In Japan, 18.1% of the population known as baby-boomers will become the late-stage elderly in 2025, thereby needing a foundation to support this change. The Japanese Ministry of Health, Labour and Welfare is promoting the development of a regional comprehensive system allowing the elderly to continue living in their familiar surroundings. However, a care shortage is inevitable unless elders are able to age in good health, regardless of the system's level of enhancement. This study aims to review the literature on active aging, clarify trends in clinical operations undertakings and research in Japan, and consider relevant research issues. After combining the search results of "active aging" and "healthy life expectancy," we used a text mining technique to analyze the abstracts of 120 original articles and 213 reviews, commentaries, and features. Eight categories were extracted from the original articles: health statistics, gender, age, etc. From the reviews, commentaries, and features, 16 categories were extracted: orientation, disease, and living, etc. Cerebrovascular disease and osteoporosis were the most common diseases covered in the original articles; there has been a substantial amount of research on "active aging" and "healthy life expectancy" because they can easily lead to being bedridden and to a decrease in QOL. In the reviews, commentaries, and features, lifestyle-related diseases and menopause rather than cerebrovascular disease and osteoporosis, were extracted. The categorical differences found in the original articles may be due to the possibility that Japanese researchers are publishing their research abroad rather than in Japan or they submit research on topics that are guaranteed to be published at home or abroad. Little research has been conducted using the terms, "active aging" and "healthy life expectancy," evidenced by the small number of studies generated. Preparations for 2025 will require an increase in the number of studies from the perspective of "active aging" and "healthy life expectancy."A. Tokushige et al. 476

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This study examines usual postures of the elderly when applying eye drops, as well as the relationship between the use of the backrest of a chair and the success in application. A survey of elderly people was conducted regarding their postures where elderly women applied the eye drops. A motion analysis of the involved movements was then carried out. From videos, angles of the neck extension, the elbow joint, the lumbar extension, and that of the eye drop container were measured, all during application. Comparisons were made between the presence and the absence of the backrest of a chair, the success, and the failure in application, and whether the drops missed their intended mark. It was found that when the application failed in the absence of the backrest, the neck extension angle was significantly narrower. However, when using the backrest, an extended waist led to easier neck extension, suggesting that the risks of application failure or the dropper tip touching the person could be reduced. It can be concluded that using a chair with a backrest makes applying eye drops safer and easier, and this method can be incorporated into the instructions regarding the application of eye drops.

Objective: The purpose is to clarify the concept of advanced care planning for older adults with dementia in Japan by concept analysis.Method: Forty-two documents were analyzed using the method of concept analysis by Rodgers.Result: The 6 attributes are "Person, multi-professional, all related parties form a team to build a relationship " , " Selection of proxy decision makers " , " Share ethically appropriate advance directives", "Final of life family preparation for the stage", "Person-centered decision-making that continued from early to final", "Efforts to think about the best way of life desired". In addition, 4 prerequisites and 3 consequences were extracted. Conclusion:This concept is defined as follows: "With changes, progression, and anxiety of dementia, we will prepare an environment for future decision-making, and from the early stage of dementia, while building relationships between the person and all concerned, sharing advance directives, proxy decision-makers selection, family preparation for the final stages of life, a process of personal-centered decision-making that continues to the end and efforts to think about the best way of life."

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