Information processing apparatus, information processing method, and non-transitory computer-readable medium

Abstract

The present invention addresses the problem of proposing a care plan in which a user's viewpoint is considered together with a medical viewpoint. The information processing device includes an input means, an acquisition means, a proposal means, and a display means. The input means receives an input of a long-term target. The acquisition means acquires a future estimated life maintenance risk for the achievement of the long-term target. The proposing device proposes a short-term target based on the estimated life-sustaining risk. The display means displays the short-term target together with the estimated life maintenance risk for the displayed index.

Description

Technical Field

[0001] The embodiments disclosed in this specification and the accompanying drawings relate to an information processing device, an information processing method, and a non-transitory computer-readable medium. Background Art

[0002] Visiting nursing supports the realization and maintenance of the life desired by the user. Therefore, it is hoped that the visiting nurse has a balanced view of both the medical view and the user view. For example, it is not desirable to give too much priority to treatment and medical care in order to prevent the disease or injury from worsening, resulting in the patient or his family living a life that they do not want.

[0003] As an example, nursing care for a user is achieved by executing a repetitive method including the following steps, the steps including (1) performing an evaluation of information collection and analysis, (2) determining a nursing diagnosis of problem points and causes based on the results of the evaluation, (3) formulating a nursing plan with a goal to solve the problem or a plan to achieve the goal, (4) performing nursing intervention of nursing care based on the care plan, and (5) a nursing evaluation of evaluating the results of the nursing care and whether the goal has been achieved.

[0004] In the past, the following technologies are known: as a care plan, if an evaluation is input into a flowchart, a standard visit care plan is automatically generated; or based on a database of accumulated home plans, artificial intelligence (AI) automatically extracts multiple options and proposes plan goals, problem points and solutions that match the user.

[0005] As described above, although there is technology that proposes standard questions, goals, and plans based on the user's current status, on the other hand, it is difficult to infer whether the plan has achieved a balance between the medical perspective and the user perspective, and it is also difficult to determine whether the goal can be achieved and how long it can be achieved.

[0006] Prior art literature

[0007] Patent Literature

[0008] Patent Document 1: Japanese Patent Application Publication No. 2008-541249 Summary of the invention

[0009] Problems to be solved by the invention

[0010] One of the problems to be solved by the embodiments disclosed in this specification and the drawings is to propose a care plan that considers the user's perspective together with the medical perspective. However, the problems to be solved by the embodiments disclosed in this specification and the drawings are not limited to the above-mentioned problems. It is also possible to position the problems corresponding to the effects of each structure shown in the embodiments described later as other problems.

[0011] Means for solving problems

[0012] The information processing device of the embodiment comprises an input device, an acquisition device, a proposal device and a display device. The input device accepts input of a long-term goal. The acquisition device acquires the estimated life-sustaining risk in the future toward the achievement of the long-term goal. The proposal device proposes a short-term goal based on the estimated life-sustaining risk. The display device displays the short-term goal together with the estimated life-sustaining risk for the displayed indicator. BRIEF DESCRIPTION OF THE DRAWINGS

[0013] Figure 1 This is a block diagram schematically showing an information processing device according to one embodiment.

[0014] Figure 2 This is a diagram schematically showing an example of input and output of an information processing device according to an embodiment.

[0015] Figure 3 This is a flowchart showing an example of processing by the information processing device according to one embodiment.

[0016] Figure 4 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0017] Figure 5 This is a diagram schematically showing an example of processing by an information processing device according to one embodiment.

[0018] Figure 6 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0019] Figure 7 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0020] Figure 8 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0021] Fig. 9 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0022] Fig.10 This is a diagram schematically showing an example of processing by an information processing device according to one embodiment.

[0023] Fig.11 This is a diagram showing an example of a display of an information processing device according to an embodiment.

[0024] Fig.12 This is a diagram schematically showing an example of processing by an information processing device according to one embodiment. DETAILED DESCRIPTION

[0025] Hereinafter, the implementation mode will be described with reference to the accompanying drawings. In the present disclosure, regarding the method of using hardware resources to specifically implement software-based information processing, the software is executed by a program and can be implemented by the program itself or a non-transitory computer-readable medium storing the program. In addition, among the various data in this specification and the accompanying drawings, the data mainly used by the information processing device is typically digital data.

[0026] In visiting care, nurses repeatedly observe the patient's physical and mental state, develop a visiting care plan, implement nursing care, confirm the next visit schedule, record visiting care records / share information, and prepare and revise visiting care plans or visiting care reports. The physical and mental state observation involves measuring vital signs and physical assessments to extract opinions necessary for nursing intervention on the physical side, and also observes the mental side and the nursing environment. The development of the visiting care plan involves setting user-centered goals that meet the user's wishes, and extracting items that are considered necessary for nursing intervention based on the information obtained during the initial visit.

