JPH10334147A - Method and device for generating care plan table - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide the method and device for generating care plane table by which an assessment table is generated whenever it is necessary and a problem area, a problem point and a case are specified and a care plan is generated. SOLUTION: The method and device are so constituted as to perform process in order. Namely, a combination master, a problem point specifying condition master, and a problem point specifying master are registered in advance, a face sheet and an assessment table for an individual to be taken care of are generated, and a decision period in the problem point specifying condition master and an assessment value corresponding to a decision condition are taken out of the assessment table; and the problem point code of the problem condition corresponding to the assessment value is taken out of the combination master, the problem area, problem point item, weight, care item, and problem point corresponding to the problem point are specified out of the contents of the problem point specifying master to generate tables in order.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method and an apparatus for creating a care plan table for nursing elderly people and the like.

[0002]

[Prior Art] In a super-aging society, various facilities such as nursing homes, nursing homes for the elderly, nursing homes for the elderly, etc. have been enhanced, and new facilities have been created one after another for a super-aging society. doing. Therefore, care for the elderly,
Regional differences and facility differences are occurring, and one guideline is needed. RAI (Resident Assessment Instrumen) was born in the United States in Western Europe.
t) has been introduced. In Japan, upon introduction of RAI, MDS (Minimum Data Set) which constitutes RAI
"Elderly Assessment Table", RAPs (Resident Ass
essment Protocols) as the "Guidelines for Examination by Problem Area"
We decided to introduce the RAI that combined both as a “care plan”. At the time of introduction, a proposal that is suited to the national circumstances of Japan is being considered. Even in a word “care plan”, RAI including MDS / RAPs, that is, including “Elderly Assessment Table” and “Guideline for Examination by Problem Area”
There are a case where the entire system up to the created “care plan” is expressed as a “care plan” and a case where the “care plan” used when actually performing nursing care is used. In the present application, "care plan" is mainly used in the latter sense. Currently, most of the information is handwritten in assessment tables provided by the Ministry of Health and Welfare, problem areas are set accordingly, problems are identified, cases are derived, and these materials are reviewed at conferences and care is taken. I have a plan.

[0003]

[Problems to be Solved by the Invention] In today's super-aging society, all nursing homes have occupants and visiting places of capacity, and the number of people waiting for entrance and visiting is several times larger than capacity. It is at present that it is waiting. On the nursing facility side, doctors, public health nurses (husbands), nurses (chiefs), associate nurses,
PT, OT, ST, caseworker, caregiver, dormitory, home helper, staff, etc., all have fixed capacity. At present, there is no room for the work load. In both nursing homes and visiting places, the recipients of the nursing care services are elderly people, all of whom have multiple illnesses, many of whom have dementia, and various nursing homes with various outbreaks every day. What happens is everyday things happen. The busyness of nursing homes is unimaginable. Such facilities provide education to all caregivers and perform heavy duty from collection of assessment table data to creation of assessment tables.However, in such severe environment where care facilities are located, Under the conditions, it is extremely difficult to efficiently and smoothly carry out the work of preparing a care plan and providing care services to recipients.

According to the present invention, an assessment table can be created whenever necessary in order to reduce the time required for education for caregivers in such nursing homes and to eliminate excessive hard work. , Problem area / problem /
An object of the present invention is to provide a method and an apparatus for creating a care plan table capable of specifying a case and formulating a care plan.

