device 155),
Based on the card whose input is accepted by the reception means, information regarding the observation target (for example, information in the "What can you think about?" column, information in the "Let's consider this countermeasure" column, radar chart R1 ) for displaying on a display section (for example, the display 154) (for example, the CPU 153 of the information display device 150 or the information display device 150A).

According to the above configuration, it is possible to support the recipient of meal support so that the condition of the recipient can be accurately grasped.

(8) In order to achieve the above object, the state grasping method according to the fifth aspect of the present invention includes:
A method for ascertaining the condition (e.g., observational findings) of a subject suspected of having dysphagia (including those who actually have dysphagia), comprising:
A set of cards (e.g., cards C1 to C25) each representing a candidate for the condition of a person with dysphagia is distributed to each of the plurality of observers (e.g., card groups 111A to 111E). a distribution step of distributing one set at a time),
a selection step in which each of the plurality of observers selects a candidate card determined to correspond to the condition of the subject as a result of observation of the subject from among the distributed cards;
In the selection step, when a certain number (for example, all of them, a predetermined number of more than half, or two people) of the plurality of observers select the same card, the The candidate is grasped as the state of the subject.

According to the above configuration, the condition of the person receiving meal support can be accurately grasped.

According to the present invention, there is provided a card set, a program, and an information display system that support accurate understanding of the condition of a recipient of meal support, and a method for understanding the condition of a recipient of meal support. , can be provided.

1 is a configuration diagram of an information display system according to an embodiment of the present invention. FIG. 3 is a diagram showing a plurality of cards forming a card group. FIG. 2 is a diagram showing an example of the configuration of a selection item database. FIG. 2 is a diagram showing an example of the configuration of a selection item database. FIG. 2 is a diagram showing an example of the configuration of a personal information database. FIG. 2 is a diagram illustrating an example of the configuration of an observation findings database. FIG. 2 is a diagram showing an example of the configuration of a meal suggestion database. It is a flowchart of meal support processing. It is a figure showing various display screens displayed by an information display device. It is a figure showing an example of composition of meal support information. It is a figure showing an example of composition of an oral maintenance plan. It is a figure for explaining the entry form used in a modification. It is a figure for explaining a modification.

An information display system 100 according to an embodiment of the present invention will be described below with reference to the drawings.

(Schematic description of information display system 100)
The information display system 100 includes a card set 110 and an information display device 150, as shown in FIG. The information display system 100 is a system that targets people who are suspected of having dysphagia (including people who have actually been diagnosed as having dysphagia) and provides dietary support to the target. The target person is a patient at a hospital or a resident at a nursing care facility. Meal support is a method in which multiple observers, such as doctors and dentists, observe and understand the condition of the person being fed, and provide meal support based on the understood condition (observation findings). (oral maintenance plan, etc.) and implement it. The information display system 100 is particularly used in the process from the observation to the study of the method, and supports accurate understanding of the condition of the subject, as well as meal support (in particular, study of the method for meal support). ). In addition to doctors and dentists, the above observers include nutritionists (including registered dietitians), nurses, dental hygienists, speech therapists, occupational therapists, physical therapists, care staff, and care support. This also includes specialists.

(Configuration of card set 110)
Card set 110 has five card groups 111A to 111E. Each of the card groups 111A to 111E consists of 25 different types of cards C1 to C25, as shown in FIG. These 25 types of cards C1 to C25 are common to card groups 111A to 111E. In other words, card groups 111A to 111E are each composed of the same cards C1 to C25.

Each of the cards C1 to C25 represents a candidate for the state of a person with dysphagia (a candidate for the state selected by the observer). For example, each of the cards C1 to C25 is formed by printing and displaying words or illustrations indicating the candidates on a sheet-like base material such as paper or synthetic resin.

The candidate is, for example, a condition that is thought to appear in a person with dysphagia, and/or the candidate state (for example, when the body temperature becomes high) causes a decline in the swallowing function (dysphagia). This includes states that are considered to occur. The candidates include the subject's condition when eating. The condition includes a condition that can be ascertained by observing the subject. Observation includes not only looking at the subject's appearance (e.g. appearance of eating behavior), but also examining past medical history (especially medical history prior to the timing of the meal), and taking temperature. But that's fine.

On the card C1, the words "He doesn't seem to be feeling well" and a picture representing the words (an illustration of an old man who doesn't look well) are printed as the candidates. Similarly, words and pictures expressing the candidates are printed on the other cards C2 to C25 (see FIG. 2 for details). Each card C1 to C25 represents the above-mentioned candidate by pictures and characters printed on the above-mentioned sheet base material. Each of the cards C1 to C25 represents a different type of candidate. Each of the cards C1 to C25 is assigned one of card numbers 1 to 25 as a serial number. The states represented by the cards C1 to C25 in FIG. 2 are merely examples, and other states may be adopted as appropriate.

