Nursing care support device, nursing care support method, and nursing care support program

Abstract

A care support device is provided that makes it possible to accurately and comprehensively grasp the condition of a person being supported for each implementation period of a continuously repeated care plan. [Solution] The care support device includes a reception unit that receives the designation of a course, which is a period from when care support for the supported person is considered to the end of the care support, an assignment unit that assigns an identifier that identifies the course to each of multiple pieces of information about the supported person obtained during the course, a memory control unit that stores the multiple pieces of information with the identifiers assigned in a memory device, and an output unit that extracts from the memory device and outputs the multiple pieces of information assigned with identifiers for the designated course designated by the user.

Description

[Technical Field]

[0001] The present invention relates to a care support device, a care support method, and a care support program. [Background technology]

[0002] In response to the social issue of rising social security costs due to the rapid increase in the elderly population, emphasis has shifted from the traditional nursing care style to the concept of independent living support nursing care, and there has been an active movement to promote independent living support and nursing care prevention. Independent living support nursing care is nursing care that supports recipients, such as elderly people who require nursing care, so that they can live independently in the communities they are familiar with. Independent living support nursing care does not simply compensate for some of the difficulties recipients face in their daily lives. The key point of independent living support nursing care is not only to improve physical and mental functions, but also to promote increased activity and achieve a balanced improvement of "physical and mental functions / structure," "activity," and "social participation" so that people can live with a sense of purpose and fulfillment in their communities.

[0003] Traditional nursing care, based on the idea of ​​compensating for everyday problems, typically meant that the recipient would continue to receive nursing care support. As a result, once a nursing care plan was formulated and implemented, it was often continued without appropriate review. On the other hand, independent living support nursing care, based on the idea of ​​helping elderly people regain their independence, requires regular checks to ensure that the individual supports being implemented according to the care plan are appropriate for the recipient's condition. If there is no improvement in the recipient's physical functions or structure, or if they are particularly deteriorating, it is important to accurately assess the recipient's condition and review the individual support contents of the care plan.

[0004] In order to correctly assess the condition of a person receiving support, it is important that various information about the person receiving support is properly managed. For example, in the support system disclosed in Patent Document 1, a system of an institution that creates a care plan for a person requiring care and a system of an institution that provides care services to the person requiring care based on the care plan are connected via a network, and various information is managed in a unified manner. [Prior art documents] [Patent documents]

[0005] [Patent Document 1] Japanese Patent Application Laid-Open No. 2000-3404 Summary of the Invention [Problem to be solved by the invention]

[0006] The support system disclosed in Patent Document 1 consolidates and manages information about the support recipient accumulated by many parties involved in care support. However, the individual information simply accumulates, and is insufficient to capture changes in the support recipient's condition. In other words, as described above, in independent living support-type care, it is necessary to regularly check whether the individual support provided according to the care plan is appropriate for the support recipient's condition. To do this, it is important to properly understand changes in the support recipient. However, each piece of information about the support recipient only includes the date and time the information was generated, which makes each piece of information too discrete from the perspective of comprehensively understanding the support recipient's changes. In independent living support, periodic review of the care plan is essential, and this requires accurate understanding of how the support recipient's condition has changed, or not changed, as a result of each support based on the care plan. However, for example, if old date and time information is attached to a patient's condition information that should be up-to-date, it may be difficult to determine whether the information is still valid or has remained unchanged. Reviewing the care plan based on such uncertain information may lead to misdirection of independent living support. Therefore, in supporting independence, it is extremely important to accurately and comprehensively understand the condition of the person being supported during each period of implementation of the continuously repeated care plan. was difficult.

[0007] The present invention has been made to solve such problems, and provides a care support device, etc. that makes it possible to accurately and comprehensively grasp the condition of the person being supported for each period during which a continuously repeated care plan is implemented. [Means for solving the problem]

[0008] A first aspect of the present invention provides a care support device that includes a reception unit that receives the designation of a course, which is a period from when care support for a person being supported is considered to when the care support is completed, an assignment unit that assigns an identifier that identifies the course to each of a plurality of pieces of information about the person being supported that is acquired during the course, a memory control unit that stores the plurality of pieces of information with the assigned identifiers in a memory device, and an output unit that extracts and outputs from the memory device the plurality of pieces of information with the assigned identifiers for the designated course designated by the user.