[0005]

In order to solve this problem, a method for creating a care plan table according to the present invention comprises a plurality of problem areas that may be problematic in the living behavior of each individual of a care recipient. A combination master in which a problem code for specifying the problem item and a problem condition indicating the necessity of a measure for the problem item are entered for each problem item in each problem region, A problem identification condition master in which a judgment period of the problem item and a judgment condition for judging the problem item are entered for each problem item, the problem areas, the problem code, and the problems An item, a first weight indicating the relative relative weight of each problem item, and a problem identification master in which a care target for each of the problem items is entered are registered in advance, and the individual as a care recipient is registered. Necessary items for identification, necessary items related to the status of various functions of the body including the individual's home environment, lifestyle, and illness information, and necessary information indicating the judgment results for each item for the care recipient In each entry column on the face sheet including each entry column with,
A first step of filling in the necessary items, the necessary items, and the necessary information of the individual as the care recipient, creating a face sheet for the individual, and registering the face sheet in a master memory; The individual name of the subject and each problem item in each of a plurality of problem areas that may be a problem in the living behavior of the individual of the care target, and each problem of the problem area for the care target In the respective entry columns on the assessment table including the entry columns for the assessment values indicating the judgment results for each item, fill in the relevant items of the individual as the care recipient and create an assessment table for the individual. Acquiring the determination period and the determination condition on the problem identification condition master for each of the problem areas of the combination master. A third step, a fourth step of acquiring the assessment value corresponding to the assessment period and the assessment condition from the assessment table of the individual, and the problem condition corresponding to the assessment value acquired from the combination master. A fifth step of acquiring the problem code of the problem area, the problem area corresponding to the acquired problem code, the problem item, the first weight, the care target, and the problem code. A sixth step of selecting and specifying from the contents of the point specifying master, the personal name of the care target person, the problem area of the care target person's individual, the problem code, the respective problem items, In the respective entry columns on the care plan table having entry columns for one weight and the content of care for each of the problem items, the personal name of the care target person and the Said problem areas individuals of the selected identified the care subject in step, said the issue codes, and each problem item,
Comprising a seventh step of filling in the first weight and the content of care for each of the problem items, wherein the third to seventh steps are performed for each of the problem items. The care plan table is configured to be completed.

Further, the care plan table creating apparatus according to the present invention provides a care plan table for each problem item in each of a plurality of problem areas which may cause a problem in the life behavior of each individual of the care recipient. A combination master in which a problem code specifying a problem item and a problem condition indicating the necessity of a measure for the problem item are entered, and the problem item is determined for each problem item in each of the problem areas. A problem specification condition master in which a period and a judgment condition for judging the problem item are entered, the problem areas, the problem codes, the problem items, and the relative specific gravity of the problem items are shown. A registration means for registering in advance a problem identification master in which a first weight and a care target for each of the problem items are entered; items necessary for identifying an individual as a care recipient; A face sheet including entry fields for necessary items related to the state of various functions of the body including the individual's home environment, lifestyle, and disease information, and necessary information indicating a result of judgment for each item for the care recipient. In each of the above entry fields,
A first processing unit that fills in the necessary items, the necessary items, and the necessary information of the individual as the care target, creates a face sheet for the individual, and registers the face sheet in a master memory; Each problem item in each problem area of a plurality of problem areas that may be a problem in the individual's name of the care recipient and the individual's life behavior of the care recipient, and each problem in the problem area for the care recipient In the respective entry columns on the assessment table including the entry columns for the assessment values indicating the judgment results for each point item, fill in the relevant items of the individual as the care recipient and create an assessment table for the individual Second processing means for registering the determination period and the determination condition on the problem identification condition master for each of the problem areas of the combination master. A third processing unit, a fourth processing unit that acquires the assessment value corresponding to the determination period and the determination condition from the assessment table of the individual, and the assessment value corresponding to the assessment value acquired from the combination master. Fifth processing means for acquiring the problem code of the problem condition, the problem area, the problem item, the first weight, the care target, and the problem code corresponding to the acquired problem code. Sixth processing means for selecting and specifying from the content of the problem identification master, the individual name of the care recipient, the problem area of the individual of the care recipient, the problem code, and each of the problem items The first weight and the care content for each of the problem items have the respective entry columns on the care plan table. Said problem areas individuals of the selected identified the care subject in step, said the issue codes, and each problem item,
And a seventh processing unit for entering the weight and the content of care for each of the problem items, wherein the third to seventh steps are performed for each of the problem items and the care is performed. The plan table is configured to be completed.