(Configuration of information display device 150)
The information display device 150 is composed of a personal computer, a smartphone, a tablet, etc., and as shown in FIG. and an input device 155.

Nonvolatile storage device 151 is a hard disk or the like. The nonvolatile storage device 151 stores various programs and various data necessary for operating the information display device 150. For example, the nonvolatile storage device 151 stores a meal support program 11, a selection item database 12, a personal information database 13, an observed findings database 14, a meal suggestion database 15, and the like.

The meal support program 11 is executed by the CPU 153. The CPU 153 executes a meal support process, which will be described later, by executing the meal support program 11.

As shown in FIGS. 3 and 4, the selection item database 12 includes "selection items" and "considerations" and "considerations" associated with the "selection items." The selection item database 12 is prepared in advance, and the contents of "things to consider" and "matters to consider" are determined in advance by an expert in relation to the "selection items."

Each selection item is a possible candidate for the condition of a person with dysphagia. As described later, the selection items are items selected by the observer who observed the subject. There are a total of 25 selection items, and each of the cards C1 to C25 represents the above-mentioned candidates. Each selection item is sequentially assigned an "item number" of "1" to "25" (see the numbers in the "item number" column in FIGS. 2 and 3). Note that the item number and the card numbers assigned to the cards C1 to C25 are the same number and are assigned to the same candidate.

Each selection item with item numbers 1 to 5 is a selection item related to the subject's general condition, and belongs to the category of "general condition" (see FIG. 3). Cards C1 to C5 also belong to the "general condition" category.

Each selection item with item numbers 6 to 10 is a selection item regarding the subject's cognitive function, and belongs to the category of "cognitive function" (see FIG. 3). Cards C6 to C10 also belong to the "cognitive function" category.

Each selection item with item numbers 11 to 15 is a selection item related to the subject's oral function, and belongs to the category of "oral function" (see FIG. 3). Cards C11 to C15 also belong to the "oral function" category.

Each selection item with item numbers 16 to 20 is a selection item regarding the subject's pharyngeal function, and belongs to the category of "pharyngeal function" (see FIG. 4). Cards C16 to C20 also belong to the "pharyngeal function" category.

Each selection item with item numbers 21 to 25 is a selection item related to the subject's posture (posture when eating) and belongs to the "posture" category (see FIG. 4). Cards C21 to C25 also belong to the "posture" category.

"What is considered" is what is considered regarding the subject when the corresponding selection item is selected by the observer. In other words, "what is considered" is what is considered regarding the subject in the state of the selected item. "Possible things" include, for example, the reason why the subject's condition is the selected item, and the risks that the subject is concerned about. For example, when item number 1 (“You don't seem to be feeling well”) is selected, the “possible things” are “I get tired easily,” “I have poor nutritional status,” and “I feel mentally unwell.” ``There is a problem,'' ``There is a possibility of dehydration,'' and ``Prescription drugs are affecting the condition.'' (See Figure 3).

"Consideration matters" are matters to be considered regarding the subject when the corresponding selection item is selected by the observer. The above-mentioned matters to be considered include matters to be considered in order to formulate an oral maintenance plan (a plan to support meals so that the patient can maintain oral diet). Such matters include, for example, countermeasures that should be considered to prevent a decline in eating and swallowing function, and countermeasures that should be considered so that subjects with eating and swallowing dysfunction can eat safely. For example, when option number 16 ("choking on tea or soup") is selected, the "items to consider" include "supervising or assisting during meals" and "using a thickening agent." (See Figure 4).

The personal information database 13 is a database of personal information of the subject. As shown in Figure 5, the personal information database includes the subject's "ID", the subject's "surname", "first name", "gender", "date of birth", and "most recent observation date". (the date of the previous observation). "ID" is a unique number assigned to each subject.

The observation findings database 14 is a database of past selection statuses of selection items (observation findings) and various information input by observers for each subject (ID). As shown in FIG. 6, in the observation finding database 14, each ID is marked with the selection of each of the selection items of item numbers 1 to 25 (“1” if selected, “0” if not selected) ( (See the "Selection item (item number)" column in Figure 6), the observation date on which the selection was made (see the "Observation date" column in Figure 6), and other information input by the observer (see the "Observation date" column in Figure 6). (see "Other" column) and are associated with each other. The other information includes information on the food type, observer, etc. that is input in the meal support process described later. Each piece of information constituting the observation findings database 14 is added in the meal support process described below.

As shown in FIG. 7, the meal suggestion database 15 includes a "number of selections" and a "meal content" associated with each number of selections. The “number of selections” is the number of selection items selected from among the selection items with item numbers 1 to 25. "Meal content" indicates the content of the meal that is proposed (recommended) according to the number of selections. Here, the meal content is specified by the food form, which is the form of the food served at the meal.