[0027] In the present disclosure, in the visiting care, the patient's desired lifestyle as a user is set as a long-term goal, and the estimated future life-sustaining risk toward the achievement of the long-term goal is calculated to propose short-term goals including the degree of freedom of life and the period of continuing the activity. The estimated life-sustaining risk refers to the risk of exposure of the patient to the actual condition, in other words, the risk of life exposure to crisis, and needs to be obtained for each patient.

[0028] In the present disclosure, the estimated life-sustaining risk is used as a relative index to obtain short-term goals for long-term goals and various indicators / goals that can ultimately achieve the long-term goals by achieving the short-term goals.

[0029] Figure 1 1 is a block diagram schematically showing an information processing device according to an embodiment. The information processing device 1 includes an input unit 10, a storage unit 20, a processing unit 30, and an output unit 40. Although not shown in the figure, the information processing device 1 may also include a power supply for supplying power to each component and a control unit for controlling each component. The information processing device 1 is a device for accepting requests from patients and setting long-term goals and short-term goals in visiting care.

[0030] The input unit 10 has an interface for accepting input from the patient. In addition, the input unit 10 may also have an interface for receiving data from the outside. For example, the patient can input information such as his or her desired lifestyle into the information processing device 1 via the input unit 10. In addition, in the case where the patient cannot input directly, a third party such as a doctor, nurse, or care worker (Japanese: care worker) can input the patient's request. In the case of input by a third party, the patient's request is not based on a medical perspective, and it is preferred that only information from the patient's perspective is input.

[0031] That is, the input unit 10 may be configured to operate as an input device in the information processing device 1 and include an input interface.

[0032] The storage unit 20 stores data and the like required for the operation of the information processing device 1. When information processing based on software is specifically implemented by the processing unit 30 as hardware, the storage unit 20 may also store programs and execution files related to the software. The storage unit 20 may have a volatile or nonvolatile storage circuit as at least a part thereof.

[0033] In addition, in the figure, the information processing device 1 is configured to include a storage unit 20, but the present invention is not limited thereto, and a storage unit different from the information processing device 1 may be provided inside the information processing system including the information processing device 1. In this case, the information processing device 1 may be configured to obtain the required data stored in the storage device via the input unit 10, and transmit the data to be stored in the storage device to the storage device via the output unit 40.

[0034] That is, the storage unit 20 operates as a storage means in the information processing device 1 , or operates as a storage means of a system including the information processing device 1 .

[0035] The processing unit 30 includes a processing circuit for executing various information processing in the information processing device 1. The processing circuit may be a general-purpose processor or a dedicated circuit. The processing unit 30 operates as a processing unit in this embodiment and can execute at least the risk acquisition unit 300 and the short-term goal proposal unit 302.

[0036] The risk acquisition unit 300 acquires the estimated life-sustaining risk in the future for achieving the future long-term goal based on the patient's request received via the input unit 10. For example, the risk acquisition unit 300 acquires the degree and risk that will be incurred based on the lifestyle and desired posture information input by the patient as the estimated life-sustaining risk.

[0037] The processing unit 30, for example, presents the degree of freedom of life that is a long-term goal to the patient in the display unit of the output unit 40. The degree of freedom of life can be based on the content of Activities of Daily Living (ADL), for example. The patient inputs which degree of freedom of life he wants to live in the degree of freedom of life through the input interface of the input unit 10 with the patient's line of sight. The degree of freedom of life is displayed as a bar, for example, and the patient uses the slide bar to input the degree of freedom of life he wants to live to the information processing device 1. In addition, the above-mentioned actions can be performed with the assistance of multiple users such as medical stakeholders instead of the patient.

[0038] The risk acquisition unit 300 acquires the estimated life support risk based on the degree of freedom of life that the patient considers to be desired, which is acquired from the patient.

[0039] The short-term goal proposing unit 302 proposes a short-term goal based on the estimated life-sustaining risk obtained by the risk obtaining unit 300 for the long-term goal input by the patient. While the long-term goal is the final goal during the period of treatment, recuperation, and nursing, the short-term goal is a goal that the patient is expected to achieve in a shorter period than the period in the long-term goal in order to achieve the long-term goal. In other words, it indicates that the long-term goal can be achieved by achieving the suggested short-term goal over time.

[0040] The short-term goal proposing unit 302 proposes short-term goals according to the input long-term goals and the insight data based on the medical viewpoint, for example. The short-term goal proposing unit 302 proposes short-term goals at the current time point, for example, based on the patient's condition at the current time point, etc. The short-term goal proposing unit 302 proposes short-term goals as degrees of freedom in life, for example.

[0041] By taking actions based on the freedom of life that is the short-term goal, the patient can increase the possibility of achieving the long-term goal he or she desires.

[0042] The output unit 40 operates as an output mechanism. The output unit 40 may include, for example, a user interface for outputting to a user, or, as another example, a communication interface for transmitting data to the outside through communication. As non-limiting examples, the output unit 40 may include a display as a display mechanism, a stereo as a sound output mechanism, and the like.

[0043] The output unit 40 can output (display) an index representing a short-term goal together with the estimated life-sustaining risk.

