Development of Functional Training Standard Program by Activity Level at Home

Abstract

The purpose of this study was to develop functional training standards by activity level to assure the quality of rehabilitation services provided by nurses for clients at home. We studied the problems of functional training in home care, and standardized the process of functional training from assessment to evaluation from September 199 to December 2000.We evaluated clients’ outcomes before and after the development of functional training standards, and also implemented and evaluated the standards of 23 clients from December 2000 to March 2001.

The following results were obtained :

1.The developed standards responded well to elderly clients’ needs with various complications including mental disorders and dementia.

2.The standards were implemented for the 23 clients for almost all of the functional training items, and our results clients showed some improvements in expression and vigor. Thus, it suggests that the standards can be used in practice, and improvement can be expected.

3.Computerized assessment and integration with a care plan program by ･coding all items will improve its efficiency.