"Fasting" in terms of meal content refers to providing nutrients through intravenous drip, etc., rather than through meals. Each code in the meal content is a classification code set in "Society Classification 2013 (Meal)" in "Japan Society of Feeding and Swallowing Rehabilitation Classification 2013", and "0j" (a code specifying swallowing training food). ), "0t" (code to specify swallowing training food), "1j" (code to designate swallowing training food), "2-1" (code to designate swallowing training food), "2-2" (code to designate swallowing training food), "2-2" (code to designate swallowing training food), "2-1" (code to designate swallowing training food), There are three codes: ``3'' (code to specify swallowing-adjusted food), and ``4'' (code to specify swallowing-adjusted meal). Each code specifies the type of food that is easy to swallow (0j, 0t, 1j, 2-1, 2-2, 3, 4). "0j" is the easiest to swallow). Note that above "4" is "normal food" (a type of food form) that people who do not have dysphagia usually eat. The meal content may be specified by something other than the code. In addition, the above-mentioned "Japanese Society for Eating and Swallowing Rehabilitation Classification of Swallowing Adjustment Foods 2013" is just an example, and the meal content (food form or code, etc.) In place of or in addition to ``2013'', it may also include those according to other classifications (such as ``Dysphagia Adjustment Food Classification for Children (Persons) with Eating and Swallowing Disorders During Developmental Period 2018'').

“Code 4 or higher” in FIG. 7 includes the code “4” as well as the “normal food”. The meal proposal database 15 is prepared in advance, and the relationship between the number of selections and the meal content is determined by experts conducting various surveys (for example, taking statistics on the relationship between the number of selections and the forms of meals that can be taken). ) may be determined in advance. The greater the number of selections, the more severe the dysphagia tends to be (the more the deterioration of the swallowing function tends to become significant). Therefore, in the meal proposal database 15, the larger the number of selections, the easier the food form to swallow is selected (ultimately, fasting).

The nonvolatile storage device 151 also stores image data of images to be displayed on the display 154 in meal support processing, which will be described later, and is used by the CPU 152.

The CPU 153 executes the meal support program 11 using the RAM 152 as a main memory, and executes meal support processing to be described later.

The display 154 is composed of a liquid crystal display device or the like, and displays various images under the control of the CPU 153.

The input device 155 includes a keyboard, a mouse, and the like.

(How to use, operation, etc. of the information display system 100)
(Example of how to use card set 110)
The card set 110 is used by the observer when observing a subject. Here, the number of observers is five. Each observer is dealt one group of cards 111A to 111E of the card set 110. For example, a first observer is dealt a card group 111A, and a second observer is dealt a card group 111B. Note that the number of observers may be other than five, and card groups are prepared for the number of observers.

The observer observes the recipient of meal support. The observer particularly observes the subject while eating (including before, during, and after meals). The meal menu is determined as appropriate for the observation depending on the subject. Observation by the observer may be performed using a video or the like taken of the above-mentioned meal. As a result of observing the subject, each observer selects a card representing a candidate determined to correspond to the state of the observed subject from cards C1 to C25 of the card group in hand.

Each observer hands out their chosen cards. Here, the states represented by the cards selected by all five observers are adopted as observation findings (states that can be considered as the subject's state). The observed findings (state) adopted in this way are grasped by the observer as the state of the subject. The observed observations will be used in the meal support process described below.

As described above, in this embodiment, the condition of the person receiving meal support is grasped by the card set 110. Specifically, the candidates represented by the cards selected by all the observers are understood as the status (observation findings) of the person receiving meal support. Previously, the condition of the person receiving the meal support was understood through discussions between multiple observers, but during these discussions, specific observers, such as those who expressed the most opinions or those who spoke actively, Opinions can easily get passed around, making it difficult to accurately grasp the condition of the person receiving meal support. As mentioned above, by understanding the condition (observation findings) of people receiving meal support using cards, it is possible to reflect the opinions of those who do not actively express their opinions in the above understanding, and The results of observation from the viewpoints of many people without biasing opinions are reflected in the understanding of the condition of the recipient, and as a result, the accuracy of understanding the condition of the recipient of meal support can be improved (in other words, the accuracy of understanding the condition of the recipient of meal support can be improved). (can assist in accurately understanding the condition of the target person). It should be noted that the candidates represented by the cards selected by a certain number (preferably a predetermined number of at least a majority) of at least two of the plurality of observers, but not all observers, are selected based on the status of the person receiving meal support (observation). It may be understood (adopted) as a finding (observation). This also allows the opinions of those who do not actively express their opinions to be reflected in the above-mentioned condition understanding, and it is possible to improve the accuracy in understanding the condition of the recipient of meal support. In addition, during discussions, etc., whether the candidates represented by other cards (cards selected by not all observers or by less than the above-mentioned certain number of observers) are understood (adopted) as the status of the person receiving meal support (observation findings). You may decide.

(How to use the information display device 150, etc.)
When the information display device 150 is used, the information display device 150 performs the following meal support process. Below, a method of using the information display device 150 will be explained through meal support processing.