[0044] By using input and output in the input unit 10 and the output unit 40 , the information processing device 1 can interactively realize setting of long-term goals for the patient from the patient's perspective and presentation of estimated life-sustaining risks and setting of short-term goals from a medical perspective.

[0045] Figure 2 : is a diagram showing an example of data input and output of the information processing device 1. In this example, diet (Japanese: food) is defined as an indicator for setting long-term goals and short-term goals. The degree of freedom with diet as an indicator is shown in the table at the bottom of the figure. For example, if degree of freedom 1 is "diet with strict salt / water control (liquid food only)", and degree of freedom 2 is "diet with strict salt / water control (including soft solids)", it shows what kind of diet can be taken for each degree of freedom.

[0046] The patient sets a long-term goal based on the degree of freedom for the diet shown in the lower part of the figure, for example. The output unit 40 as a display means displays a bar indicating the estimated life-sustaining risk for the degree of freedom using the diet shown in the upper part of the figure as an index, and a button indicating the long-term goal that can be moved on the bar via the input unit 10. The patient sets the long-term goal by moving the button left and right on the slide bar.

[0047] When the degree of freedom 5 such as "the patient manages salt but has freedom in the diet" is set as the long-term goal, the patient inputs the long-term goal by moving the button representing the long-term goal to the area of ​​5.

[0048] The slide bar representing the degree of freedom is updated according to the medical viewpoint in the current state of the patient. That is, the state of the slide bar is changed according to the patient. The patient can also refer to the state of the slide bar and set a long-term goal based on the state of the slide bar. For example, the patient can set a long-term goal that best meets the expectations according to the current state of the slide bar. In addition, the patient can set a long-term goal that he or she pursues regardless of the state of the slide bar.

[0049] When the long-term goal is input, the processing unit 30 obtains and outputs the estimated life-sustaining risk during the period for which the short-term goal is output and the short-term goal for each period through calculation.

[0050] Figure 3 This is a flowchart showing an example of processing of the information processing device 1 according to one embodiment.

[0051] The risk acquisition unit 300 calculates the current life-sustaining risk based on the current or past symptoms of the patient and displays it on the output unit 40 (S12). The patient's symptoms may be input in advance by a caregiver (Japanese: caregiver) or the like, or may be automatically acquired by the information processing device 1 by referring to an electronic medical record or the like. In addition, for patients who repeatedly use the information processing device 1, the risk acquisition unit 300 can also acquire the current life-sustaining risk based on the long-term goal or short-term goal up to the last time.

[0052] The information processing device 1 receives input from the user via the input unit 10 (S12). Typically, the user is a patient, and the input from the user is a long-term goal that the user wants to achieve. The information processing device 1 can also receive input of a period to achieve the long-term goal together with the long-term goal.

[0053] In addition, the user may include a medical professional such as a caregiver. In this case, the information processing device 1 can receive input about the patient's current symptoms. Furthermore, the information processing device 1 can also receive information about nursing intervention from the caregiver and the like together with the symptoms.

[0054] Each input method will be described in detail in the embodiments described later.

[0055] The short-term goal proposing unit 302 divides the period for achieving the long-term goal into periods shorter than the period, and obtains the calculable estimated life-sustaining risk and the short-term goal for each divided period ( S14 ).

[0056] The short-term goal is a goal that is expected to be achieved in each period, and is an indicator for pursuing the achievement of the long-term goal by accumulating the short-term goal in each period. The short-term goal proposing unit 302 sets a short-term goal that can achieve the long-term goal for each divided period, and when the short-term goal is achieved, the life-sustaining risk of the next period is obtained as the estimated life-sustaining risk.

[0057] As an example, the short-term goal proposing unit 302 sets a short-term goal for the initial period based on the current life-sustaining risk. Next, when the short-term goal is achieved, the short-term goal proposing unit 302 calculates the estimated life-sustaining risk for the next period and sets a short-term goal based on the estimated life-sustaining risk. The short-term goal proposing unit 302 repeatedly performs the calculation of the estimated life-sustaining risk and the setting of the short-term goal so that the long-term goal can be achieved.

[0058] The processing unit 30 displays the estimated life-sustaining risk and short-term goal for each period sequentially acquired in this manner on the output unit 40 (S18). Although it is described as display, the present invention is not limited thereto, and the information may be output to a storage area accessible to the user, for example.

[0059] The user can easily understand what short-term goal to achieve in order to achieve the long-term goal by observing the display of the output unit 40. The information processing device 1 can obtain what short-term goals are cumulatively achieved in order for the user to achieve the long-term goal. The input from the patient is information from the patient's perspective, so the information processing device 1 can set short-term goals that balance the medical perspective and the patient's perspective through the above-mentioned processing.

[0060] In the following, several embodiments are used to describe non-limiting examples of patient input, calculations by the processing unit 30, and outputs by the output unit 40. Although an example in which the information processing device 1 displays and prompts or suggests information to the user is described, the same processing may be performed using other output mechanisms such as sound instead of display.