[0009] In this way, by assigning an identifier to each piece of information about the person being supported, based on a "season," which is a period from when care support is considered to when care support ends, when looking back on the condition of the person being supported later, it is possible to extract and aggregate the information related to each season.

[0010] In the above-mentioned care support device, the plurality of pieces of information may include at least condition information of the support recipient, care plan information including support content and an implementation plan of the support content, individual training plan information created based on the care plan information, and performance information. These pieces of information play an important role in comprehensively understanding the condition of the support recipient.

[0011] Furthermore, when the output unit displays a plurality of pieces of information to which an identifier for a designated course is assigned on the display unit, the output unit may display, on the display unit, information that has changed from information to which an identifier for a course prior to the designated course is assigned, in a manner that makes it possible to distinguish the information from other information and to visually recognize it. By displaying the information on the display unit in this manner, it becomes easier to grasp changes in the condition of the supportee.

[0012] Furthermore, at least some of the plurality of pieces of information may include date and time information relating to the date and time of creation of the information, and the output unit may select which of the plurality of pieces of extracted information to output based on a specified date and time designated by the user. Although pieces of related information are not necessarily created on the same day, if they share a common season identifier, it is possible to select and provide information that is closest to the specified date and time, provided that they have the identifier.

[0013] The receiving unit may also be configured to receive a reason for termination when receiving a designation to terminate a course, the assigning unit assigns an identifier that identifies the course to the reason for termination, and the storage control unit may be configured to store the reason for termination in the storage device as one of multiple pieces of information. Storing the reason for termination for each course in this way is effective when formulating a care plan for a later course.

[0014] Furthermore, multiple pieces of information to which identifiers have been assigned may be stored in two or more storage devices in a distributed manner according to their respective attributes. Although the accumulation of information itself is often performed by the parties involved in the generation of the information, as long as each piece of information is assigned an identifier, the output unit can appropriately extract the target information, so a conventional system configuration is acceptable.

[0015] In addition, the assigning unit may copy the information to which an identifier for the past season, which is a season prior to the current season, is assigned and overwrite the identifier for the current season with respect to the continuing information that represents the supportee in the current season. For example, although names and the like are information that do not change even when the season is updated, if it is important to aggregate the information of the supportee in units of seasons, it is preferable that even such information be managed separately for each season.

[0016] Alternatively, the assigning unit may assign an identifier for the current season to information that has been assigned an identifier for a past season that is a season prior to the current season, and for continuing information that also represents a support recipient in the current season, in addition to information that has been assigned an identifier for the past season.If identifiers corresponding to each season are assigned to information that continues across seasons, this contributes to reducing data volume, etc.

[0017] In addition, a care support method using a care support device in a second aspect of the present invention includes a reception step in which a reception unit receives a designation for the start of a course, which is a period from when care support for the supported person is considered to the end of the care support, an assignment step in which an identifier identifying the course is assigned to each of a plurality of pieces of information about the supported person obtained until the reception unit receives the designation for the end of the course, a storage step in which each of the plurality of pieces of information assigned with an identifier is stored in a storage device, and an output step in which a plurality of pieces of information assigned with an identifier for the designated course designated by the user from the storage device is extracted and output.

[0018] In addition, the care support program in a third aspect of the present invention causes a computer to execute the following steps: a reception step in which a reception unit receives a designation for the start of a course, which is a period from when care support for the supportee is considered to the end of the care support; an assignment step in which an identifier identifying the course is assigned to each of multiple pieces of information about the supportee obtained until the reception unit receives the designation for the end of the course; a storage step in which each of the multiple pieces of information assigned with an identifier is stored in a storage device; and an output step in which a plurality of pieces of information assigned with an identifier for the designated course designated by the user from the storage device is extracted and output.