The CPU 153 of the information display device 150 executes the meal support process shown in FIG. The meal support process is utilized when the above observations are made. The meal support process is started, for example, when one of the observers who participated in the observation operates the input device 155 as a user to start the meal support program 11.

In the meal support process, the CPU 153 first executes a personal information input reception process (step S101). For example, the CPU 153 displays the personal information input screen shown in FIG. 9(A) on the display 154. The user uses the input device 155 to enter personal information of the subject of the current observation (here, last name, first name, gender, date of birth, and date of observation (date of current observation)) on the personal information input screen. Enter information in input fields N1 to N5 in sequence. The entered content is displayed in input fields N1 to N5 (the same applies to other input fields below.Also, even if the checkbox described below is checked, the fact that it is checked will be displayed by filling it out, etc.) ).

When the user finishes inputting each piece of information such as the last name, the user uses the input device 155 to select the "next" button image B1. Upon receiving the selection, the CPU 153 ends the process of step S101. Information such as the last name that has already been input is held in the RAM 152.

After that, the CPU 153 executes a food type input reception process (step S102). For example, the CPU 153 displays the food form input screen shown in FIG. 9(B) on the display 154. Using the input device 155, the user inputs the "food form" of the meal that the subject ate during the current observation. The food form is specified, for example, by information on the staple food (name and code in "Society Classification 2013 (Meals)"), information on side dishes (name and code in "Society Classification 2013 (Meals)"), and thickness. These are input into input fields N11 to N15. In the input field N11, the name of the staple food (white rice, white bread, etc.) is input. In the input field N12, the code of the staple food in "Society Classification 2013 (meal)" is input (in the case of a normal meal, "normal food" is input. The same applies to the code). In the input field N13, the name of the side dish (cream stew, boiled fish, etc.) is input. In the input field N14, a code in "academic society classification 2013 (meal)" of the side dish is input. Thickness (dark, medium, light, none (no thickening)) is input in the input field N15. After completing the input, the user uses the input device 155 to select the "next" button image B12. Upon receiving the selection, the CPU 153 ends the process of step S102. The food forms (staple food (name and code), side dish (name and code), and thickness) that have already been input are held in the RAM 152. Note that if the "previous" button image B11 is selected, the process returns to step S101.

Thereafter, the CPU 153 executes observer input acceptance processing (step S103). For example, the CPU 153 displays the observer input screen shown in FIG. 9(C) on the display 154. Using the input device 155, the user can input information from doctors, dentists, registered dietitians/nutritionists, nurses, dental hygienists, speech therapists, occupational therapists, physical therapists, care workers, care support specialists, and others. By checking the corresponding check boxes CH21 to CH31, the observer (observer) who participated in the current observation is input. Observers are identified by job type. After completing the input, the user uses the input device 155 to select the "next" button image B22. Upon receiving the selection, the CPU 153 ends the process of step S103. Observer information that has already been input (checked) is held in the RAM 152. Note that if the "previous" button image B21 is selected, the process returns to step S102.

After that, the CPU 153 executes observation finding input reception processing (step S104).

In the observation finding input reception process, the CPU 153 first displays the first observation finding input screen shown in FIG. 9(D) on the display 154. On the first observation findings input screen, selection items with item numbers 1 to 5 belonging to the category of general condition are displayed as images of cards C1 to C5 (FIG. 2). Using the input device 155, the user selects the states (candidates) that have been adopted as observation findings when using the card set 110, that is, the states of the subject among the cards C1 to C5 displayed on the screen. A card (a card selected by all five observers, etc.) representing a state (candidate) is selected. This selection means that the selection item corresponding to the selected card (the selection item assigned to the item number with the same number as the card number of the selected card) is selected (hereinafter, the same applies to card selection). ). Through such selection, the condition of the subject of the current observation (the candidate represented by the selected card or the selection item corresponding to the selected card) is input as an observation finding. When the user completes the selection (including the case of no selection; the same applies hereinafter), the user uses the input device 155 to select the "next" button image B32. Upon receiving the selection, the CPU 153 displays the second observation finding input screen shown in FIG. 9(E) on the display 154. At this time, information on whether or not each card C1 to C5 or each selection item is selected is held in the RAM 152. This information is similar to the information in the observation findings database, where "1" is assigned to the item number of the selected option item and "0" is assigned to the item number of the unselected option item. (hereinafter the same). If the "previous" button image B31 is selected, the process returns to step S103.

On the second observation findings input screen in FIG. 9(E), selection items with item numbers 6 to 10 belonging to the cognitive function category are displayed as images of cards C6 to C10 (FIG. 2). Using the input device 155, the user selects a card (selected by all five observers) representing a state adopted as an observation finding in the use of the card set 110, from among the cards C6 to C10 displayed on the screen. card). Through such selection, the condition of the subject of the current observation (the candidate represented by the selected card or the selection item corresponding to the selected card) is input as an observation finding. After finishing the selection, the user uses the input device 155 to select the "next" button image B42. Upon receiving the selection, the CPU 153 displays the third observation finding input screen shown in FIG. 9(F) on the display 154. At this time, information on whether or not each card C6 to C10 or each selection item is selected is held in the RAM 152. If the "previous" button image B41 is selected, the process returns to step S103.

