The Journal of the Japan Academy of Nursing Administration and Policies
Online ISSN : 2189-6852
Print ISSN : 1347-0140
ISSN-L : 1347-0140
Effective Care Aimed at Promotion of Independency of Clients in Home Care
─ Analytical Relationship between Care Degree of Implementation and IADL, ADL, and “the Will to Live” ─
Yoko Uchida
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2004 Volume 7 Issue 2 Pages 31-40

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Abstract

The purpose of this study was to identify effective home care for clients in areas of IADL, ADL, and "the will to live". The subjects were 299 clients whose scores in IADL, ADL, and "the will to live" were surveyed for a period of two months. I analyzed relationships between care degree of implementation and, IADL, ADL, and "the will to live"

As a result, areas which showed high rates in care aimed at promoting independency were "listening to topics related to past events and anxiety" and "encouragement and affirmation". However, care plans which were performed relating to IADL were low, and care aimed at promoting independency was low overall. Characteristics of effective home care in the areas of IADL, ADL, and "the will to live" were seen in the following four areas : ① Partial care(watching over the client)to promote independency, ②Care plans for home rehabilitation, ③Opportunities for exchange with others, ④Control/management in taking medicine.

Therefore it was made clear that the effective areas are : "partial care to promote the client to eat independently", "practice stepping and/or standing up", "encouragement in holding relations with family and friends", "control/management in taking medicine".

It can be concluded that it is necessary for care managers, management, and each care provider to work together to bring a mutual potential effect from the care services to promote client independency.

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© 2004 The Japan Academy of Nursing Administration and Polici
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