[0019] Even in the second and third modes, as in the first mode, when reviewing the condition of the supportee later, it is possible to extract and aggregate relevant information on a course-by-course basis. [Effects of the Invention]

[0020] The present invention can provide a care support device etc. that makes it possible to accurately and comprehensively grasp the condition of a person being supported for each implementation period of a continuously repeated care plan. [Brief explanation of the drawings]

[0021] [Figure 1] FIG. 1 is a diagram schematically illustrating a situation in which a care support server according to an embodiment of the present invention is used. [Figure 2]FIG. 2 is a diagram illustrating a main hardware configuration of a care support server. [Figure 3] FIG. 2 is a diagram illustrating a main hardware configuration of a linkage terminal used in linkage with a care support server. [Figure 4] This is a diagram that schematically shows the process carried out for each support recipient over one course of time and the various information acquired about the support recipient over time. [Figure 5] FIG. 10 is a diagram showing an example of a UI screen displaying a list of support recipients. [Figure 6] FIG. 10 is a diagram showing an example of a UI screen for registering a new support recipient. [Figure 7] FIG. 10 is a diagram showing an example of a UI screen displaying basic information of a registered support recipient. [Figure 8] FIG. 10 is a diagram showing an example of a UI screen that supports the acquisition of status information of a support recipient. [Figure 9] FIG. 10 is a diagram showing an example of a UI screen that supports the acquisition of further related state information. [Figure 10] FIG. 10 is a diagram showing an example of a UI screen displaying a list of state information to which identifiers for the first course have been assigned. [Figure 11] FIG. 10 is a diagram showing a list of information to which an identifier for identifying a course is assigned. [Figure 12] FIG. 10 is a diagram illustrating an example of a UI screen for ending a course currently being conducted. [Figure 13] FIG. 10 is a diagram showing an example of a UI screen in which assessment information for a specified course is displayed categorized into ICF categories. [Figure 14] FIG. 10 is a diagram showing an example of a UI screen in which changes in a target course relative to a previously specified course are visually displayed. [Figure 15] FIG. 10 is a diagram showing an example of a UI screen that allows acquisition of current status information of a support recipient while referring to assessment information for a specified past course and specified date and time. [Figure 16] 10 is a flow chart showing a series of processes for assigning an identifier for identifying a course to information acquired by the care support server. FIG. DETAILED DESCRIPTION OF THE INVENTION

[0022] The present invention will be described below through embodiments of the invention, but the invention according to the claims is not limited to the following embodiments. Furthermore, not all of the configurations described in the embodiments are necessarily essential means for solving the problems. In each drawing, elements with the same reference numerals have the same or similar configurations. Furthermore, when multiple elements with the same or similar configurations exist in each drawing, some elements may be referenced with the same reference numerals, and the same reference numerals may not be used for others, in order to avoid complication.

[0023] 1 is a diagram schematically illustrating a situation in which a care support server 100 according to this embodiment is used. The care support server 100 is a care support device used to realize self-support type care that supports support recipients such as elderly people who need care so that they can live independently, and manages information about the support recipients, analyzes that information, and supports the formulation of support plans.

[0024] The care support server 100 is connected to a network 900 such as the Internet, and exchanges information and instruction commands with a linking terminal 200 operated by an administrator, a supporter, or a business operator who is a user of the care support device, via the network 900. Nursing care support involves a variety of parties. Specifically, in addition to the support recipient who receives support and the supporter such as a physical therapist who supports the support recipient, other parties involved include a care provider, a local government, a medical institution, an insurance company, and a care equipment business operator. The care support server 100 is, for example, a server managed by an administrator who is a care provider. The linking terminal 200 is a computer terminal held by each party involved in the care support, such as a laptop PC, a tablet terminal, or a smartphone.