[0061] (First Embodiment)

[0062] Figure 4 1 is a diagram showing an example of a display of an information processing device 1 according to an embodiment. In the example of the diagram, a case where a diet is set as an indicator of a long-term goal and a short-term goal is shown. The processing unit 30 displays the patient's current life-sustaining risk as the top bar. The patient sets the diet he or she wants to eventually follow as a long-term goal in the sliding bar of the life-sustaining risk. The degree of freedom of diet is, for example, Figure 2 The degrees of freedom shown in the table are expressed.

[0063] The bar indicating the degree of freedom may be represented by a color bar, for example. The safe area of ​​life-sustaining risk may be blue, the dangerous area may be red, and the slider may be displayed in a gradient from blue to yellow and from yellow to red. The present invention is not limited to this, and any method may be used to indicate the degree of danger of life-sustaining risk to the user.

[0064] The dashed circle shown overlapping the bar indicates the degree of freedom as a short-term goal, and the solid circle indicates the degree of freedom as a long-term goal. The same applies to the following figures.

[0065] When the patient sets a long-term goal in the life-sustaining risk of the long-term goal, the processing unit 30 calculates an estimated life-sustaining risk for each period with reference to the long-term goal, and presents a short-term goal indicating what degree of dietary freedom is given within the estimated life-sustaining risk.

[0066] The processing unit 30 may also set the patient's current life-sustaining risk and the period until the set long-term goal is reached. In addition, as another example, the patient may input the long-term goal and the period to reach it. For example, 7 months may be specified as the period to reach the long-term goal.

[0067] When the processing unit 30 sets a period for achieving a long-term goal, the processing unit 30 can calculate the period from the period previously set to achieve the short-term goal based on the patient's current life-sustaining risk and long-term goal, or it can set short-term goals and the period for achieving each short-term goal in a manner that achieves the input long-term goal within a safe range, and set the period for achieving the final long-term goal.

[0068] The processing unit 30 sets and displays a period (for example, to 1 month) for achieving a short-term goal for the current life-sustaining risk.

[0069] Next, the processing unit 30 estimates how the life-sustaining risk changes when the set short-term goal is achieved, and obtains the estimated result as the estimated life-sustaining risk. For the estimated life-sustaining risk, the processing unit 30 calculates the short-term goal and the period (for example, 1 to 2 months) to achieve the short-term goal, and displays them in the lower column of the previously displayed result. The processing unit 30 repeatedly performs these processes in sequence until the long-term goal is achieved.

[0070] In this way, when the short-term goal set in the previous period is achieved, the processing unit 30 obtains what kind of estimated life-sustaining risk is and what kind of short-term goal can be set for the estimated life-sustaining risk, and proposes it to the user via the output unit 40 .

[0071] The information processing device 1 calculates the estimated life-sustaining risk each time a period for achieving the patient's desired lifestyle (e.g., dietary lifestyle) passes, sets a short-term goal based on the calculated estimated life-sustaining risk, and calculates the estimated life-sustaining risk for the next period when the short-term goal is achieved. Thus, the information processing device 1 can display the temporal change of the life-sustaining risk.

[0072] In addition, although the period is shown as the period goes downward, the present invention is not limited to this, and the period may be shown as the period goes upward.

[0073] Figure 5 A diagram schematically showing a process of estimating life-sustaining risk according to one embodiment. f is a function for calculating symptoms, and g is a function for calculating the estimated life-sustaining risk.

[0074] The function f is based on the patient's symptoms s at the current time point 0 , the predicted patient's symptoms during period t-1 t-1 , the degree of freedom a of the patient during period t-1 t-1 , output the predicted value of the patient's symptoms during period t.

[0075] s 0 It is input to the information processing device 1 as an initial state. t-1 The output value of f in the previous period can be used. t-1 It is the degree of freedom set by the short-term goal proposal mechanism 302 based on the output of g in the previous period. t For example, the parameters for setting short-term goals are obtained based on the estimated life-sustaining risk. The short-term goal proposing unit 302 sets short-term goals based on the degrees of freedom obtained based on the estimated life-sustaining risk and the patient's long-term goals.

[0076] Function g predicts the value s of the patient's symptoms based on period t t , and the restrictions l based on life needs and freedom of life, output the estimated life support risk for period t. That is, function g is based on the predicted value s of the symptoms output by function f t and the restriction item l as the constraint condition, output the estimated life support risk r t .

[0077] The constraints 1 may be acquired based on the long-term goals initially input by the patient, or may be input as constraints from a medical perspective of a caregiver or the like.

[0078] After predicting the symptoms of the patient in a certain period by using the function f, the processing unit 30 calculates the estimated life-sustaining risk in the period by using the function g. The processing unit 30 acquires a short-term goal based on the calculated estimated life-sustaining risk.

