Factors related to overall satisfaction with adult daycare among elderly users and their family caregivers were separately investigated. Data were collected from 103 elderly users of two adult daycare centers through face-to-face interviews. Data were also collected from 119 family caregivers of the elderly users through self-administrated questionnaires. Eight indicators of domain specific satisfaction with adult daycare were analyzed in both groups to identify factors related to the overall satisfaction with daycare. The effect of family care orientation and coping strategies was also examined in the elderly. ln addition, the impact of caregiver burden was examined in family caregivers. All indicators of domain spechic satisfaction were significantly related to the overall satisfaction of both the elderly and the family. Satisfaction with transportation service to and from the daycare facility had the strongest relationship with overall satisfaction among the elderly, ln addition, among the elderly, lower family care orientation was likely to result in higher overall satisfaction with adult daycare. Caregiving burden did not significantly influence the overall satisfaction of family caregivers.

In order to investigate the initial phase of visiting nursing， the contents of the first two month s of visiting nursing provided by 166 nurses to 172 cerebrovascular patients were analyzed． Nurses had a mean visiting nursing experience of 6.9 （SD3.6） years， while patients had a mean age of 73.9 （SD 12.8） years and a mean care requirement level of （SD 1.19）．

The short-term objectives of nursing included prevention of recurrence， contracture， and prevention of complications. Nursing contents primarily included“observation， evaluation， and adjustment”， “education and guidance”， “psychological support”， and “rehabilitation”， but varied depending on care requirement level. Nursing for patients with a care requirement level of 3 or 4 had stronger emphases on the objective of ADL maintenance（p＝.01） in addition to contents of sihing exercise（p.05， standing exercise （p＝.01）， social interaction support（p＝.01）， and six items of psychological support（p＝.05 to .001）. Nursing for patients with a care requirement level of 5 involved care associ’ated with a bedridden state， such as incontinence care， bed bath and family support．

Through their nursing actions， nurses demonstrated “caring”， which comprised the following four factors （cumulative proponion， 52.38%） ： “creating connections”， “alleviating pain”， “responding promptly”， and “supporting decision-making”．

Nursing care activity during the initial phase was comprised of “monitoimg function”， which aimed to maintain health status and prevent disuse syndrome， as well as “caring”， which contributed to relationships between patients and nurses.

Through these forms of “caring”， nurses gained trust as professionals and supported decision-making by patients.

There have been few studies examining the relationship of burnout and other mental health problems to proven related factors among care managers. The purpose of the present study is to investigate the relationships. The results revealed that care managers scored high on the stress checklist and had low scores on quality of life． Furthermore， the results indicated that care managers had stressors toward overload and strong oppression， and also that they had high scores in depression and fatigue measures. ln addition， according to the self-evaluation of their care plans， the correlational analysis revealed that there were negative correlations between self-evaluation， and between self-evaluation and stressors of job ambiguity and lack of managerial ability. ln conclusion， care managers had inappropriate mental health states， and overloads and the selfevaluation results of the managers implied excessive caseloads．

A research by semi-structured interviews was conducted on visiting nurses afiiliated with a home nursing station to clarify the pain of elderly people who spent their terminal stage at home. lt was found that 22 of 62 patients （35.5%） told the visiting nurses that they had “pain from causes other than physical pain” The extracted “pain other than physical pain” was expressed in 39 codes, which were divided into 4 categories and 10 subcategories, depending on the meaning. lt was established that those aged patients who spent their final moments at home experienced “pain related to the physical conditions,” “pain concerning their relationships with others,” “pain related to life and death” and “pain concerning life．” lt is important that visiting nurses assume a sincere attitude in dealing with aged patients who are spending their last moments at home so that the latter may feel free to express the pain that they feel, try to understand what is meant, and reduce this pain if at all possible．

This study is aimed at developing an educational program for home visit nurses helping clients with schizophrenia and evaluating its appropriateness. The education program was based on the concepts of effective home visit nursing for clients with schizophrenia. Four novice home visit nurses helping the clients were given the educational program. The program was evaluated by ①describing the process of the nurses’ learning and ②examining the Life Assessment Scale for the Mentally Ⅲ（LASMI） of clients to whom the participating nurses provided care. The resulting data was analyzed qualitatively and quantitatively．

The nurses’ learning process showed that the basic attitude of the nurses in psychiatric home care was formulated not only during the program lectures but also during their clinical experiences after the lectures. ln terms of the lnterpersonal Relationship， LASMI's scores improved in all of the clients of the panicipating nurses．

The results show this program is effective in educating the participating home visit nurses helping clients with schizophrenia. The educational program for psychiatric home care needs to reflect this： the clinical experiential period should be incorporated as part of the program．

In this study, in order to build a well-functioning community comprehensive care support system as early as possible, we analyzed qualhatively the present state and problems in building such a support network, based on the data obtained from the workshop conducted by the professional staff of The Community Centers for Comprehensive Care Support/Home Care Support in B city in A prefecture and the researchers of the university．

As a result， we clarified five points as problems in building a community comprehensive supporting network. These are：①acquisition of the skill for promoting residents’ seif-reliant prevention against deterioration of the care-dependent state and the PR of The Educational Centers for Prevention against Deterioration of The Care-dependent State and The Community Centers for Comprehensive Care Support ； ②management of the prevention against deterioration of the care-dependent state， from the view of the family/community；③development of services reflecting local characteristics， for the prevention against deterioration of the caredependent state （including attention to such factors as depression， mouth care， lack of nutrition）；④efficient execution of professional jobs and establishment of the objectives；⑤mutual networking among the community residents and communication with the persons concerned．

Now， enhancement of the professional skills to take in these points of view is needed．

The purpose of the study was to identify and compare the ability of home helpere and visiting nurses in dealing with assessment information and recognizing the professional perspective for Elderly.

For that purpose, selfaddressed questionnaires were mailed to 400 randomly selected samples from a Home helper service station and a Visiting Nurse Station. Valid return rate was 56%.

The results of analysis of covariance showed that visiting nurse have higher ability of assessing information on need for “medical care”, for “family care load and social resources”, and for “terminal care”, but on the other hand, that home helpers have higher capability of assessing information on need for “individuals’ day-to-day activities and social environment” and for “eating habit and toilet activities”.

These results indicate the importance of the team approach between visiting nurses and home helpers. Vrisiting nurses should take more active advantage of home helper-originated information, such as “individual’ day-to-day activities and social environment”, thereby to provide better medical and terminal care. The results also suggest that home helpers have to be given information about points of safe care for the elderly with medical needs.

It is important for visiting nurses and helpers to promote team performance with the care managers under the long-term care insurance system.