[0025] Some parties concerned may provide services related to care support via a linking server 800, which is an independently managed server. In this case, the care support server 100 also links with such a linking server 800 via a network 900. For example, information on support recipients aggregated in the linking server 800 is transmitted to the care support server 100 in response to a request from the care support server 100 or by spontaneous processing from the linking server 800. Furthermore, in response to an instruction from the care support server 100, the linking server 800 executes processing such as assigning an identifier, which will be described later, to the aggregated information on support recipients.

[0026] In the following, an embodiment will be described in which the care support server 100 and the linking terminal 200 cooperate to execute a display process displayed on the linking terminal 200 held by the supporter and an acquisition process for acquiring the assessment result of the support recipient. In such an embodiment, the care support server 100 functions as a care support device by executing processes according to its role. At this time, the linking terminal 200 requests the care support server 100 to perform a process, or displays information acquired from the care support server 100 on a display unit in response to a request from the care support server 100. Note that the linking terminal 200 can also perform part of the processes of the care support server 100 described in the following embodiment. In that case, the linking terminal 200, together with the care support server 100, constitutes part of the care support device.

[0027] The care support server 100 can acquire various information about the support recipient via the coordination terminal 200 or the coordination server 800, or even directly from an input device or IoT device (not shown). For example, as shown in the figure, a supporter such as a physical therapist interviews the support recipient according to questions displayed on the coordination terminal 200 as part of an assessment, and inputs the answers to the coordination terminal 200. The care support server 100 acquires the assessment results thus input from the coordination terminal 200. The care support server 100 performs various processes on the acquired information and manages it. When a request is received from the coordination terminal 200, the care support server 100 extracts or processes information corresponding to the request and provides it to the coordination terminal 200.

[0028] 2 is a diagram showing the main hardware configuration of the care support server 100. The care support server 100 is mainly composed of a system control unit 110, a communication unit 140, and a storage device 150. The care support server 100 may also be equipped with a display monitor and an input device so that an administrator or the like can directly perform tasks such as inputting various information and updating programs.

[0029] The system control unit 110 is a processor (CPU: Central Processing Unit) that controls the care support server 100 and executes programs. The processor may be configured to work in conjunction with a processing chip such as an ASIC or a GPU. The communication unit 140 is responsible for connecting to the network 900 and exchanging data with the linked terminal 200 and the linked server 800, and is configured, for example, by a LAN. The communication unit 140 exchanges instruction commands and information with the network 900 under the control of the system control unit 110.

[0030] The storage device 150 is a non-volatile storage medium and is configured by, for example, an HDD (Hard Disk Drive). The storage device 150 stores various parameters used for control and calculation in addition to programs that execute control and processing of the care support server 100. The storage device 150 particularly includes a status information database 151 (hereinafter referred to as "status information DB151"), a care plan information database 152 (hereinafter referred to as "care plan information DB152"), an individual training plan information database 153 (hereinafter referred to as "individual training plan information DB153"), and a performance information database 154 (hereinafter referred to as "performance information DB154").

[0031] The condition information DB151 is a database that stores, for each support recipient, status information of the support recipient, including basic information such as name, as well as physical and mental functions obtained through assessments, the environment in which the support recipient lives, and the status of social participation, accumulated over time. The care plan information DB152 is a database that stores, for each support recipient, care plan information that is created for each course (described later) and includes support details for the support recipient and an implementation plan for the support details. The individual training plan information DB153 is a database that stores, for each support recipient, individual training plan information that is created for each course based on the care plan information and plans specific training to be performed on individual physical and mental functions. The performance information DB154 is a database that stores, for each support recipient, performance information that is collected during the period in which the care plan is implemented and indicates the performance of the individual support provided to the support recipient.

[0032] The storage device 150 does not have to be configured as a single piece of hardware. For example, a storage medium for storing the program and a storage medium for storing each database may be configured as separate pieces of hardware. Furthermore, for example, performance information may be acquired by a business that rents out nursing care equipment, and the database in which such information is accumulated may be stored in a storage device provided by a linkage server 800 of a business that manages the information. In other words, various pieces of information collected about support recipients may be stored in a distributed manner in two or more storage devices according to their respective attributes. Even if the information about a certain support recipient is distributed across two or more storage devices, for example, by searching for the support recipient's ID information from the data stored in each storage device, it is possible to collect all information about the target support recipient.