[0079] If the degrees of freedom are Figure 2 By expressing numerical values ​​as indicators in this way, the processing unit 30 can, for example, set the degree of freedom to +1 and set a short-term goal for the next period if the patient maintains his life based on the degree of freedom set as a short-term goal in the previous period and the indicator (value) of the estimated life risk under the degree of freedom in the next period is evaluated to be lower than a prescribed threshold.

[0080] For example, during a period of time Figure 2 As a result of the life with degree of freedom 3, when the value of degree of freedom 3 in the estimated life support risk in the next period is lower than the threshold, the processing unit 30 can suggest the patient a life with degree of freedom 4 as a short-term goal for the next period.

[0081] The processing unit 30 can calculate the estimated life-sustaining risk in each degree of freedom. Figure 4 The short-term goal, i.e., the degree of freedom, is displayed as a bar, and the obtained short-term goal, i.e., the degree of freedom, is displayed superimposed on the bar. The processing unit 30 calculates the estimated life-sustaining risk for the next period, taking into account that the proposed short-term goal for a certain period has been achieved. The output unit 40 as a display means can output the estimated life-sustaining risk for each period when living with the degree of freedom indicated by the short-term goal in a manner understandable to the user. By displaying in this way, the patient can intuitively understand the short-term goal for each period.

[0082] In addition, the processing unit 30 is based on a t-1 、s t-1 Various operations are performed based on the information of the previous period, but the present invention is not limited to this. Not only the period defined by t-1 but also the values ​​of the variables defined in the period from 0 to t-1 can be considered to calculate the variables of the desired period. The same applies to the following embodiments.

[0083] Figure 6 The information processing device 1 can display the information in the following manner: Figure 5 As shown, it can also display the short-term goals of a time series in a certain life indicator (for example, diet). Figure 6 As shown, each short-term goal among multiple life indicators during a certain period is displayed.

[0084] For example, the information processing device 1 causes the output unit 40 to display an indicator selection box 400, and various displays can be prepared by selecting a desired output method, period, etc. in the indicator selection box 400 through the input unit 10. When there are a plurality of life indicators, the processing unit 30 pre-calculates the estimated life-sustaining risks and short-term goals for the plurality of life indicators, and performs processing for appropriately switching the display in response to a request from the user.

[0085] In this way, it is also possible to switch the display to the life index desired by the user.

[0086] In addition, when outputting short-term goals for various life indicators as in the present embodiment, the information processing device 1 can also accept input of long-term goals from the patient for a plurality of life indicators. The processing unit 30 can calculate the estimated life-sustaining risk based on each life indicator according to the respectively input long-term goals and set short-term goals.

[0087] Furthermore, the processing unit 30 may set the estimated life-sustaining risk and the short-term goal so that the life indicators are correlated with each other, instead of performing independent calculations for each life indicator.

[0088] (Second Embodiment)

[0089] In the first embodiment, an information processing device 1 capable of displaying a time series of a predetermined indicator or displaying short-term goals for a plurality of indicators in a certain period is described. In this embodiment, an example of calculating and outputting a short-term goal based on a pattern desired by the patient himself or in combination with the first embodiment is described.

[0090] Figure 7 and Figure 8 1 is a diagram showing an example of switching of the display of the information processing device 1 according to one embodiment. The information processing device 1 can set a mode until the long-term goal selected by the patient is achieved. The mode selection box 402 is a pull-down menu for setting the mode, but it can also be other implementations such as radio buttons. The information processing device 1 can accept the mode from the patient via the input unit 10.

[0091] Figure 7This is a display shown as an example of risk management. Risk management is a mode that patients can select, which is a mode that reduces the degree of freedom to a range with low life-sustaining risk and sets short-term goals, while waiting for functional recovery to increase the degree of freedom. Figure 4 In contrast, set short-term goals in areas closer to safety.

[0092] In this mode, the processing unit 30 selects, for example, a degree of freedom in a safe area of ​​life-sustaining risk, and calculates an estimated life-sustaining risk for the next period based on the degree of freedom selected as the short-term goal. Next, the processing unit 30 sets the next short-term goal based on the estimated life-sustaining risk. The processing unit 30 can select a safe degree of freedom from the estimated life-sustaining risk as the next short-term goal. By repeating this process, the short-term goal and estimated life-sustaining risk for each period are obtained.

[0093] In addition, in the case of risk-based models, such as Figure 7 As shown, sometimes the long-term goal cannot be achieved in the final period based on the time series display. In such a case, it is possible to set a display that allows people to understand that the goal achievement estimate is low.

[0094] Figure 8 It means in Figure 7 A diagram showing a state where the mode selection box 402 is switched to the life priority mode in the state of being in the life priority mode, or a diagram showing a state where a long-term goal is input as the life priority mode. Figure 8 As shown, in the life priority mode, the processing unit 30 increases the degree of freedom of life to a range of medium life-sustaining risk, and increases and outputs the degree of freedom according to the functional recovery. The estimated life-sustaining risk and the setting of the short-term goal are performed in the same manner as described above, but the area of ​​the degree of freedom that can be set as the short-term goal can be set closer to the side with higher risk.

