Information processing apparatus, information processing method, and program
Patent Information
- Application Number
- JP2023143146
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Filing Date
- 2023-09-04
- Publication Date
- 2025-03-14
Smart Images
Figure 2025035846000001_ABST
Abstract
Description
[Technical field]
[0001] The embodiments disclosed in this specification and the drawings relate to an information processing device, an information processing method, and a program. [Background technology]
[0002] Home nursing is required to support the realization and maintenance of the lifestyle that clients desire. For this reason, it is desirable for home nursing to have a balanced perspective from both the medical perspective and the client's perspective. For example, it is undesirable for patients and their families to end up living a lifestyle that they or their families do not desire by prioritizing treatment and medical care so as not to worsen illnesses or injuries.
[0003] For example, providing nursing care to a client can be achieved by implementing a method that includes the repetition of the following steps: (1) assessment, which involves collecting and analyzing information; (2) nursing diagnosis, which involves identifying problems and their causes from the results of the assessment; (3) nursing plan, which involves formulating goals for solving the problems and plans for reaching the goals; (4) nursing intervention, which involves carrying out care based on the nursing plan; and (5) nursing evaluation, which involves evaluating the results of the care provided and whether it was effective in achieving the goals.
[0004] Conventionally, there are known technologies that automatically create a standard home nursing plan by inputting an assessment into a flow chart format as a nursing plan, and technologies that use artificial intelligence (AI) based on a database that accumulates home nursing plans to automatically extract and propose multiple plan goals, problems, and solution options that match the user.
[0005] As mentioned above, there is technology that can suggest standard problems, goals, and plans based on the user's current condition. However, it is difficult to estimate whether the plan is balanced between medical and user perspectives, whether the goals are achievable, and how long it will take to achieve them. [Prior art documents] [Patent documents]
[0006] [Patent Document 1] JP 2008-541249 A Summary of the Invention [Problem to be solved by the invention]
[0007] One of the problems to be solved by the embodiments disclosed in this specification and the drawings is to propose a nursing plan that considers the user's perspective as well as 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 problems. Problems corresponding to the effects of each configuration shown in the embodiments described later can also be positioned as other problems. [Means for solving the problem]
[0008] An information processing device according to an embodiment includes an input means, an acquisition means, a proposal means, and a display means. The input means accepts input of a long-term goal. The acquisition means acquires an estimated future life support risk toward achieving the long-term goal. The proposal means proposes a short-term goal based on the estimated life support risk. The display means displays the short-term goal together with the estimated life support risk for a displayed index. [Brief description of the drawings]
[0009] [Figure 1] FIG. 1 is a block diagram illustrating an information processing apparatus according to an embodiment. [Diagram 2] FIG. 2 is a diagram illustrating an example of input / output of an information processing device according to an embodiment. [Diagram 3] 10 is a flowchart showing an example of processing of an information processing device according to an embodiment. [Figure 4] FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Diagram 5] FIG. 2 is a diagram illustrating an example of processing by an information processing apparatus according to an embodiment. [Figure 6]FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Figure 7] FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Figure 8] FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Figure 9] FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Figure 10] FIG. 2 is a diagram illustrating an example of processing by an information processing apparatus according to an embodiment. [Figure 11] FIG. 13 is a diagram showing an example of a display of an information processing device according to an embodiment. [Figure 12] FIG. 2 is a diagram illustrating an example of processing by an information processing apparatus according to an embodiment. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0010] Hereinafter, an embodiment will be described with reference to the drawings. In the present disclosure, in a form in which information processing by software is specifically realized using hardware resources, 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 various data in this specification and the drawings, data mainly used by an information processing device is typically digital data.
[0011] In home care, nurses repeatedly perform tasks such as observing the patient's physical and mental condition, drawing up a home care plan, providing care, confirming the next visit schedule, completing the home care record and sharing information, and creating and revising the home care plan and home care report. Observing the patient's physical and mental condition involves measuring vital signs and carrying out a physical assessment to extract any physical findings that require nursing intervention, as well as observing the patient's mental condition and the recuperation environment. Drawing up a home care plan involves setting goals for the patient based on their wishes, and extracting any areas that may require nursing intervention based on the information obtained during the first visit.