[0033] The system control unit 110 also functions as a functional calculation unit that executes various calculations in response to processing instructed by the care support program. The system control unit 110 can function, among other functions, as a reception unit 111, an assignment unit 112, a memory control unit 113, and an output unit 114. The reception unit 111 mainly accepts, via the communication unit 140, the designation of a period, which is a period from the consideration of care support for a support recipient to the completion of care support, and also accepts various information related to the support recipient. The assignment unit 112 mainly assigns an identifier identifying the period to each of multiple pieces of information related to the support recipient acquired during the period of the period. The memory control unit 113 mainly stores the information with the identifier in the storage unit 150. Depending on the attributes of the information to be stored, the information may be stored in a specified external storage device via the communication unit 140. The output unit 114 mainly extracts information with an identifier assigned for the designated period designated by the user operating the linked terminal 200 from the storage unit 150 and outputs it to the requested linked terminal 200 via the communication unit 140. If the target information is stored in an external storage device, it is extracted from the storage device and output to the linked terminal 200. The specific calculation processes of these functional calculation units will be explained step by step using examples of UI screens displayed on the display panel of the linked terminal 200.

[0034] FIG. 3 is a diagram showing the main hardware configuration of the linked terminal 200 used in cooperation with the care support server 100. Here, a case where the linked terminal 200 is a tablet terminal will be described. The linked terminal 200 is mainly composed of a terminal control unit 210, a display panel 220, a touch panel 230, a communication unit 240, and a storage unit 250. The terminal control unit 210 is a processor (CPU) that controls the linked terminal 200 and executes programs. The processor may be configured as an arithmetic processing chip such as an ASIC (Application Specific Integrated Circuit) or a GPU (Graphics Processing Unit). The terminal control unit 210 executes various processes according to instructions of a terminal control program (terminal application) that cooperates with the care support program.

[0035] The display panel 220 is an example of a display unit, and includes, for example, a liquid crystal display panel, and visibly displays a user interface screen generated by the terminal control unit 210, moving images explaining how to use the device, etc. The touch panel 230 is an input device superimposed on the display panel 220, and generates an input signal according to the position and movement of a touching fingertip. For example, the touch panel 230 accepts operations such as tapping, swiping, and pinching.

[0036] The communication unit 240 is responsible for connecting to the network 900 and exchanging data with the care support server 100, and is configured by, for example, a wireless LAN. The communication unit 240 exchanges instruction commands and information with the network 900 under the control of the terminal control unit 210.

[0037] The storage unit 250 is a non-volatile storage medium, such as a solid state drive. The storage unit 250 stores various parameter values ​​used for control and calculation, as well as programs for controlling and executing processes of the linked terminal 200. In particular, the storage unit 250 stores a CG library 251, which is a collection of graphic elements that constitute a user interface screen. The graphic elements included in the CG library 251 are read and used as appropriate according to the UI screen to be displayed.

[0038] The terminal control unit 210 also serves as a functional calculation unit that executes various calculations in response to processing instructed by the terminal control program. The terminal control unit 210 can function, in particular, as a reception unit 211, a request unit 212, and a display control unit 213. The reception unit 211 mainly receives various information and instruction commands sent from the care support server 100 via the communication unit 140, and also receives user instructions via the touch panel 230. The request unit 212 mainly requests information required in response to user instructions or processing of the terminal control program from the care support server 100 via the communication unit 140. The display control unit 213 mainly prepares information requested to be provided in response to processing of the terminal control program so that it can be viewed using graphic elements stored in the CG library 251, and displays the information on the display panel 320.