[0095] In order to achieve the long-term goal, the processing unit 30 can set short-term goals in a larger area. For example, the processing unit 30 can set short-term goals in each period that can fully achieve the long-term goal while improving the degree of freedom in life. In this mode, there is a slight risk, but short-term goals that further improve the degree of freedom in life can be set.

[0096] As described above, according to the present embodiment, the information processing device 1 can set short-term goals according to the mode specified by the patient. In addition, in the above, the risk priority / life priority mode is described, but the mode is not limited to this. For example, there may also be an athlete mode, a leisure mode (Japanese: nounbiri mode), and the like. In addition, when a mode related to the attributes of the patient, such as an athlete mode, is changed, the calculation method of the estimated life risk in the processing unit 30 may also be changed.

[0097] (Third Embodiment)

[0098] In addition to the above-mentioned embodiments, a method of proposing care problems and care goals corresponding to the degree of freedom of life and the risk of life support may be adopted. For example, when it is difficult for the patient to achieve the long-term goal input by the patient, the information processing device 1 can also present appropriate suggestions.

[0099] Fig. 9 1 is a diagram showing an example of a display of an information processing device 1 according to an embodiment. The processing unit 30 may determine that the long-term goal input by the patient cannot be achieved depending on the situation. In this case, the processing unit 30 may make a proposal to the caregiver, for example, by proposing a change in the treatment policy to revise the goal in consultation with the patient, family members, etc. for a lifestyle that is estimated to have a high risk of life support and a low degree of freedom relative to the goal. The information processing device 1 may also notify the caregiver, etc. of the proposal.

[0100] The calculation of the estimated life-sustaining risk can also be understood as the implementation of the care plan proposed as input. In this case, the information processing device 1 can accept the input of the care intervention of the caregiver. The processing unit 30 can reflect the alleviation / improvement of symptoms based on the care intervention in the estimated life-sustaining risk and set a short-term goal.

[0101] In addition, the information processing device 1 can also propose a care intervention by the caregiver, and propose an estimated life-sustaining risk, a short-term goal, and a care intervention for the next period when the proposed care intervention is achieved.

[0102] Fig.10 is a block diagram of the operation. When nursing intervention occurs during a period t-1, function f reflects the nursing intervention n t-1 , calculate the patient's symptoms s in the next period t t Next, based on the symptoms t , the processing unit 30 can calculate the estimated life-sustaining risk and short-term goals.

[0103] For example, the following case is considered as nursing intervention. If a stroke patient is suffering from malnutrition as a nursing problem, a nursing goal is to set a diet to maintain the physical strength required for recovery. This can be used as the initial input.

[0104] Based on the estimated life-support risk, a period of one month from now is determined to be fasting, and management is performed based on intravenous nutrition. In the case of not giving the necessary amount of nutrition, enteral nutrition can be used in combination. In order to restore the chewing and swallowing functions, massage by the caregiver or the patient himself can also be suggested. Considering this care intervention, the processing unit 30 performs calculations for the next period.

[0105] By this calculation, the estimated life-sustaining risk for the next period is calculated, and a short-term goal is set based on the estimated life-sustaining risk. If it is determined that the long-term goal cannot be achieved even after considering the nursing interventions in the previous period, the processing unit 30 proposes nursing interventions together with the short-term goal for the next period.

[0106] In the above example, in the next period of 1 to 2 months, the chewing function and swallowing function decrease, so it is possible to suggest a diet adjustment. In this adjustment, the amount of water added is large, and the nutritional value per unit weight becomes low, so it is possible to suggest the use of enteral nutrition. In addition, depending on the situation, similar to the previous period, it is possible to give a suggestion to the caregiver (and / or patient) in the form of massage and rehabilitation for the recovery of chewing and swallowing functions.

[0107] As described above, according to this embodiment, it is possible to propose care intervention by a caregiver together with the short-term goal that the patient should achieve. By proposing such care intervention, a more flexible plan to achieve the long-term goal can be generated.

[0108] (Fourth Embodiment)

[0109] In each of the above-mentioned embodiments, the information processing device 1 can accept input of long-term goals from the patient, but the patient can also change the output short-term goals. In addition, the information processing device 1 can also accept changes to the long-term goals from the patient while allowing the patient to observe the display, and calculate and output the estimated life support risk and short-term goals based on the accepted changes.

[0110] Fig.11 1 is a diagram showing an example of display and input acceptance of the information processing device 1 according to one embodiment. The information processing device 1 displays a long-term goal, an estimated life-sustaining risk, and a short-term goal by calculation based on any one of the above-mentioned embodiments or a combination of a plurality of the embodiments.

[0111] The information processing device 1 can accept changes in the patient's long-term goals or short-term goals via the input unit 10. For example, Fig.11 As shown, regarding the change of the long-term goal received from the patient, the information processing device 1 can receive a request to move the cursor (Japanese: カーソル) set as the long-term goal. When the processing unit 30 detects that the long-term goal has been changed via the input unit 10, it can recalculate the estimated life support risk and the short-term goal according to the changed long-term goal, update the display of the output unit 40, and output it.