[0007]

DESCRIPTION OF THE PREFERRED EMBODIMENTS In order to create a care plan table according to the present invention, as described above, a combination master, a problem identification condition master, and a problem identification master are registered in advance, and the care target person is individually registered. Create a face sheet and assessment table for the problem, extract the judgment period on the problem identification condition master and the assessment value corresponding to the judgment condition from the assessment table, and extract the problem code of the problem condition corresponding to the assessment value from the combination master The problem area, the problem item, the weight, the care target, and the problem corresponding to the problem code are specified from the contents of the problem specifying master, and the processing is performed in the order of tabulating sequentially.

[0008] Further, a problem code for specifying a problem item for each problem item in each of a plurality of problem regions that may be a problem in the life behavior of each individual of the care recipient; A plurality of care actions as a countermeasure for the problem item, a mode of use of the tool when executing each of the plurality of care actions, and a plurality of care item codes for specifying the plurality of care actions, A care item table in which a second weight indicating the relative specific gravity of the plurality of care actions is entered, and a life article / tool used by the care recipient and information indicating a use mode of the life article / tool. A basic care information table including each entry column is registered in advance, and the problem area, the problem code, the problem items, and the A first weight, in addition to care contents for each problem item, and said plurality of care actions and the second weight corresponding from the care item table can be further adapted to fill.

Further, for each problem item in each of the plurality of problem areas, a state change grasp in which two past periods of a previous period and a latter period of the same number of days are entered in advance. A period table is registered in advance, and the assessment table in which the respective problem items and the assessment values are entered for each of the past two periods of the previous period and the subsequent period is created. The problem area, the problem item, the first weight, the care target, and the problem code corresponding to the obtained problem code for each of the past two periods from the contents of the problem identification master. Selecting and identifying, and comparing the first weights for each of the past two periods of the previous period and the subsequent period, and when the latter is greater than the former, the selected and identified care target A warning table in which the problem items for each of the past two periods of the previous period and the latter period of the individual are written, and when the latter is smaller than the former, the care action is re-registered in the care plan table. You can register.

[0010]

DESCRIPTION OF THE PREFERRED EMBODIMENTS In the present invention, an input device such as a keyboard, a display device using a cathode ray tube, and a printer such as a laser printer are added to an information processing unit having a storage unit such as a CPU. An information processing device such as a personal computer (referred to as a personal computer) widely used for information processing is used. Since the configuration itself of such a device is well known, detailed description is omitted. The software used for the personal computer can be freely selected as appropriate, but “Windows 95”, which tends to be widely used recently, is appropriate.

A specific embodiment for creating a care plan table according to the present invention will be described below. Here, the care items for the care target handled by the present invention reach hundreds of items, but it is impossible to explain all of them,
The “movement” of a care recipient will be described as a specific example as a representative care item.

(Embodiment 1) As a first embodiment of the present invention, each problem item in each of a plurality of problem areas which may cause a problem in the life behavior of each individual of a care recipient is described. A combination master as shown in FIG. 1 in which a problem code for specifying the problem item and a problem condition indicating the necessity of measures for the problem item are entered for each problem item for each problem region. The problem identification condition master as shown in FIG. 1 in which a judgment period of the problem item and a judgment condition for judging the problem item are entered, the problem areas, the problem codes, and the problem items. And a problem identification master as shown in FIG. 2 in which a first weight indicating the relative specific gravity of each of the problem items and a care target for each of the problem items are registered in advance.

FIGS. 3 and 4 are flowcharts showing the operation. Necessary items for identifying an individual as a care recipient, necessary items relating to the state of various functions of the body including the individual's home environment, lifestyle, and illness information, Table 1, Table 2, Table 3, Table 4, Table 5, Table 6 including each entry column with necessary information indicating the judgment result
In the above-mentioned entry columns on the face sheet, a part of which is illustrated,
The necessary items, the necessary items, and the necessary information of the individual as the care target are filled in, and a face sheet of the individual is created and registered in the master memory (S1).