[0012] In this disclosure, in this home nursing, the long-term goal is the lifestyle desired by the patient who is the user, and a short-term goal including the degree of freedom in life and the period for which the activity will be continued is proposed by obtaining an estimated future life support risk toward achieving this long-term goal. The estimated life support risk is the risk to which a patient with an actual illness is exposed, in other words, the risk of putting their life at risk, and must be obtained for each patient.
[0013] In the present disclosure, this estimated life support risk is used as a relative indicator to obtain short-term goals relative to long-term goals, and various indicators and targets that, by achieving the short-term goals, will ultimately enable the achievement of the long-term goal.
[0014] 1 is a block diagram showing a schematic diagram of an information processing device according to an embodiment. The information processing device 1 includes an input unit 10, a memory unit 20, a processing unit 30, and an output unit 40. Although not shown, the information processing device 1 may further include a power source that supplies power to each component and a control unit that controls each component. The information processing device 1 is a device that receives a request from a patient and sets long-term and short-term goals in home nursing.
[0015] The input unit 10 has an interface that accepts input from a patient. The input unit 10 may also have an interface that receives data from an external source. For example, a patient can input information such as a desired lifestyle to the information processing device 1 via the input unit 10. If the patient is unable to input information directly, a third party such as a doctor, nurse, or caregiver may be able to input the patient's requests. When a third party inputs information, it is desirable that the patient's requests are input only from the patient's perspective, not from a medical perspective.
[0016] That is, the input unit 10 may operate as an input means in the information processing device 1 and may be configured to include an input interface.
[0017] The memory unit 20 stores data and the like necessary for the operation of the information processing device 1. When information processing by software is specifically realized by the processing unit 30 which is hardware, the memory unit 20 may store programs, executable files, and the like related to this software. The memory unit 20 may have a volatile or non-volatile memory circuit as at least a part thereof.
[0018] In addition, in the figure, the information processing device 1 is configured to include a storage unit 20, but this is not limited to the above, and a storage device separate 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 acquire necessary data stored in the storage device via the input unit 10, and transmit data to be stored in the storage device to the storage device via the output unit 40.
[0019] That is, the memory unit 20 operates as a memory means in the information processing device 1 or as a memory means of a system including the information processing device 1.
[0020] The processing unit 30 includes a processing circuit that executes various information processes 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 means in this embodiment, and can execute at least the means of a risk acquisition means 300 and a short-term goal proposal means 302.
[0021] The risk acquisition means 300 acquires future estimated life support risks for achieving future long-term goals based on the patient's requests received via the input unit 10. For example, in response to information such as a desired lifestyle and desired appearance input by the patient, the risk acquisition means 300 acquires, as estimated life support risks, the extent and type of risks that may occur by living such a lifestyle and desired appearance.
[0022] The processing unit 30 presents the patient with the degree of freedom in life as a long-term goal, for example, on the display unit of the output unit 40. The degree of freedom in life may be based on, for example, ADL (Activities of Daily Living). The patient inputs, from the patient's perspective, what level of freedom in life they would like to live, via the input interface of the input unit 10. The degree of freedom in life is displayed, for example, as a bar, and the patient uses a slide bar to input to the information processing device 1 what level of freedom they would like to live with. Note that the above operations may be assisted by other users, such as medical personnel, rather than the patient.
[0023] The risk acquisition means 300 acquires an estimated life support risk based on the degree of freedom in life that the patient desires, acquired from the patient.
[0024] The short-term goal suggestion means 302 proposes a short-term goal based on the estimated life support risk acquired by the risk acquisition means 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 care, the short-term goal is a goal that the patient should preferably achieve in a shorter period than the period of the long-term goal in order to achieve the long-term goal. In other words, it shows an indicator that the long-term goal can be achieved by achieving the proposed short-term goal over time.
[0025] The short-term goal suggestion means 302 suggests a short-term goal based on, for example, the input long-term goal and knowledge data based on a medical viewpoint. The short-term goal suggestion means 302 suggests a short-term goal at the current time based on, for example, the current condition of the patient. The short-term goal suggestion means 302 suggests the short-term goal as, for example, the degree of freedom in life.
[0026] By acting on this short-term goal of freedom in life, patients can increase the likelihood of achieving their desired long-term goals.