On the third observation findings input screen in FIG. 9(F), selection items with item numbers 11 to 15 belonging to the oral function category are displayed as images of cards C11 to C15 (FIG. 2). Using the input device 155, the user selects a card (selected by all five observers) representing a state adopted as an observation finding in the use of the card set 110, from among the cards C11 to C15 displayed on the screen. card). Through such selection, the condition of the subject of the current observation (the candidate represented by the selected card or the selection item corresponding to the selected card) is input as an observation finding. After finishing the selection, the user uses the input device 155 to select the "next" button image B52. Upon receiving the selection, the CPU 153 displays the fourth observation finding input screen shown in FIG. 9(G) on the display 154. At this time, information on whether or not each card C11 to C15 or each selection item is selected is held in the RAM 152. If the "previous" button image B51 is selected, the process returns to step S103.

On the fourth observation finding input screen in FIG. 9(G), selection items with item numbers 16 to 20 belonging to the pharyngeal function category are displayed as images of cards C16 to C20 (FIG. 2). Using the input device 155, the user selects a card (selected by all five observers) representing a state adopted as an observation finding in the use of the card set 110, from among the cards C16 to C20 displayed on the screen. card). Through such selection, the condition of the subject of the current observation (the candidate represented by the selected card or the selection item corresponding to the selected card) is input as an observation finding. After completing the selection, the user uses the input device 155 to select the "next" button image B62. Upon receiving the selection, the CPU 153 displays the fifth observation finding input screen shown in FIG. 9(H) on the display 154. At this time, information on whether or not each card C16 to C20 or each selection item is selected is held in the RAM 152. If the "previous" button image B61 is selected, the process returns to step S103.

On the fifth observation finding input screen in FIG. 9(H), selection items with item numbers 21 to 25 belonging to the posture maintenance category are displayed as images of cards C21 to C25 (FIG. 2). Using the input device 155, the user selects a card (selected by all five observers) representing a state adopted as an observation finding in the use of the card set 110, from among the cards C21 to C25 displayed on the screen. card). Through such selection, the condition of the subject of the current observation (the candidate represented by the selected card or the selection item corresponding to the selected card) is input as an observation finding. After completing the selection, the user uses the input device 155 to select the "next" button image B72. Upon receiving the selection, the CPU 153 ends the process of step S104. At this time, information on whether or not each card C21 to C25 or each selection item is selected is held in the RAM 152. If the "previous" button image B71 is selected, the process returns to step S103.

After step S104, the CPU 153 executes database registration processing (step S105). First, the CPU 103 stores the set of surname, first name, gender, and date of birth input (including automatic display) in the current personal information input reception process (step S101) and held in the RAM 152 into the personal information database. 13, it is determined whether the ID has already been registered in association with the same ID. If it is not registered (when the observation is the first time), an ID is first generated. The ID is generated by adding 1 to the largest number among the IDs already registered in the personal information database 13. Thereafter, the CPU 153 registers the newly generated ID and the last name, first name, gender, date of birth, and date of observation held in the RAM 152 in the personal information database 13 in association with each other. The observation date is registered as the latest observation date. One record in the personal information database 13 is composed of the ID, last name, first name, gender, date of birth, and date of most recent observation. If the last name, etc. has already been registered (when the observation is not the first time), the latest observation date in the one record is updated to the observation date input this time and held in the RAM 152. The CPU 153 stores in the RAM 152 a newly registered or already registered record (ID, last name, given name, gender, date of birth, date of observation) to be processed this time as a personal information record.

In addition, the CPU 153 stores various information input in the food form input reception process (step S102), observer input reception process (step S103), and observed findings input process (step S104) and held in the RAM 152 into the observed findings database 14. Register additionally. Specifically, the CPU 153 stores the ID, the date of observation, whether or not each of the selection items of item numbers "1" to "25" is selected, which are held in the RAM 152, and whether the subject was selected during the current observation. The food form of the meal eaten (staple food (name and code), side food (name and code), thickness) and the observer who participated in this observation are associated with each other and created as one record in the observation findings database 14 (Fig. (see 6). Note that the above-mentioned food form and observer are registered as other information (FIG. 6). The CPU 153 holds the record to be processed this time in the RAM 152 as an observation-related record.

After step S105, the CPU 153 executes a meal support information display process that displays meal support information that reflects the contents of each record held in the database registration process (step S105) (step S106). An example of meal support information is shown in FIG. Meal support information includes various types of information based on information input by the user (including judgment results such as "What can I think about?", "Let's consider these countermeasures", and "Recommended meal contents"). is displayed as a list.

