No abstract

Background: An increasing number of clients with special health care needs receive long-term mechanical ventilatory support at home. This study presents the types of care given to old-aged clients with special health care needs in a Japanese 'Kantaki' home-care institution. Methods: The care given was followed closely using 24-hour audio-video recording. Results: The type of care given by the nurse alone was mostly medical care, by the care-worker alone was assistance in eating, toilet, and medical care, and the care given by both together was bathing. Conclusion: Findings are first direct evidence quantifying the type and respective amounts in such a care home for the old-aged persons with special health care needs. ＜Key-words＞ home care, kantaki, group home, home mechanical ventilation, special health-care needs.