This study examined the potential factors that may contribute to the formation of gerotranscendence. A series of semi-structured interviews was conducted among the oldest old (n=11) in the Amami Archipelago. The data were analyzed through the modified grounded theory approach (M-GTA). The results show that the primary factor was the participants’ strong will to live until 100. Further, their strong attitude was the product of their past experience during WWII as well as their current attachment to the close-knit community. It was also found that a sense of life satisfaction played an important role in facilitating “ego transcendence,” “material transcendence,” and “cosmic transcendence,” all of which are core elements of gerotranscendence. In other words, the successful aging among the oldest old is qualitatively different from that of the young old in which the former emphasize the spiritual life through a formation of gerotranscedence.
This study aimed to investigate the complaints solving system in social welfare facilities for the elderly and to consider the role of the third party committee of the system. The subjects of the study were 347 social welfare facilities for the elderly in Osaka Prefecture. We examined items of the questionnaire concerning the complaints solving system, in order to clarify the whole situation in Osaka, and then performed comparative analyses between the groups divided by whether any complaint was recognized, the number of third party committee’s members, and the frequency of visits by the committee to the facility during the previous year. It was found that the facilities which did not recognize any complaint tended to be stagnating in the activities of third party committee, and in this group, facilities which informed about the complaints solving system of users were fewer compared to the facilities recognizing complaints. In regard to the number of committee’s members, facilities that had more members were tackling more vigorously the complaints resolving system than the facilities having a single member. Facilities where the number of visits by the committee was twelve and more during one year were found to be more active in collecting opinions including complaints of users, and they tended to recognize the efficacy of the system. In order to realize a more effective system, it is necessary to understand the aim of system is not to eliminate complaints, but to open a channel to collect and recognize opinions including complaints from users. Furthermore, to enhance capabilities of solving complaints, it is important for facilities to commission multi-members of third party committee, and to ensure more frequent visits by them.
The purpose of the present study is to compare functional and psychosocial characteristics between ambulatory frail elders certified in the two lowest levels of care needs under the Long-Term Care System who utilize long-term care service and those who do not utilize the service. From all of 527 possible subjects in a city with a population of 66,092, a total of 293 people utilizing long-term care services over the past three months and 187 people not utilizing services over the past three months were selected as subjects of the study. Activities of daily living (ADLs), instrumental activities of daily living (IADLs), depression, emotional or instrumental social support, and level of going outdoors or communication were collected via mail-questionnaire. Subjects for analysis were 163 people utilizing services, and 114 people not utilizing them. Ambulatory frail elders utilizing long-term care services, compared to those not utilizing the services, are more likely to live alone (p=.0006), and less likely to go outdoors (p=.044) by using public transportation. These results suggest that utilizing long-term care services in ambulatory frail elders certified in the two lowest levels of care needs are characterized as having social frailty including living alone and not going outdoors by using public transportation.