2004 Volume 7 Issue 2 Pages 58-66
This study identified the obstacles to activities for toileting, bathing and cleaning and meal eating and caring situations, with those activities of the frail elderly in a community. The study used the data-base collected by the other research project team. The basic research design was a cross-sectional survey with interview of the frail elderly performed by well-trained care managers. The number of sample was 321, and the sample was widely collected from a variety of cities and towns in Japan. The results showed that (1) physiological and cognitive functioning were significant factors effecting the obstacles to activities, and physiological functioning and dementia-related problematic behaviors were significant factors effecting caring situations; and (2) the possibility of some other factors relating to caring situations as well as three factors mentioned in this study. This study implied in care management practice that (1) a care manager should carefully assess the physiological and cognitive functioning of the frail elderly; and (2) a care manager should carefully assess the dementia-related problematic behaviors and the environmental factors causing those problematic behaviors.