[0027] The output unit 40 operates as an output means. For example, the output unit 40 may include a user interface that outputs to a user, or as another example, a communication interface that transmits data to the outside via communication. As a non-limiting example, the output unit 40 may include a display as a display means, a stereo as an audio output means, etc.
[0028] The output unit 40 can output (display) an indicator indicating the short-term goal together with the estimated life support risk.
[0029] By using input and output at the input unit 10 and the output unit 40, the information processing device 1 can interactively set long-term goals for the patient from the patient's perspective, present estimated life support risks from a medical perspective, and set short-term goals.
[0030] FIG. 2 is a diagram showing an example of data input and output by the information processing device 1. In this example, diet is defined as an index for setting long-term and short-term goals. The degrees of freedom using diet as an index are shown in a table at the bottom of the figure. For example, degree of freedom 1 is "diet under strict salt and water control (liquid diet only)," and degree of freedom 2 is "diet under strict salt and water control (soft solids included)," showing what kind of diet can be taken for each degree of freedom.
[0031] The patient sets a long-term goal based on, for example, the degree of freedom regarding food shown in the lower part of the drawing. The output unit 40 as a display means displays a bar showing the estimated life support risk for the degree of freedom using food as an index as shown in the upper part of the drawing, and a button showing 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 this slide bar.
[0032] If the long-term goal is a freedom of 5, meaning that "the patient is required to control salt intake but has freedom in menu planning," the patient inputs the long-term goal by moving the button indicating the long-term goal to the 5 area.
[0033] The slide bar indicating the degree of freedom is updated from a medical perspective based on the patient's current condition. That is, the state of the slide bar is changed by 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 suits his / her needs based on the current state of the slide bar. Also, the patient can set a long-term goal that he / she wishes to achieve regardless of the state of the slide bar.
[0034] When the long-term goal is input, the processing unit 30 calculates and obtains the estimated life support risk for the period for which the short-term goal is to be output, and the short-term goals for each period, and outputs them.
[0035] FIG. 3 is a flowchart showing an example of processing of the information processing device 1 according to an embodiment.
[0036] The risk acquiring means 300 calculates the current life support risk from 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 or the like, or may be acquired automatically 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 acquiring means 300 can also acquire the current life support risk based on the long-term or short-term goals up to the last time.
[0037] The information processing device 1 receives an input from a 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 patient wishes to achieve. The information processing device 1 can also receive an input of a period for achieving the long-term goal together with the long-term goal.
[0038] The user may also include a medical professional such as a nurse. In this case, the information processing device 1 can receive input about the current symptoms of the patient. Furthermore, the information processing device 1 can receive information about nursing interventions together with the symptoms from the nurse.
[0039] Each input method will be described in detail in the embodiments described later.
[0040] The short-term goal proposing means 302 divides the period for achieving the long-term goal into periods shorter than this period, and obtains the calculable estimated life support risk and short-term goal for each divided period (S14).
[0041] A short-term goal is a goal that is desirable to achieve for each period, and is an indicator for aiming at the achievement of a long-term goal by accumulating these short-term goals for each period. The short-term goal proposing means 302 sets a short-term goal for each divided period that can achieve the long-term goal, and obtains, as an estimated life support risk, what the life support risk for the next period will be if this short-term goal is achieved.
[0042] As an example, the short-term goal proposal means 302 sets a short-term goal for a first period based on the current life support risk. Next, when this short-term goal is achieved, the short-term goal proposal means 302 calculates an estimated life support risk for the next period and sets a short-term goal based on this estimated life support risk. The short-term goal proposal means 302 repeatedly executes the calculation of the estimated life support risk and the setting of the short-term goal so that the long-term goal can be achieved.
[0043] The processing unit 30 displays the estimated life support risks and short-term goals for each period thus sequentially obtained on the output unit 40 (S18).
[0044] The user can easily understand what short-term goals need to be achieved in order to achieve the long-term goal by looking at the display on the output unit 40. In this way, the information processing device 1 can obtain what short-term goals the user needs to achieve in order to achieve the long-term goal. Since the input from the patient is information from the patient's perspective, the information processing device 1 can set short-term goals that are in harmony with the medical perspective and the patient's perspective by the above processing.