[0014]

[Table 1]

[0015]

[Table 2]

[0016]

[Table 3]

[0017]

[Table 4]

[0018]

[Table 5]

[0019]

[Table 6]

The individual name of the person to be cared and the problem items in each of a plurality of problem areas that may be a problem in the living behavior of the person to be cared for and the problem for the person to be cared In the respective entry columns on the assessment table as shown in FIG. 1 including the entry columns for the assessment values indicating the judgment results for each problem item in the area, enter the relevant items of the individual as the care recipient. Then, an assessment table for the individual is created and registered in the master memory (S2).

The combination master as shown in FIG. 1 is read (S3), and the determination period and the determination condition on the problem identification condition master are acquired for each of the problem areas of the combination master (S5). The assessment period and the assessment value corresponding to the assessment condition are obtained from the assessment table of the individual (S6). The problem code of the problem condition corresponding to the obtained assessment value is obtained from the combination master (S7).

The problem area, the problem item, the first weight, the care target, and the problem code corresponding to the obtained problem code are selected and specified from the contents of the problem specification master (S8). ). The personal name of the care target person and the problem area of the care target person, the problem code, the problem items, the first weight, and the care content for the problem items In each entry column on the care plan table having each entry column, the personal name of the care recipient and the problem area of the individual of the care recipient selected and identified in the sixth step, and the problem The point code, the respective problem items, the first weight, and the contents of care for the respective problem items are entered (S9). Steps S3 to S9 are performed for each problem item, and the care plan table is completed as shown in FIG. 2 (S4-YES).

(Embodiment 2) In Embodiment 2 of the present invention, further, for each problem item in each of a plurality of problem areas which may cause a problem in the living behavior of each individual of the care recipient. A problem code for identifying the problem item, a plurality of care actions as a countermeasure for the problem item, and a usage mode such as a frequency of use of a tool when executing each of the plurality of care actions. A plurality of care item codes for identifying a plurality of care actions,
A care item table as shown in FIG. 6 in which a second weight indicating the relative specific gravity of the plurality of care actions is entered, and a life article / tool used by the care recipient and a usage mode of the life article / tool. The care basic information table as shown in FIG. 5 including the information entry fields and the entry columns is registered in advance. The nursing care basic information table was actually obtained by putting a check mark on the input sheets (1) (2) (3) (4) as shown in the following Tables 7, 8, 9, and 10. Created from information.

[0024]

[Table 7]

[0025]

[Table 8]

[0026]

[Table 9]

[0027]

[Table 10]

As shown in the flowchart of FIG. 7, the care plan table and the basic care information are read, nursing equipment content information is acquired (S21, S22), and the care item table is selected and specified in the care item table of FIG. The problem area, the problem code, each of the problem items, the first weight, and the content of care for each of the problem items of the individual of the care recipient (S23). The corresponding plurality of care actions and the second weight are further entered from the care item table (S24). As a result, a care plan table as shown in Table 11 is created.

[0029]

[Table 11]

(Embodiment 3) In Embodiment 3 of the present invention, for each problem item in each of the plurality of problem regions, the past period between the previous period and the latter period of the same number of days is determined in advance. A state change grasping period table as shown in FIG. 8 in which two periods are entered is registered in advance.

As shown in the flowchart of FIG. 10, after reading the above-mentioned care plan table (S31), the state change grasping period table is taken out (S32), and each of the past two periods of the preceding period and the following period is obtained. Then, the assessment table in which the respective problem items and the assessment values are entered is created (S33). Next, the problem area, the problem item, the first weight, the care target, and the problem code corresponding to the obtained problem code for each of the past two periods of the previous period and the subsequent period. Is selected and specified from the contents of the problem specification master (S3
4).