The columns of "Name", "Gender", "Date of Birth", and "Date of Observation" in FIG. ) is displayed. "Age" is calculated from the date of birth. The “number of observations” indicates the number of times the current observation has been made, and is specified by the number of records registered in the observed findings database 14 that have the ID included in the record (the number of records with the same ID If there are three records, the third time).

The "staple food" column, "side food" column, and "thickness" column in "food form" in Figure 10 contain the staple food (name and code) and side food (name and code) of the food form included in the observation-related record. code), the thickness is displayed.

The pentagonal radar chart R1 displayed in the “Important Score” column is based on the selection of each of the selection items with item numbers “1” to “25” included in the observation-related record. Created by Specifically, the CPU 153 classifies the number of selected selection items (number of selections) into categories (``general condition'', ``cognitive function'', ``oral function'', ``pharyngeal function'') based on the information on the presence or absence of selection. , "posture") and score them. The score is the number obtained by subtracting the number of selections from 5, and is a perfect score of 5 (the higher the score, the smaller the number of selections). The CPU 153 converts the five categories into scores and displays the obtained scores on a pentagonal radar chart R1. The pentagonal radar chart R1 is drawn as a solid line as obtained from the current observation.

The pentagonal radar chart R2 displayed in the "Important score" column is the observation-related record among the records having the same ID as the ID included in the observation-related record in the observation finding database 14. is created based on the record that has an observation date immediately before the observation date held by . Specifically, the CPU 153 specifies the record having the previous observation date, reads it into the RAM 152, and determines whether or not each of the selection items with item numbers "1" to "25" is selected, which is included in the read record. Based on this, the number of selections is specified and scored for each category in the same way as above. The CPU 153 converts the five categories into scores and displays the obtained scores on a pentagonal radar chart R2. The pentagonal radar chart R2 is drawn with a dotted line as it was obtained from the previous observation.

In the "Observation findings" column of FIG. ``cognitive function'', ``oral function'', ``pharyngeal function'', and ``posture''). The square at the beginning of each selection item indicates whether it has been selected, and a white square indicates that it has not been selected (in Figure 10, for example, the selection item "I have no appetite" is not selected). . A square filled in black indicates that it is selected (in FIG. 10, for example, the selection item "Currently having a fever of 37° C. or higher" is selected). By displaying the selection results as a list together with the selection items as shown in FIG. 10, the selection status can be easily grasped visually.

In the column "What can I think about?" in FIG. A list of "possible things" associated with the selected selection item specified by (presence/absence) is displayed. Specifically, the CPU 153 specifies the currently selected selection item based on the presence or absence of the selection included in the observation-related record, refers to the selection item database 12 based on the specified selection item, and selects the specified selection. "Things to consider" associated with the item (for example, if "Currently having a fever of 37 degrees Celsius or higher" is selected, "Possible dehydration" or "Poor oral hygiene" is selected) ”, “high risk of aspiration”). The CPU 153 displays the read "things you can think about" in the "things you can think about?" column. Note that, if there are duplicates among the plurality of "possible things" that have been read out, the CPU 153 displays only one of them.

In the column "Let's consider these countermeasures" in FIG. A list of "considerations" associated with selected selection items, which is specified by "selected/unselected", is displayed. Specifically, the CPU 153 refers to the selection item database 12 based on the selection items identified above, and selects the "items to consider" (for example, "currently 37°C or higher") that is associated with the identified selection item. If "I have a fever" is selected, all of the options ("Consider dehydration measures," "Supervise and assist during meals," and "Consider oral care methods") are read out. The CPU 153 displays the read "items for consideration" in the column "Let's consider these countermeasures." Note that, if there are duplicates among the plurality of "consideration matters" that have been read, the CPU 153 displays only one of them.

In the "recommended meal contents" column in FIG. 10, recommended (suggested) meal contents are displayed. Here, the recommended content is displayed using a code such as "Society Classification 2013 (Meal)" (here, food form). The recommended content is specified by the meal suggestion database 15. Specifically, the CPU 153 counts the number of selection items identified above (the number of selections), refers to the meal proposal database 15 based on the counted number of selections, and selects a meal that is associated with the number of selections. The contents (“fasting” or the above code) are read out, and the read meal contents are displayed in the “recommended meal contents” column.

In the "additional comment" column in FIG. 10, comments are appropriately input by the user via the input device 155.

Observers and related parties who did not participate in the observation (hereinafter collectively referred to as observers, etc.) held a meeting (an inter-professional meeting) to discuss countermeasures to allow the subject to continue eating orally. Create an oral maintenance plan (a plan that provides dietary support to maintain oral feeding). At this time, the dietary support information in Figure 10 (especially the information displayed in the columns of ``What can you think of?'', ``Let's consider these countermeasures'', and ``Recommended dietary contents'') "Considerations"), radar charts R1 and R2) are referred to. This allows the observer and the like to visually obtain hints when creating an oral maintenance plan. This makes it possible to effectively assist with meal support (in particular, consideration of methods for meal support). Only one of "Things that can be considered" and "Let's consider these countermeasures" may be adopted, and even in that case, the above effect can be obtained to some extent. Furthermore, in this embodiment, if the user inputs necessary information, meal support information is automatically generated, making meal support easy.