[0045] Below, non-limiting examples of patient input, calculations by the processing unit 30, and output by the output unit 40 will be described through several embodiments. An example will be described in which the information processing device 1 displays and presents or suggests to the user, but similar processing can also be performed using other output means such as audio instead of display.
[0046] (First embodiment) FIG. 4 is a diagram showing an example of the display of the information processing device 1 according to an embodiment. In this example, a case is shown in which diet is set as an index of long-term and short-term goals. The processing unit 30 displays the patient's current life support risk as the top bar. In this life support risk slide bar, the patient sets the final state of the dietary style that he or she would like to have as a long-term goal. The degree of freedom in diet is expressed, for example, by the degree of freedom shown in the table of FIG. 2.
[0047] The bar representing the degree of freedom may be expressed, for example, as a color bar. A safe area of the life support risk may be blue, a dangerous area may be red, and a slide bar may be displayed in a gradation from blue to yellow, and from yellow to red. This is not limited to this, and any method may be used to show the danger level of the life support risk in a manner that is understandable to the user.
[0048] The dotted circles superimposed on the bars indicate the degrees of freedom that are short-term goals, and the solid circles indicate the degrees of freedom that are long-term goals. The same applies to the subsequent figures.
[0049] When a patient sets a long-term goal based on the life support risk of the long-term goal, the processing unit 30 calculates an estimated life support risk for each period with reference to the long-term goal, and presents a short-term goal indicating the degree of dietary freedom that is given at that estimated life support risk.
[0050] The processing unit 30 may set the patient's current life support risk and the period required to achieve the set long-term goal. As another example, the patient may input the long-term goal and the period required to achieve the goal. For example, seven months may be specified as the period required to achieve the long-term goal.
[0051] When the processing unit 30 sets the period for achieving the long-term goal, the processing unit 30 may first set the period for achievement based on the patient's current life support risk and the long-term goal, and then calculate the period for achieving the short-term goal, or may set short-term goals and the achievement periods for each short-term goal so as to achieve the input long-term goal within a safe range, and then set the final period for achieving the long-term goal.
[0052] The processing unit 30 sets and displays a short-term goal and a time period to achieve it (for example, up to one month) for the current life support risk.
[0053] Next, the processing unit 30 estimates how the life support risk will change if the set short-term goal is achieved, and obtains the estimated result as an estimated life support risk. For this estimated life support risk, the processing unit 30 calculates a short-term goal and a period (e.g., 1 to 2 months) for achieving the short-term goal, and displays them in a column below the previously displayed result. The processing unit 30 sequentially repeats these processes until the long-term goal is achieved.
[0054] In this way, the processing unit 30 obtains what the estimated life support risk will be if the short-term goal set in the previous period is achieved, and what short-term goal can be set for this estimated life support risk, and suggests this to the user via the output unit 40.
[0055] The information processing device 1 calculates the estimated life support risk for each period required to achieve the patient's desired lifestyle (e.g., diet) in the long term, sets a short-term goal based on the calculated estimated life support risk, and calculates the estimated life support risk for the next period when the short-term goal is achieved. In this way, the information processing device 1 can display the change in life support risk over time.
[0056] In the figure, the lower the period, the later the period; however, the present invention is not limited to this. Conversely, the higher the period, the later the period may be.
[0057] 5 is a diagram illustrating a process of estimating a life support risk according to an embodiment, where f is a function for calculating a symptom, and g is a function for calculating an estimated life support risk.
[0058] The function f is the relationship between the current patient symptom s0 and the predicted patient symptom s in period t-1. t-1 and the patient's degree of freedom in period t-1, a t-1 Based on these, a predicted value of the patient's condition in period t is output.
[0059] s0 is input to the information processing device 1 as the initial state. t-1 can use the output value of f in the previous period. t-1 is the degree of freedom set by the short-term goal suggestion means 302 based on the output of g in the previous period. t is, for example, a parameter for setting a short-term goal, and is obtained from the estimated life support risk. The short-term goal suggestion means 302 sets a short-term goal based on the degree of freedom obtained from the estimated life support risk and the long-term goal of the patient.
