The purpose of this study was to introduce a screening tool to support early discharge developed in a special functioning hospita1 into an acute hospital and to evaluate the validity of the tool． The screening tool consisted of six items and the cooperation with organizations outside the hospital was judged necessary if even one item among the six was positive．

The results were obtained from 156 patients at hospitalization and discharge． The sensitivity and the specificity of the screening tool was 87.5% and 66.3%， respectively． There was no patient who needed to cooperate with the organization outside the hospital with negative screening． There was a significant relation between the necessity and the enforcement of cooperation with organizations outside the hospital．

In addition， patients who executed cooperation with organizations outside of the hospital showed positive screening at a significantly higher ratio than those who did not． These results demonstrated that the screening tool could predict patients who needed to cooperate with organizations outside the hospital． From the above， the validity of the screening tool in an acute hospital was evaluated to some extent．

We surveyed the influence of exercise habits on physical, cognitive and psychological functions in 96 young-old and 85 old-old community-dwelling subjects, and evaluated the association among these items. Physical, cognitive and psychological functions were compared by analysis of covariance with adjustment for age between with and without exercise habits. For the young-old group, physical functions (such as lower limb muscle strength and walking ability) and cognitive functions (such as intellectual function and attentional function) were significantly better in the group with exercise habits than in the group without, but in grip strength and psychological functions we could not find any significant differences. For the old-old group, physical functions, cognitive functions and psychological functions were significantly better in the group with exercise habits than in the group without. These results suggest an association between regular exercise and health promotion in old-old. ln particular, regular exercise may improve physical functions such as lower limb muscle strength and walking ability and inhibit an age-associated decrease in attentive function, which is usefu1 for the prevention of falling. Regular exercise, which may also have inhibitory effects on the development of dementia and increase the state of mental health, is expected to be an effective measure for care prevention.

The purpose of this study was to identify the relationship of indications of polyuria／incontinence and characteristics among elderly individuals in community． The subjects were 320 participants of a prevention class of functional decline organized by the Elderly Club in “T” town who agreed to participate in the study and completed the questionnaire． The self－report questionnaire included panicipants’ characteristics and recognition of urinary symptoms related to polyuria／incontinence． As a result， voiding frequency of more than twice during the night was found in 39.4％ of the participants， suspected urge incontinence in about 20.0％， and suspected stress incontinence in 30.0％． Suspected polyuria／incontinence was significantly higher in those who had constipation， less intake of fluids and excessive weight． Logistic regression analysis revealed that symptoms with negative impacts on daily living were continuous urine leakage （suspected overflow incontinence）， voiding frequency of more than eight times during the daytime （diurnal polyuria） ， sudden uncontrollable urge to urinate （suspected urge incontinence）， leakage happening with coughing， sneezing， laughing and exercising （suspected stress incontinence）， and vo，iding frequency of more than twice during the night （nocturnal polyuria） as signhicant factors．

These results suggest that suspected polyuria／ incontinence can be screened by using self－assessment in the prevention class． It is necessary to provide consultation and follow－up for prevention of polyuria and incontinence among elderly individuals in the community．

The study was designed to examine the relationship between patient satisfaction with home care service and their attributes in a visiting nurse station, and comparison of patient satisfaction and nurse satisfaction. Seventy-four of 101 patients and five nurses in the visiting nurse station replied to the self-reported questionnaires; the analysis dealt with those 74 respondents.

Total patient satisfaction was affected by “doing some medical care”, “home oxygen therapy”, “another exercise”. A positive correlation was observed in satisfaction between patients and nurses. Each satisfaction was related to “care for patients and the family to alleviate their anxiety” and “care which corresponds to cost”. Patient satisfaction was related to “avoidance of beeing admitted to hospital because of home nurse care” and “to coordinate home care service institution”. Nurse satisfaction was related to “to present an emergency call number” and “secure and confidence in the nurse”.

The concept of anticipatory grief was first identified by Lindemann as a grief response that appeared in latent fomi prior to death． We searched through the literature for this concept． The approach to anticipatory grief research has been that understanding how post－mortem grief can be ameliorated was more important than developing a clear conceptual understanding of anticipatory grief． lt became clear that anticipatory grief was different from grief after death． ln addition， it was important to review this concept from the social cultural perspective． Recently， anticipatory grief has been more broadly seen as not only a loss in response to unavoidable death but also a response to a variety of past， present， and future losses．

Anticipatory grief in terminal care is somewhat more broadly defined as “physical， psychological， social and spiritual changes within a process toward death from the moment we recognize that the death of the family is inevitable”． Furthennore， it seemed that this concept should be structured．