[0039] Figure 4 is a diagram showing the process for one cycle of care for each recipient and the various information acquired about that recipient over time. Here, a "cycle" refers to the period from when nursing care support for the recipient is considered to end until the end of the support. More specifically, it is the client management period, which begins when the recipient considers receiving nursing care, and includes the background to the care provider's decision on the content of the support, the actual content and progress of the support, and the end of the support, during which the care provider understands the client's condition and reconsiders the support. From the recipient's perspective, this period is the combined period of the period before, during, and after the use of nursing care support. In terms of the care management process, the pre-use period is the period during which intake, assessment, plan creation, and consent formation processes are carried out. Similarly, the use period is the period during which monitoring and service evaluation processes are repeated, and the post-use period is the period during which the process of monitoring progress after the service ends is carried out.

[0040] In one course defined in this way, four categories of data are mainly generated: the above-mentioned status information 151a, care plan information 152a, individual training plan information 153a, and performance information 154a, 154b, 154c, etc. of the support recipient. The various pieces of information constituting the status information 151a can be updated as appropriate throughout the entire period from before use to after use. The care plan information 152a and the individual training plan information 153a are generated during the period before use, particularly during the process of plan formation and consent formation. The performance information 154a, 154b, 154c, etc. are mainly generated during the use period, and depending on the support in question, updating may end during the monitoring process during use, or may continue into the period after use.

[0041] When the care support server 100 acquires each piece of information generated and updated in this way, the assigning unit 112 assigns an identifier identifying the course designated at that time to each piece of information. In the example shown in the figure, the first course is designated, and an identifier identifying the first course is assigned to the status information 151a, care plan information 152a, individual training plan information 153a, and performance information 154a, 154b, 154c, etc., which are generated and updated during this course and acquired by the care support server 100. Note that the care support server 100 in this embodiment assigns identifiers to all of these four types of information, but depending on the required specifications for the care support device, assigning an identifier to the individual training plan information and performance information may be omitted.

[0042] The identifier may be written as, for example, "first season" as one item of metadata in a data file that describes the information, or may be written in association with the file name of the data file that describes the information in a management file of a database in which the information is stored.

[0043] Next, the processes executed by the care support server 100 will be described with reference to some examples of UI screens displayed on the display panel of the linked terminal 200. Fig. 5 is a diagram showing an example of a UI screen on which a list of support recipients is displayed.

[0044] The care support server 100 can manage information on multiple support recipients in parallel. For each support recipient whose information management has already begun, items such as name, age, status, updater, update date, and time are displayed together in the information display box 510. The updater is the supporter who updated the information on the support recipient. By tapping the expansion icon 511, the user can check information on the support progress up to that point for the target support recipient.

[0045] When starting support for a new support recipient, the supporter is newly registered. When the user wants to make a new registration, the user taps the new registration button 520. The user here is assumed to be an administrator as a care provider or a supporter who assesses the support recipient. When the new registration button 520 is tapped, the screen transitions to a registration screen.

[0046] FIG. 6 shows an example of a UI screen for registering a new support recipient. The registration screen includes a user interface for inputting various basic information about the new support recipient. For example, the screen includes a date box 530, a selection button 551, radio buttons 552, and an input box 553. By tapping the calendar icon 531 in the date box 530 to expand the calendar, the user can specify, for example, the date the support recipient first visited for consultation or the date this form was created. Tapping the selection button 551 displays a pop-up with pre-prepared options, allowing the user to select one. The radio button 552 allows the user to select one of multiple options. The input box 553 allows the user to enter any character string. Through this user interface, the user can input basic information such as name and date of birth.

[0047] For example, by tapping the course start button 541 displayed as "Create first course," the user can start the first course for the support recipient. In addition, the input basic information can be generated as part of the status information 151a of the support recipient. The generated status information 151a is transmitted to the care support server 100, and an identifier indicating the first course is assigned to it and stored in the storage device 150. Note that, although an example has been shown in which the first course is explicitly started by tapping the course start button 541 displayed as "Create first course," a "registration button," for example, may be provided instead of the course start button 541, and the first course may be automatically started by tapping the "registration button."