[0060] The function g is the predicted value s of the patient's condition in time period t. tBased on the life needs and the restriction items based on the degree of freedom in life, the function g outputs the estimated life support risk in the period t. That is, the function g outputs the predicted value s of the symptoms output by the function f. t Based on the constraints l, the estimated life support risk r t Output.
[0061] The restriction item l may be obtained based on a long-term goal input by the patient at an early stage, or may be input as a restriction item from a medical viewpoint by a caregiver or the like.
[0062] The processing unit 30 predicts the patient's condition for a certain period of time using the function f, and then calculates an estimated life support risk for the period of time using the function g. The processing unit 30 obtains a short-term goal based on the calculated estimated life support risk.
[0063] If the degree of freedom is expressed as an index using a numerical value as shown in Figure 2, when the processing unit 30 evaluates that, for example, if the patient maintained his / her lifestyle with the degree of freedom set as the short-term goal in the previous period, the index (value) of the estimated life-threatening risk for that degree of freedom in the next period will be lower than a predetermined threshold value, it can set the short-term goal for the next period by incrementing the degree of freedom by +1.
[0064] For example, if maintaining a life with degree of freedom 3 in Figure 2 for a certain period of time results in the value of degree of freedom 3 in the estimated life support risk for the next period of time being lower than a threshold value, the processing unit 30 can present the patient with a life with degree of freedom 4 as a short-term goal for the next period of time.
[0065] The processing unit 30 can display the estimated life support risk for each degree of freedom in the form of a bar as shown in FIG. 4, and can display the degree of freedom, which is the acquired short-term goal, superimposed on this bar. The processing unit 30 calculates the estimated life support risk for the next period, taking into account the execution of the proposed short-term goal for a certain period. The output unit 40 as a display means can output the estimated life support risk for each period when living with the degree of freedom indicated by the short-term goal in a form that can be understood by the user. By displaying in this manner, the patient can intuitively understand the short-term goal for each period.
[0066] In addition, the processing unit 30 t-1 , s t-1 However, the present invention is not limited to this. It is possible to calculate the variables of a desired period by considering the values of each variable not only in the period defined by t-1 but also in the period defined by 0 to t-1. The same applies to the following embodiments.
[0067] Fig. 6 shows a modified display method for the above embodiment. The information processing device 1 can display a short-term goal in a time series for a certain lifestyle index (e.g., diet) as shown in Fig. 5, and can also display short-term goals for each of a plurality of lifestyle indexes for a certain period of time as shown in Fig. 6.
[0068] For example, the information processing device 1 can prepare various displays by displaying an index selection frame 400 on the output unit 40 and selecting a desired output mode in the index selection frame 400 via the input unit 10. When there are multiple life indices, the processing unit 30 calculates in advance estimated life support risks and short-term goals for the multiple life indices, and executes processing to switch the display appropriately in response to a request from the user.
[0069] In this way, it is possible to switch to a display based on a lifestyle index that the user desires.
[0070] In addition, when outputting short-term goals for various life indices as in this embodiment, the information processing device 1 can also accept input of long-term goals for multiple life indices from the patient. The processing unit 30 can calculate an estimated life support risk based on each life index according to the long-term goals input for each, and set a short-term goal.
[0071] Furthermore, the processing unit 30 can set the estimated life support risk and the short-term goal by correlating the life indices, rather than performing an independent calculation for each life index.
[0072] Second embodiment In the first embodiment, an information processing device 1 capable of displaying a time series of a specific index and displaying short-term goals for a plurality of indexes in a certain period has been described. In this embodiment, unlike the first embodiment or in combination with the first embodiment, an example will be described in which a short-term goal is calculated and output based on a mode desired by the patient himself / herself.
[0073] 7 and 8 are diagrams showing an example of switching of the display of the information processing device 1 according to an embodiment. The information processing device 1 can set a mode until a long-term goal selected by the patient is achieved. The mode selection frame 402 is a pull-down menu for setting the mode, but may be implemented in another way, such as a radio button. The information processing device 1 can receive a mode from the patient via the input unit 10.
[0074] Figure 7 shows an example of a display with a focus on risk. The risk-focused mode is a mode that the patient can select, in which the degree of freedom is lowered to a range where the risk of survival is low, short-term goals are set, and the degree of freedom is increased while waiting for functional recovery. For example, compared to Figure 4, the short-term goals are set in a region that is closer to safety.