The "Things to consider" and "Things to consider" in the selection item database 12 include items that overlap multiple selection items (for example, "Consult with your doctor about the effects of prescription drugs"); In the meal support information of this embodiment, this duplication is eliminated, so it is easy to write "Things to consider" (contents written in the "What can you think about?" column), "Things to consider" ("What countermeasures should I take?"), etc. (Contents written in the "Let's consider this" column) can be understood. Therefore, according to this embodiment, it is easy to create an oral maintenance plan. Furthermore, since specific suggestions for meal contents can be received through the "recommended meal contents," it is easy to create an oral maintenance plan.

In addition, it is thought that the greater the number of selections, the more significant the decline in eating and swallowing function, so the smaller the area of the radar chart, which is shown by converting the number of selections into points as shown above, (the smaller the number of selections, the more the area (large), eating and swallowing function tends to decline. As shown in Figure 10, by displaying the radar chart R2 from the previous observation and the radar chart R1 from the current observation, it is easy to compare their areas, and the observer can easily see the subject's eating and swallowing behavior. The degree of functional decline can be easily grasped visually.

In order to support the creation of an oral maintenance plan, the CPU 153 of the information display device 150 accepts input of information necessary for creating an oral maintenance plan via the input device 155, and creates an oral maintenance plan using the input information as a template. The oral maintenance plan may be reflected in the maintenance plan (see FIG. 11), and the reflected oral maintenance plan may be output (output to a printer) together with the dietary support information. The information necessary to create an oral maintenance plan includes: (1) participants who participated in the meeting of other professions, (2) future tasks and goals, (3) period, and (4) target audience (here, users ) or the wishes of the family, (5) Previously performed test items (Repeated Saliva Swallow Test (RSST), Modified Water Swallowing Test (MWST), Food Test (FT), Cervical Auscultation, Swallowing Endoscopy (VE) , Swallowing contrast examination (VF)), (6) Information on whether to change the form and consistency of the meal, supplementary foods, and the environment surrounding the meal or whether to maintain the status quo; (7) Information on whether to change the oral care method or maintain the status quo. (8) Necessity of medical or dental treatment; (9) Information necessary for calculation addition (I) for oral maintenance addition (points noticed, advice, etc., and the name and name of the person who suggested it) (10) Information necessary for the calculation addition (II) in the oral maintenance addition (points noticed or advice, name and occupation of the person who proposed it), (11) Notices from a doctor or dentist There are points, advice, etc., and the name of the doctor or dentist. The input information is reflected, for example, in each column of the oral maintenance plan template shown in FIG. 11, and is printed together with the dietary support information as appropriate. As a result, the oral maintenance plan can be created semi-automatically, making it easy to create the oral maintenance plan.

(Modified example)
Modifications of the above embodiment will be described below. At least some of the following modifications can be combined as long as no contradiction occurs. Note that any of the configurations of the above-described embodiments and the following configurations can be omitted regardless of whether or not they are related to the above-mentioned "problem to be solved by the invention" (in that case, , which could be a separate invention).

(Modification 1)
The use of the card set 110 to identify the condition (observation findings) of a recipient of dietary support may be used for training for those who are inexperienced in identifying the condition. In such a case, for example, one card group is distributed to all participants in the training, and the participants are divided into groups. Then, all participants in the training are asked to observe the person receiving meal support (for example, have them observe the meal through video, etc.). After the observation, each group of participants was asked to draw a candidate card that corresponds to the condition of the person eligible for meal support. In each group, if all the participants (or the predetermined number of people) belonging to that group play the same card, the candidate represented by the card is the status of the meal support recipient identified by the group (observation findings). shall be. This kind of thing is done by each group. Then, each group presents the identified observational findings and compares their answers. By doing so, it is possible to support accurate understanding of the condition of the recipient of meal support. In addition, each group may discuss whether candidates represented by other cards (cards selected by not all the observers or by fewer than the predetermined number of observers) are identified as the status (observation findings) of the person receiving dietary support. .