[0112] Similarly, regarding the acceptance of a change in the short-term goal from the patient via the input unit 10, as a non-limiting example, the information processing device 1 can accept a request to move a cursor set as the short-term goal. When the processing unit 30 detects that the short-term goal has been changed via the input unit 10, it recalculates the estimated life-sustaining risk from the long-term goal to the short-term goal and the setting of the short-term goal, and the estimated life risk and the setting of the short-term goal after the short-term goal changed by the patient, and updates the display of the output unit 40.

[0113] When it is determined that the long-term goal or short-term goal specified for the patient is difficult to achieve, the processing unit 30 can also cause the output unit 40 to display the situation in which the long-term goal is difficult to achieve and / or the situation in which nursing intervention is required to achieve the long-term goal. When nursing intervention exists, the estimated life sustaining risk and the setting of the short-term goal based on the nursing intervention are recalculated and displayed.

[0114] Fig.12 1 is a diagram schematically showing an example of processing of the information processing device 1 according to one embodiment. The processing unit 30 receives a change request from the patient via the input unit 10 for the output unit 40 for display. When the processing unit 30 receives the change request from the patient, it outputs the degree of freedom of life a as the long-term goal or the short-term goal. 0 ~a n (n is the number of output short-term goals) and updates the a' obtained by the patient's changed position 0 ~a' n The processing unit 30 calculates the symptom s reflecting the changes from the patient through the function f. t Based on the symptoms t , and perform subsequent operations.

[0115] As a result, based on the long-term goal and short-term goal for which the patient's change request was accepted, the symptoms, estimated life-sustaining risk, and short-term goal are recalculated in sequence and appropriately output. As described above, according to this embodiment, the information processing device 1 can accept a change request from the patient for the short-term goal presented to the patient, recalculate and output the estimated life-sustaining risk and short-term goal for the accepted change request. As a result, the patient can more flexibly reflect his or her request in the care plan.

[0116] In the above-mentioned embodiments, the input interface can be implemented by a trackball, a switch button, a mouse, a keyboard, a touchpad for performing input operations by touching the operation surface, a touch screen integrating a display screen and a touchpad, a non-contact input circuit using an optical sensor, and a sound input circuit. The input interface is connected to the control circuit, and converts the input operation received from the operator into an electrical signal and outputs it to the control circuit. In addition, in this specification, the input interface is not limited to an interface having physical operating components such as a mouse and a keyboard. For example, a processing circuit for an electrical signal that receives an electrical signal corresponding to an input operation from an external input device that is separated from the device and outputs the electrical signal to the control circuit is also included in the example of the input interface.

[0117] In addition, in the above-mentioned embodiment, each processing function of the information processing function is recorded in a storage circuit in the form of a program that can be executed by a computer. The processing circuit may include a processor. For example, the processing circuit implements the functions corresponding to each program by reading from the program and executing the storage circuit. In other words, the processing circuit that has read out the state of each program has the functions represented in the processing circuit shown in the accompanying drawings. In addition, in the accompanying drawings, it is described that each processing function is implemented in a single processor, but a plurality of independent processors may also be combined to form a processing circuit, and the functions are implemented by executing the program by each processor. In addition, in the accompanying drawings, it is described that a single storage circuit stores programs corresponding to each processing function, but it may also be configured to configure a plurality of storage circuits in a dispersed manner, and the processing circuit reads the corresponding program from each storage circuit.

[0118] In the above description, an example is described in which a "processor" reads out and executes a program corresponding to each function from a storage circuit, but the embodiment is not limited to this. The term "processor" may refer to circuits such as a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an Application Specific Integrated Circuit (ASIC), a programmable logic device (for example, a simple programmable logic device (SPLD), a complex programmable logic device (CPLD, complex programmable logic device) and a field programmable gate array (FPGA)). In the case where the processor is, for example, a CPU, the processor implements the function by reading out and executing a program stored in a storage circuit. On the other hand, in the case where the processor is an ASIC, instead of storing the program in the storage circuit, the function is directly loaded into the circuit of the processor as a logic circuit. In addition, each processor of the present embodiment is not limited to the case where each processor is configured as a single circuit, and multiple independent circuits can also be combined to form a processor to implement its function. Furthermore, multiple components in the drawings may be integrated into one processor to implement their functions.

[0119] According to at least one embodiment described above, a care plan from the patient's perspective can be created.