[0075] In this mode, the processing unit 30, for example, selects a degree of freedom in an area where the life support risk is safe, and calculates an estimated life support risk for the next period based on the degree of freedom selected as the short-term goal. Then, the processing unit 30 sets the next short-term goal based on the estimated life support risk. The processing unit 30 can select a degree of freedom that is safe in the estimated life support risk, and set it as the next short-term goal. By repeating this process, a short-term goal and an estimated life support risk for each period are obtained.
[0076] In the case of the risk-focused mode, it may happen that the long-term goal is not achieved in the final period displayed in the time series, as shown in Figure 7. In such a case, it is possible to display the fact that the likelihood of achieving the goal is low.
[0077] Fig. 8 is a diagram showing a state in which the mode selection frame 402 is switched to the life-priority mode in the state of Fig. 7, or a diagram showing a state in which a long-term goal is input as the life-priority mode. As shown in Fig. 8, in the life-priority mode, the processing unit 30 increases the degree of freedom of life to a range where the life-support risk is medium, and increases the degree of freedom according to functional recovery and outputs it. The estimated life-support risk and the short-term goal are set in the same manner as above, but the region of the degree of freedom that can be set as the short-term goal can be on the side of higher risk.
[0078] The processing unit 30 can set short-term goals in a wider range in order to achieve the long-term goal. The processing unit 30 can set short-term goals for each period that can fully achieve the long-term goal while increasing the degree of freedom in life, for example. In this mode, short-term goals that increase the degree of freedom in life can be set, although there is some risk involved.
[0079] As described above, according to this embodiment, the information processing device 1 can set short-term goals depending on the mode specified by the patient. Although the risk-prioritized / life-prioritized modes have been described above, the modes are not limited to these. For example, there may be an athlete mode, a leisurely mode, and other modes. In addition, when changing the mode related to the attributes of the patient, such as the athlete mode, the method of calculating the estimated life risk in the processing unit 30 may be changed.
[0080] Third embodiment In addition to the above-mentioned embodiments, the information processing device 1 may be configured to propose nursing problems and nursing goals according to the risk of life support and freedom of living. For example, when it is difficult to achieve the long-term goal input by the patient, the information processing device 1 may present appropriate advice.
[0081] 9 is a diagram showing an example of a display of the information processing device 1 according to an embodiment. The processing unit 30 can determine that the long-term goal input by the patient cannot be achieved. In this case, the processing unit 30 can suggest to the nursing staff to propose a change in the treatment policy to consult with the patient, family, etc. about reviewing the goal for a lifestyle with a high estimated life support risk and low degree of freedom for the goal, for example. The information processing device 1 may notify the nursing staff, etc. of this suggestion.
[0082] The calculation of the estimated life support risk can be understood as the implementation of care according to the nursing care plan proposed as an input. In this case, the information processing device 1 can receive input of nursing intervention by a caregiver. The processing unit 30 can set a short-term goal by reflecting the alleviation and improvement of symptoms by the nursing intervention in the estimated life support risk.
[0083] The information processing device 1 can also suggest nursing interventions by caregivers, and can also suggest estimated life support risks for the next period if the suggested nursing interventions are implemented, as well as short-term goals and nursing interventions.
[0084] FIG. 10 is a block diagram of this calculation. If a nursing intervention occurs in a certain period t-1, the function f is calculated based on the number of nursing interventions n t-1 reflects the patient's symptoms in the next period t. t And this symptom s t Based on this, the processing unit 30 is able to calculate the estimated life support risk and short-term goals.
[0085] For example, the following nursing intervention may be considered: If the nursing problem is that a stroke patient is malnourished, the nursing goal is set to maintain the physical strength required for rehabilitation through diet. This can be set as the initial input.
[0086] Based on the estimated risk of survival, it is determined that the patient should not eat for one month from now, and should be managed with intravenous nutrition. If the required amount of nutrition is not administered, enteral nutrition can be used in combination. To restore chewing and swallowing functions, massage by a caregiver or the patient himself / herself may be suggested. Taking this nursing intervention into account, the processing unit 30 executes the calculation for the next period.