Further, as shown in FIG. 11, comparing the first weights for each of the past two periods of the previous period and the subsequent period (S34-1), the latter is larger than the former. Sometimes, a warning table as shown in FIG. 9 is created in which the problem items for each of the past two periods of the individual of the care-targeted person selected and identified, the former period and the latter period, are created (S35), and the latter is created. If is smaller than the former, the care action is re-registered in the care plan table (S36).

In an actual nursing care facility, a conference is performed to further adapt the care plan table to the actual conditions of the facility and the care recipient. FIG. 12, FIG.
3. A care plan table, a warning table, and an allergy table as shown in FIG. 14 are read out as shown in FIG. FIG. 16 shows an example of face information of an allergy item on which the allergy table is read.

Although the above description has been mainly limited to the "movement" of the care item, in the embodiment of the present invention, the above-described processing is performed for all the care items to be executed. Examples include “washing face”, “dressing hair”,
"Get up from bed", "Walk", "Meal", "Snack", "Urine", "Defecation", "Bath", "Washing", "Shaving", "Gymnastics", "Clothing change", " There are "organization of bed", "position change", "transfer", "daily conversation", "response to dementia behavior", "radio / TV on / off", and the like.

[0035]

As described in detail above, according to the present invention, personal information of a person requiring care and personal information required for tabulation registered in advance can be appropriately processed by a processing device such as a personal computer. By performing an easy-to-execute operation for a care worker performing the combination process, it is possible to easily create a care plan table with the goal of formulating a care plan for a care recipient. Therefore, the daily work of each worker in the nursing care facility that provides care work is standardized, simplified, and easy to execute, and at the same time, meticulous and fine-tuned to the individual mental and physical condition of each person requiring care. It provides a satisfactory solution to most of the current demands of this type of business to be able to perform attentive care services.

[Brief description of the drawings]

FIG. 1 is a diagram for explaining a relationship among a combination master, a problem specification condition master, and an assessment table used in the present invention.

FIG. 2 is a diagram for explaining how a problem identification master used in the present invention creates a care plan table in cooperation with each master and table shown in FIG. 1;

FIG. 3 is an operation flowchart for explaining the operation of the first embodiment of the present invention.

FIG. 4 is an operation flowchart for explaining the operation of the first embodiment of the present invention.

FIG. 5 is a diagram for explaining a relationship between a basic care information table and another table used in the second embodiment of the present invention.

FIG. 6 is a diagram for explaining a care item table used in a second embodiment of the present invention.

FIG. 7 is an operation flowchart for explaining the operation of the second embodiment of the present invention.

FIG. 8 is a diagram showing a relationship between a state change grasping period table used in the second embodiment of the present invention and another table.

FIG. 9 is a diagram showing a relationship between a warning table used in the second embodiment of the present invention and another table.

FIG. 10 is an operation flowchart for explaining the operation of the second embodiment of the present invention.

FIG. 11 is an operation flowchart for explaining the operation of the second embodiment of the present invention.

FIG. 12 is a diagram showing an example of a care plan table created according to the present invention.

FIG. 13 is a diagram showing an example of a warning table that can be created according to the present invention.

FIG. 14 is a diagram showing an example of an allergy table that can be used when implementing the present invention.

FIG. 15 is an operation flow chart for explaining the gist of the embodiment of the present invention.

FIG. 16 is a diagram showing an example of an allergy table that can be used when implementing the present invention.