[0120] The above embodiments can be summarized as follows. (1)

[0122] An information processing device comprises: an input unit for accepting input of a long-term goal; an acquisition unit for acquiring an estimated future life-sustaining risk toward the achievement of the long-term goal; a proposal unit for proposing a short-term goal based on the estimated life-sustaining risk; and a display unit for displaying the short-term goal together with the estimated life-sustaining risk for a displayed indicator. (2)

[0124] According to the information processing device described in (1), the input unit can input a pattern or period until the long-term goal is achieved, and the proposal unit proposes a short-term goal based on the input pattern or period. (3)

[0126] According to the information processing device described in (1), the acquisition unit calculates the estimated life support risk for the next period in consideration of the fact that the short-term goal for a certain period proposed by the proposal unit has been achieved. (4)

[0128] According to the information processing device described in (1), the long-term goal is input by the patient. (5)

[0130] According to the information processing device described in (1), the display unit performs display based on the estimated life support risk after a certain period of time when living with the degree of freedom indicated by the short-term goal. (6)

[0132] According to the information processing device described in (1), the input mechanism has an interface capable of changing the short-term goal suggested by the proposing mechanism, the acquiring mechanism acquires the estimated life-sustaining risk recalculated based on the changed short-term goal, and the proposing mechanism updates the short-term goal for the period other than the short-term goal for which the input mechanism accepted the change request based on the recalculated estimated life-sustaining risk. (7)

[0134] According to the information processing device described in (1), the input unit accepts a request to change the long-term goal after the display unit displays the calculation result, the acquisition unit obtains the estimated life-sustaining risk recalculated based on the changed long-term goal, and the proposal unit updates the short-term goal based on the recalculated estimated life-sustaining risk. (8)

[0136] According to the information processing device described in (1), the index includes at least one of time or lifestyle. (9)

[0138] An information processing method includes a processing circuit receiving input of a long-term goal, obtaining an estimated life-sustaining risk in the future toward the achievement of the long-term goal, proposing a short-term goal based on the estimated life-sustaining risk, and displaying the short-term goal together with the estimated life-sustaining risk for a displayed indicator. (10)

[0140] A non-transitory computer-readable medium stores a program that causes a processing circuit to execute the following mechanism: accepting input of a long-term goal, obtaining a future estimated life-sustaining risk toward the achievement of the long-term goal, proposing a short-term goal based on the estimated life-sustaining risk, and displaying the short-term goal together with the estimated life-sustaining risk for a displayed indicator.

[0141] Several embodiments have been described, but these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other ways, and various omissions, substitutions, changes, and combinations of embodiments can be performed without departing from the scope of the invention. These embodiments and their variations are included in the scope and purpose of the invention, and are also included in the invention described in the claims and their equivalents.

[0142] Description of Reference Numerals

[0143] 1: Information processing device,

[0144] 10: Input section,

[0145] 20: Storage Department,

[0146] 30: Processing Department,

[0147] 300: Risk acquisition agency,

[0148] 302: Short-term goal proposal agency,

[0149] 40: Output unit,

[0150] 400: indicator selection box,

[0151] 402: Mode selection box.

Claims

1. An information processing device comprising: Input agency, which accepts input on long-term goals; Obtaining from the institution an estimated future life-sustaining risk toward achievement of the long-term goal; Proposing agency, proposing short-term goals based on said presumed life-sustaining risk; as well as The display means displays the short-term goal together with the estimated life-sustaining risk for the displayed indicator.

2. The information processing device according to claim 1, The input means can input a mode or a period until the long-term goal is achieved. The proposal mechanism proposes short-term goals based on the input patterns or periods.

3. The information processing device according to claim 1, The acquisition unit calculates the estimated life support risk for a next period in consideration of the fact that the short-term goal for a certain period proposed by the proposal unit has been achieved.

4. The information processing device according to claim 1, The long-term goals are input by the patient.

5. The information processing device according to claim 1, The display means displays an estimated life support risk after a certain period of time when living with the degree of freedom indicated by the short-term goal.

6. The information processing device according to claim 1, The input mechanism has an interface capable of changing the short-term goal suggested by the proposal mechanism, The obtaining unit obtains the estimated life-sustaining risk recalculated based on the changed short-term goal, The proposing unit updates the short-term goal for a period other than the short-term goal for which the input unit has accepted a change request, based on the recalculated estimated life support risk.

7. The information processing device according to claim 1, The input unit accepts a request to change the long-term goal after the display unit displays the calculation result. The obtaining agency obtains the estimated life-sustaining risk recalculated based on the changed long-term goal, The proposing agency updates the short-term goal based on the recalculated estimated life-sustaining risk.

8. The information processing device according to claim 1, The indicator includes at least one of time or lifestyle.

9. An information processing method, The processing circuit performs the following processing: Accept input on long-term goals; obtaining a future estimated life-sustaining risk toward achievement of the long-term goal; proposing short-term goals based on the presumed life-sustaining risk; and The short-term goal is displayed along with the estimated life-sustaining risk for the displayed indicator.

10. A non-transitory computer readable medium storing a program, The program causes the processing circuit to execute the following mechanism: Accept input on long-term goals; obtaining a future estimated life-sustaining risk toward achievement of the long-term goal; proposing short-term goals based on the presumed life-sustaining risk; and The short-term goal is displayed along with the estimated life-sustaining risk for the displayed indicator.

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