[0087] By this calculation, an estimated life support risk for the next period is calculated, and a short-term goal is set based on this estimated life support risk. If it is determined that the long-term goal cannot be achieved even when the nursing intervention for the previous period is taken into consideration, the processing unit 30 proposes nursing intervention together with the short-term goal for the next period.
[0088] In the above example, in the next period of 1 to 2 months, the chewing and swallowing functions are declining, so it is possible to suggest that the food be adjusted in its form. In this form adjustment, the amount of water added is high, resulting in low nutritional value per unit weight, so it is also possible to suggest the use of enteral nutrition. In some cases, it is also possible to suggest to the caregiver (and / or the patient) that massage and rehabilitation be performed to restore chewing and swallowing functions, as in the previous period.
[0089] As described above, according to the present embodiment, it is possible to propose nursing interventions by nurses in addition to short-term goals to be achieved by the patient. By proposing such nursing interventions, it is possible to generate a more flexible plan for achieving long-term goals.
[0090] (Fourth embodiment) In each of the above-described 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. The information processing device 1 can also accept changes to the long-term goals from the patient while showing the display to the patient, and calculate and output the estimated life support risk and short-term goals based on the accepted changes.
[0091] 11 is a diagram showing an example of the display of the information processing device 1 according to an embodiment and the reception of input. The information processing device 1 displays a long-term goal, an estimated life support risk, and a short-term goal by calculation based on any one of the embodiments or a combination of a plurality of embodiments described above.
[0092] The information processing device 1 can accept a change in the long-term goal or short-term goal from the patient via the input unit 10. For example, as shown in Fig. 11, the information processing device 1 can accept a change in the long-term goal from the patient, as a non-limiting example, a request to move a cursor 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, and update and output the display on the output unit 40.
[0093] Similarly, the information processing device 1 can receive a change in the short-term goal from the patient, such as a request to move a cursor set as the short-term goal, as a non-limiting example, via the input unit 10. When the processing unit 30 detects that the short-term goal has been changed via the input unit 10, it recalculates the settings of the estimated life support risk and short-term goal from the long-term goal to the relevant short-term goal, and the settings of the estimated life support risk and short-term goal after the short-term goal changed by the patient, and updates the display on the output unit 40.
[0094] If it is determined that the long-term or short-term goal specified for the patient will ultimately be difficult to achieve, the processing unit 30 can display on the output unit 40 that it is difficult to achieve the long-term goal and / or that nursing intervention will be required to achieve the long-term goal, and if nursing intervention is required, can recalculate and display the estimated life support risk and short-term goal settings after the nursing intervention is performed.
[0095] 12 is a diagram showing an example of processing of the information processing device 1 according to an embodiment. The processing unit 30 receives a change request from the patient via the input unit 10 with respect to the displayed output unit 40. When the processing unit 30 receives a change request from the patient, it changes the life freedom a0 to a1 as a long-term goal or a short-term goal that is being output. n (n is the number of short-term goals to be output) n The processing unit 30 passes the symptom s reflecting the change from the patient to the function f together with other necessary information. t Calculate this symptom s t Based on this, the subsequent calculations are performed.
[0096] As a result, the symptoms, estimated life support risk, and short-term goals are sequentially recalculated and appropriately output based on the long-term goals and short-term goals for which the patient's change request has been received. As described above, according to this embodiment, the information processing device 1 can receive a change request from the patient for the short-term goals presented to the patient, and recalculate and output the estimated life support risk and short-term goals for the received change request. As a result, the patient can more flexibly reflect his or her own requests in the nursing care plan.
[0097] In the above embodiment, the input interface can be realized by a trackball for performing various settings, a switch button, a mouse, a keyboard, a touch pad for performing input operations by touching the operation surface, a touch screen in which a display screen and a touch pad are integrated, a non-contact input circuit using an optical sensor, and a voice input circuit. The input interface is connected to a control circuit, and converts an input operation received from an operator into an electrical signal and outputs it to the control circuit. Note that in this specification, the input interface is not limited to only those having physical operation parts such as a mouse and a keyboard. For example, an electrical signal processing circuit that receives an electrical signal corresponding to an input operation from an external input device provided separately from the device and outputs the electrical signal to the control circuit is also included as an example of the input interface.