Note that each group may fill in predetermined information on an entry form as shown in FIG. 12 after issuing cards. The entry form has columns for information identifying the group (group ○○), case number, matching card number, non-matching card number, possible considerations, and matters to be considered. In the "case number" field, a number identifying the subject, the date and time of the subject's eating habits, etc. is entered. In the "matching card number" field, the card numbers of the cards played by all the members of the group are entered. The card numbers of the cards issued by some of the members of the group are entered in the "unmatched card number" entry field. In the "Possible Things" field, write what is possible regarding the subject who has the condition represented by the card number entered in the matching card number (the reason why the subject's condition is the selected item, Risks of concern to the target person, etc.) are entered. The "Things to consider" are entered by referring to the contents written in the "Things to think about?" column displayed by the information display device 150. In the "Countermeasures" entry column, countermeasures to be considered or countermeasures to be actually adopted (to prevent a decline in eating and swallowing function) for the subject who has the condition represented by the card number entered in the matching card number. Countermeasures to prevent this and measures to ensure that subjects with eating and swallowing dysfunction can eat safely) are entered. The "countermeasure" is entered by referring to the contents of the "Let's consider this countermeasure" column displayed by the information display device 150. The training instructor may collect the filled-in forms from each group, and present the contents of each filled-in form and give their thoughts. Note that each group may discuss cards with inconsistent card numbers. Furthermore, regarding the content of the discussion, etc., it may be possible to fill out a separate entry form and hand it to the lecturer for him to give his thoughts.

(Modification 2)
A predetermined image G such as a two-dimensional code as shown in FIG. 13 may be printed on each of the cards C1 to C25. The predetermined image G is, for example, a two-dimensional code. The predetermined image G represents a card (in particular, a candidate represented by the card) on which the predetermined image G is printed. In this case, as shown in FIG. 13, the information display device 150 is a portable information display device 150A, such as a smartphone or tablet, which has a camera that captures the predetermined image (the functional configuration may be the same as that in FIG. 2). , the CPU 153 can be changed to various processors (the same applies to the information display device 150). In this case, a user such as an observer photographs (reads) the card selected by all the observers (or the certain number of people or more) with the camera, and the information display device 150A, based on the photographed predetermined image, The selected card (the card represented by the predetermined image) is specified. For example, the user operates the information display device 150A to take pictures of cards selected by all the observers (or the certain number or more), and after taking pictures of all the cards, the user operates the information display device 150A. Operate to input the end of shooting. The information display device 150A specifies the selected card (the card represented by the predetermined image) based on the taken predetermined image. The information display device 150A may perform the same processing on the identified card as the processing on the card selected by the user using the input device 155 in the above embodiment. In particular, the information display device 150 may display a radar chart R1 (radar chart) as shown in FIG. 13, with the candidate represented by the identified card as the selected selection item. At this time, by omitting the display of other information, the radar chart R1 can be easily viewed (note that the radar chart R2 may be added and displayed as in the above embodiment). Note that the predetermined image may be another code such as a barcode. The information display device 150 preferably has a reading means for reading the above code. According to the second modification, the cards selected by all the observers (or those above the certain number) can be input into the information display device 150 by reading the code by the reading means, and thereby the card input and the radar chart R1 It is easy to display information such as (radar chart).

(Modification 3)
Various data (particularly various databases) stored in the nonvolatile storage device 151 may be stored in a server or the like external to the information display device 100. The "selection item" stored in the selection item database 12 may be information that can identify the card, such as a card number (from the card, the content of the selection item (candidates for the condition of a person with dysphagia) ). In this case, when selecting a card in the above embodiment or reading a card in Modification 2, the selection item database 12 is referred to based on the information that allows identification of the card, and "Things to consider" and "Things to consider" are referred to. is obtained.

(Modification 4)
Card set 110 may be a set of cards. The above state may be grasped using a plurality of card sets 110. Alternatively, a set of cards may be passed among a plurality of observers to select the cards as described above. Using only one set of cards, for example, in training, etc., have participants observe and select cards as described above, and discuss the selected cards with the instructor, etc., to understand the condition of the subject. You can also study comprehension.

(Modification 5)
The information displayed on the display 154 based on the card input (selection of the card displayed on the display 154, reading of a predetermined image printed on the card) is not limited to the above. The information may be any type of information about the person to be observed.

11... Meal support program, 12... Selection item database, 13... Personal information database, 14... Observation findings database, 15... Meal suggestion database, 100... Information display system, 110. ...Card set, 111A to 111E...Card group, 150,150A...Information display device, 151...Nonvolatile storage device, 152...RAM, 153...CPU, 154...Display , 155...Input device, R1, R2...Radar chart, C1-C25...Card

Claims (1)

A card set including a plurality of sets of cards, each of the plurality of sets of cards consisting of a plurality of cards that are the same among the plurality of cards, and each of the plurality of cards includes a card for a person with an eating and swallowing disorder. An information display system comprising: a card set representing each of a plurality of types of candidates considered as states ; and an information display device, the information display system comprising:
The information display device includes:
A certain number or more of the plurality of observers to whom each of the plurality of sets of cards has been dealt, selects the same candidate card from among the plurality of cards that has been determined to correspond to the condition of the observation subject. a reception means for accepting input of the selected card when the card is selected;
Display control means for displaying information regarding the observation subject on a display unit based on the card whose input is accepted by the reception means;
Information display system.

Images