[0048] 7 is a diagram showing an example of a UI screen displaying basic information of a registered supportee. Once the basic information of the supportee is entered and the registration is confirmed as described above, an information window 581 appears in which the basic information of the supportee is arranged, allowing the user to check the basic information of the supportee at any time.

[0049] The UI screen shown in FIG. 7 includes category tabs 570, each corresponding to "Basic Information," "Assessment," "Care Plan," "Monitoring," and "Service Evaluation." When the user taps one of the tabs, information about the support recipient corresponding to that tag can be displayed in an information window 581. For example, when the "Assessment" tab is tapped, information about the assessment of the support recipient is extracted from the status information 151a and sent from the care support server 100. In the example shown in the figure, since the current course is the "First Course," the care support server 100 extracts the status information 151a of the support recipient to which the identifier of the "First Course" has been assigned, and sends it to the linked terminal 200.

[0050] The information window 581 includes a cool-down end button 542, and the user can end the cool-down currently being carried out by tapping the cool-down end button 542. The processing associated with the end of the cool-down will be described later.

[0051] 8 is a diagram showing an example of a UI screen for supporting acquisition of status information of a supportee. Specifically, this is an example of a UI screen for a supporter to interview the supportee, particularly to understand the status of the supportee regarding the task "1-05 Cleaning" as one step of the daily activity of "cleaning."

[0052] In the assessment window 582, candidate issues such as "cannot recognize dirty areas" and "does not know how to use tools" are listed along with check boxes 554. The supporter taps on the ones that apply to the issues of the supportee to display check marks 555. Once check marks 555 are displayed on all the applicable issues, the supporter taps the OK button 543. If the supporter wishes to return to the original UI screen, the supporter taps the Cancel button 544.

[0053] Fig. 9 is a diagram showing an example of a UI screen that supports the acquisition of further related status information. Specifically, this is a UI screen that transitions when a candidate task is tapped in the assessment window 582 in Fig. 8, and is a UI screen that accepts the cause of the tapped designated task.

[0054] In the assessment window 582, multiple possible causes, such as "decrease in trunk muscle strength" and "decrease in muscle strength and extensibility," related to the issue "inability to crawl on all fours" selected on the UI screen of FIG. 8, are listed along with check boxes 554. The supporter taps on the applicable cause for the supportee to display a check mark 555. Once check marks 555 are displayed on all applicable issues, the supporter taps the OK button 543. To return to the original UI screen, the supporter taps the Cancel button 544.

[0055] The information about the assessment input by the supporter in this way is generated as part of the status information 151a of the supportee and is transmitted to the care support server 100. In the care support server 100, the assigning unit 112 assigns an identifier indicating the first course, which is the current course, to the status information 151a, and the storage control unit 113 stores the status information 151a with the identifier assigned in the storage device 150 as part of the status information DB 151.

[0056] Figure 10 shows an example of a UI screen displaying a list of status information with the first course identifier. Specifically, the issues and their causes are displayed for the daily activity "cleaning" and the process "cleaning." For completed assessments, the supporter can tap or flick the icon of the daily activity or the box of the process to display a list of the daily activity, process, issues, and causes corresponding to the operation.

[0057] The status information list screen displays a cool badge 501 indicating the cool for which the status information was generated or acquired, and a date box 530 indicating the date on which the displayed status information was generated or acquired (the date on which the assessment was conducted). In the example shown in the figure, tasks and their causes are displayed for "cleaning," and the date box 530 indicates the date on which these inputs were made. For example, if the supporter taps on the step "change posture," the task and its causes corresponding to "change posture" are displayed, and the date box 530 is updated to the date on which these inputs were made. Note that a forward indicator 561 indicates that further information continues in that direction, and when the user touches it, new hidden information is displayed.

[0058] 5 to 10, an example of the processing and UI screen of the basic information and assessment information, which are part of the support recipient's condition information, has been explained, but for category data other than the support recipient's condition information 151a, such as care plan information 152a, individual training plan information 153a, and performance information 154a, 154b, 154c, etc., processing and UI screens according to their respective characteristics are also prepared. The individual training plan information 153a and performance information 154a, 154b, 154c, etc. are also assigned identifiers indicating the season at the time they were generated and acquired, and are stored in the storage device 150.