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[Procedure amendment]

[Submission date] July 9, 1997

[Procedure amendment 1]

[Document name to be amended] Statement

[Correction target item name] Name of invention

[Correction method] Change

[Correction contents]

Patent application title: Method and apparatus for creating a care plan table

Claims (6)

[Claims] 1. A problem code for identifying a problem item for each problem item in each of a plurality of problem regions that may be a problem in the life behavior of each individual of the care target person and the problem code. A combination master in which problem conditions indicating the degree of necessity of measures for the problem item are entered; a judgment period of the problem item and a judgment condition for judging the problem item for each problem item in each of the problem areas The problem identification condition master in which the first weight indicating the relative weight of each of the problem areas, the problem codes, the respective problem items, and the respective problem items, and the respective problem items The problem identification master with the care goals is registered in advance, and the information necessary to identify the individual as a care recipient and the home environment, lifestyle, and disease information of the individual are included. Various types of body And status fields required regarding the ability to each entry field on the face sheet including each input field of the necessary information indicating the determination result for each said item with respect to the care subject,
A first step of filling in the necessary items, the necessary items, and the necessary information of the individual as the care recipient, creating a face sheet for the individual, and registering the face sheet in a master memory; The individual name of the subject and each problem item in each of a plurality of problem areas that may be a problem in the living behavior of the individual of the care target, and each problem of the problem area for the care target In the respective entry columns on the assessment table including the entry columns for the assessment values indicating the judgment results for each item, fill in the relevant items of the individual as the care recipient and create an assessment table for the individual. Acquiring the determination period and the determination condition on the problem identification condition master for each of the problem areas of the combination master. A third step, a fourth step of acquiring the assessment value corresponding to the assessment period and the assessment condition from the assessment table of the individual, and the problem condition corresponding to the assessment value acquired from the combination master. A fifth step of acquiring the problem code of the problem area, the problem area corresponding to the acquired problem code, the problem item, the first weight, the care target, and the problem code. A sixth step of selecting and specifying from the contents of the point specifying master, the personal name of the care target person, the problem area of the care target person's individual, the problem code, the respective problem items, In the respective entry columns on the care plan table having entry columns for one weight and the content of care for each of the problem items, the personal name of the care target person and the Said problem areas individuals of the selected identified the care subject in step, said the issue codes, and each problem item,
The first weight, and a seventh step of filling the content of care for each of the problem items, comprising: from the third step to the seventh step is performed for each of the problem items A method of creating a care plan table so that the care plan table is completed. 2. A problem code for specifying a problem item for each problem item in each of a plurality of problem regions which may cause a problem in the life behavior of each individual of the care recipient. And a plurality of care actions as a countermeasure for the problem item, a mode of use of a tool when executing each of the plurality of care actions, and a plurality of care item codes for specifying each of the plurality of care actions And a care item table in which a second weight indicating the relative specific gravity of the plurality of care actions is entered, and information indicating a life article / tool used by the care recipient and a usage mode of the life article / tool. And a care basic information table including respective entry columns of, and in the seventh step, in the seventh step, the problem area of the personal of the care target person selected and specified, and the problem code And each of the problem items, the first weight, and the care content for each of the problem items, and the plurality of corresponding care actions and the second weight from the care item table. 2. The method for creating a care plan table according to claim 1, wherein the information is filled in. 3. A state change grasp in which two past periods of a previous period and a latter period of the same number of days are entered in advance for each problem item in each of the plurality of problem regions. A period table is registered in advance, and in the second step, the assessment table in which the respective problem items and the assessment values are written for each of the past two periods of the previous period and the subsequent period is created, In the sixth step, the problem area, the problem item, the first weight, and the care target corresponding to the obtained problem code for each of the past two periods of the previous period and the subsequent period. The problem code is selected and specified from the contents of the problem specification master, and further, the first weight is compared for each of the past two periods of the preceding period and the following period, and the latter is more than the former. When it is large, a warning table is created in which the problem items are entered for each of the past two periods, the previous period and the latter period, of the individual of the selected and targeted care recipient, and the latter is smaller than the former. 