[0098] In the above embodiment, each processing function of the information processing function is recorded in the storage circuit in the form of a program executable by a computer. The processing circuit may include a processor. For example, the processing circuit reads the storage circuit from the program and executes it to realize the function corresponding to each program. In other words, the processing circuit in the state in which each program is read has each function shown in the processing circuit shown in the drawing. Note that in the drawing, each processing function is described as being realized in a single processor, but a processing circuit may be configured by combining multiple independent processors, and each processor may execute a program to realize the function. Also, in the drawing, a single storage circuit is described as storing a program corresponding to each processing function, but a configuration may be adopted in which multiple storage circuits are distributed and the processing circuit reads out the corresponding program from each storage circuit.
[0099] In the above description, an example in which the "processor" reads out and executes a program corresponding to each function from a storage circuit has been described, but the embodiment is not limited to this. The term "processor" can mean, for example, a central processing unit (CPU), a graphics processing unit (GPU), an application specific integrated circuit (ASIC), a programmable logic device (e.g., a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA)). When the processor is, for example, a CPU, the processor realizes a function by reading out and executing a program stored in a storage circuit. On the other hand, when the processor is an ASIC, instead of storing a program in a storage circuit, the function is directly incorporated as a logic circuit in the circuit of the processor. Note that each processor in the present embodiment is not limited to being configured as a single circuit for each processor, and may be configured as a single processor by combining multiple independent circuits to realize the function. Furthermore, multiple components in the drawings may be integrated into one processor to realize the functions thereof.
[0100] According to at least one of the embodiments described above, a nursing care plan can be created from the patient's perspective.
[0101] Although some embodiments have been described, 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 forms, and various omissions, substitutions, modifications, and combinations of embodiments can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope of the invention and its equivalents as described in the claims, as well as in the scope and spirit of the invention. [Explanation of symbols]
[0102] 1: Information processing device; 10: Input section, 20: Memory section, 30: Processing section, 300: Risk acquisition measures; 302: Short-term goal proposal means, 40: Output section, 400: Indicator selection box, 402: Mode selection frame,
Claims
1. An input means for accepting an input of a long-term goal; obtaining a future estimated life support risk toward achieving said long-term goal; A suggestion means for suggesting a short-term goal based on the estimated life support risk; A display means for displaying the short-term goal together with the estimated life support risk for the displayed index; An information processing device comprising:
2. The input means is capable of inputting a mode or a period until the long-term goal is achieved, The suggestion means suggests a short-term goal based on the input mode or period. The information processing device according to claim 1.
3. The acquisition means calculates the estimated life support risk in a next period, taking into account that the short-term goal in a certain period proposed by the proposal means has been achieved. The information processing device according to claim 1.
4. The long-term goal is input by the patient. The information processing device according to claim 1.
5. The display means displays a display based on an estimated life support risk after a certain period of time has elapsed if the patient lives with the degree of freedom indicated by the short-term goal. The information processing device according to claim 1.
6. the input means has an interface capable of changing the short-term goal presented by the suggestion means, The obtaining means obtains a recalculated estimated life support risk based on the changed short-term goal; The suggestion means updates the short-term goal for a period other than the short-term goal for which the input means has accepted a change request, based on the recalculated estimated life support risk. The information processing device according to claim 1.
7. the input means accepts a request to change the long-term goal after the display means displays the calculation result; The obtaining means obtains a recalculated estimated life support risk based on the changed long-term goal; The suggestion means updates the short-term goal based on the recalculated estimated life support risk. The information processing device according to claim 1.
8. The indicators include at least one of time or lifestyle; The information processing device according to claim 1.
9. The processing circuitry Accepts input of long-term goals, Obtaining an estimated future life support risk to achieving said long-term goal; proposing short-term goals based on said estimated life support risk; Displaying the short-term goal together with the estimated life support risk for the displayed index. Information processing methods.
10. The processing circuit includes: Accepts input of long-term goals, Obtaining an estimated future life support risk to achieving said long-term goal; proposing short-term goals based on said estimated life support risk; Displaying the short-term goal together with the estimated life support risk for the displayed index. A program that executes a means.
Citation Information
Patent Citations
Prevention module to avoid illness by calculating and displaying risk status
JP2008541249A