A Study of Case Finding of the Latent Bedridden Elderly Using Criteria of Activity of Daily Living.

Abstract

The purpose of this study is to assess the number and need of health and welfare services of the latent bedridden elderly in the community using the new criteria developed by the Ministry of Health and Welfare. A survey conducted in Ayase city revealed 145 bedridden elderly, out of which 52 were receiving home care (the home visit group), but 44 were the newly detected cases with not-receiving any services (the newly detected group). Comparing these two groups, conditions of the bedridden elderly seemed to be more severe for the home visit group, but there were no significant differences in conditions of caregivers for either group. For the newly detected group, information on health and welfare services had been provided by public health nurses, and more than half applied for some services.These results suggest that the role of public health nurses in both the case finding and delivery of the services is important.

Maximal voluntary tongue pressure is decreased in Japanese frail elderly persons

“…Rank C is in bed all day and requires assistance for toileting, eating, and changing clothes (An Official Document of Ministry Secretariat of Health and Welfare for the Elderly Bureau 5 ; Uza et al. 6 ).…”

“…The data involving activity of daily living (ADL) and cognitive impairment of the participants, which was evaluated by the staff of each facility, were provided only when the participants or their family and the staff of the facilities agreed to disclose the data for this study. ADL was evaluated based on ‘criteria for evaluating the degree of independence (degree of ‘bedriddenness’) of the disabled elderly in performing activities of daily living’, which had proposed by the Ministry of Health and Welfare in Japan 5,6 . This evaluation is not an international one, but widely accepted in Japan.…”

“…This evaluation is not an international one, but widely accepted in Japan. In this criteria, rank J has some disability, but is almost completely independent in everyday activities, and can go outside unassisted; rank A is mostly independent in daily living activities at home, but cannot go out without assistance; rank B requires some assistance in performing activities indoors and is mostly confined in bed day and night, however, can sit up in bed; rank C is in bed all day and requires assistance for toileting, eating, and changing clothes 6 . Degree of cognitive impairment of the participants was classified into two ranks as follows; Lightly impaired: person in this rank are having some impairment, but still they can live without full‐time nursing care; Heavily impaired: person in this rank need full‐time nursing care and/or treatment for cognitive impairment.…”

“…ADL was evaluated based on 'criteria for evaluating the degree of independence (degree of 'bedriddenness') of the disabled elderly in performing activities of daily living', which had proposed by the Ministry of Health and Welfare in Japan. 5,6 This evaluation is not an international one, but widely accepted in Japan. In this criteria, rank J has some disability, but is almost completely independent in everyday activities, and can go outside unassisted; rank A is mostly independent in daily living activities at home, but cannot go out without assistance; rank B requires some assistance in performing activities indoors and is mostly confined in bed day and night, however, can sit up in bed; rank C is in bed all day and requires assistance for toileting, eating, and changing clothes.…”

“…Rank B requires some assistance in performing activities indoors, and is mostly confined in bed day and night; however, can sit up in bed. Rank C is in bed all day and requires assistance for toileting, eating, and changing clothes (An Official Document of Ministry Secretariat of Health and Welfare for the Elderly Bureau 5 ; Uza et al 6 ). Thirty-nine participants did not agree to disclose their ADL.…”