3. The method according to claim 2, wherein the care action is re-registered in the care plan table. 4. A problem code for specifying a problem item for each problem item in each of a plurality of problem regions which may be a problem in the life behavior of each individual of the care target person, A combination master in which problem conditions indicating the degree of necessity of measures for the problem item are entered; a judgment period of the problem item and a judgment condition for judging the problem item for each problem item in each of the problem areas The problem identification condition master in which the first weight indicating the relative weight of each of the problem areas, the problem codes, the respective problem items, and the respective problem items, and the respective problem items The problem identification master in which the care goal is entered, the registration means for registering in advance, the items necessary to identify the individual as a care recipient, and the home environment, lifestyle, and disease information of the individual Body including And state item needed regarding the various functions, the respective entry field on the face sheet including each input field of the necessary information indicating the determination result for each said item with respect to the care subject,
A first processing unit that fills in the necessary items, the necessary items, and the necessary information of the individual as the care target, creates a face sheet for the individual, and registers the face sheet in a master memory; Each problem item in each problem area of a plurality of problem areas that may be a problem in the individual's name of the care recipient and the individual's life behavior of the care recipient, and each problem in the problem area for the care recipient In the respective entry columns on the assessment table including the entry columns for the assessment values indicating the judgment results for each point item, fill in the relevant items of the individual as the care recipient and create an assessment table for the individual Second processing means for registering the determination period and the determination condition on the problem identification condition master for each of the problem areas of the combination master. A third processing unit, a fourth processing unit that acquires the assessment value corresponding to the determination period and the determination condition from the assessment table of the individual, and the assessment value corresponding to the assessment value acquired from the combination master. Fifth processing means for acquiring the problem code of the problem condition, the problem area, the problem item, the first weight, the care target, and the problem code corresponding to the acquired problem code. Sixth processing means for selecting and specifying from the content of the problem identification master, the individual name of the care recipient, the problem area of the individual of the care recipient, the problem code, and each of the problem items The first weight and the entry of the care content for each of the problem items in the respective entry columns on the care plan table having entry columns, the personal name of the care target person and the Fill in the problem area, the problem code, the problem items, the weights, and the care contents for the problem items of the individual of the care target person selected and identified in the sixth step. Creating a care plan table configured so that the third step to the seventh step are performed for each of the problem items to complete the care plan table. apparatus. 5. A problem code for specifying a problem item for each problem item in each of a plurality of problem regions which may cause a problem in the living behavior of each individual of the care recipient. And a plurality of care actions as a countermeasure for the problem item, a condition of use of a tool when executing each of the plurality of care actions, and a plurality of care item codes for specifying each of the plurality of care actions And a care item table in which a second weight indicating a relative specific gravity of the plurality of care actions is written, and information indicating a life article / tool used by the care recipient and a use state of the life article / tool. A basic care information table including each entry column of, and a registration unit for registering in advance, the seventh processing unit, the problem area of the individual of the care target person selected and identified, The title code, each of the problem items, the first weight, and the plurality of care actions and the second weight corresponding to the content of care for each of the problem items are added from the care item table. The care plan table creating apparatus according to claim 4, wherein the apparatus is further configured to enter the following. 6. A state change grasp in which, for each problem item in each of the plurality of problem areas, two past periods of a predetermined period and a previous period of the same number of days are entered. A registration unit for registering a period table in advance, wherein the second processing unit stores the assessment table in which the respective problem items and the assessment values are entered for each of the past two periods of the previous period and the subsequent period. In the sixth processing means, the problem area and the problem item and the first weight corresponding to the obtained problem code for each of the past two periods of the previous period and the subsequent period, The care target and the problem code are selected and specified from the contents of the problem specification master, and further, the first weight is compared for each of the past two periods of the previous period and the subsequent period, the latter Is larger than the former, to create a warning table filled with the problem items for each of the past two periods of the previous period and the subsequent period of the individual of the care target person selected and identified, the latter The care plan table creation device according to claim 5, wherein the care action is re-registered in the care plan table when the care action is smaller than the former.