[0059] Figure 11 shows a list of information belonging to four categories of data to which identifiers for identifying courses are assigned. For example, the data types of assessment information created in the intake process and assessment process, such as "Basic Checklist," "Interest Checklist," "Life Function Assessment / Process Analysis," "Nutrition Assessment," "Oral Assessment," and "ICF," are common to the data types of monitoring information created in the monitoring process. Such common data types can be managed as a single data file and an identifier can be assigned to that data file, or individual data files can be created and each can be assigned an identifier.

[0060] Next, the processing associated with the end of a course will be described. Fig. 12 is a diagram showing an example of a UI screen for ending an ongoing course. As also included in the UI screen in Fig. 7, a course end button 542 is displayed on a UI screen that can accept the end of a course.

[0061] When the End Program button 542 is tapped, an end window 583 pops up, prompting the user to enter a reason for ending the program. First, radio buttons 552 are arranged to select either the expiration of the support period originally planned (expiry of the plan period) or midway termination. If midway termination is selected, multiple possible reasons are listed with check boxes 554, and the user can tap to display check marks 555 on one or more possible reasons. Once the check marks 555 are displayed on the applicable possible reasons, the user taps the OK button 543. If the user wishes to return to the original UI screen, the user taps the Cancel button 544.

[0062] The reason for ending the course input by the user in this way is generated as one of the care plan information 152a of the support recipient and transmitted to the care support server 100. In the care support server 100, the assigning unit 112 assigns an identifier indicating the current course (i.e., the course to be ended) to the care plan information 152a including the reason for ending the course, and the storage control unit 113 stores the care plan information 152a to which the identifier has been assigned in the storage device 150 as part of the care plan information DB 152. By linking the reason for ending to the care plan information 152a in this way, the user can more easily evaluate the support content described as the care plan information.

[0063] Next, we will explain some examples of how information about support recipients who have been assigned identifiers that identify their coolness is utilized. Figure 13 shows an example of a UI screen in which information about the assessment of a specified coolness is displayed, categorized into ICF (International Classification of Functioning, Disability and Health) categories. ICF categories are defined by six categories: health status, physical and mental functions, activities, participation, environmental factors, and personal factors.

[0064] The user selects the season they wish to display from among the season candidates displayed in a pull-down menu that appears when the user taps display target selection button 545. In the example shown in the figure, the second season is selected as the display target.

[0065] When the second course is designated by the user, the request unit 212 of the linked terminal 200 requests assessment information assigned with an identifier for the second course from the care support server 100. The output unit 114 of the care support server 100 extracts the assessment information assigned with the identifier for the second course from the storage device 150 and outputs it to the linked terminal 200 that sent the request. When the linked terminal 200 receives the assessment information assigned with the identifier for the second course from the care support server 100, the display control unit 213 classifies the assessment information into ICF categories and displays it on the display panel 220 as shown in the figure.

[0066] Specifically, the display control unit 213 arranges ICF tabs 611 and item boxes 612 corresponding to each ICF category, and displays individual pieces of information generated and acquired during the second course of the support recipient as items 613 in the item boxes 612. Here, each of the items 613 shown in the figure is an extracted display of items that have been judged to have a negative evaluation in each category. This list display allows the user to immediately grasp the issues that the support recipient had during the second course, categorizing them by nature. Note that the items displayed are not limited to those judged to have a negative evaluation, and positive evaluations or simple reference information may also be displayed, or the user may be able to select between these.

[0067] As shown in the figure, a date included in the second period may be accepted from the user as a specified date. Information about a support recipient assigned an identifier identifying the period often includes additional information about the date and time at which the information was generated. As described above, information about some support recipients may be updated multiple times during a single period. In such cases, the information before the update is not deleted but is stored in the database as past information. As a result, multiple pieces of information of the same type but with different date and time information may exist during a single period. The user's date specification can serve as a basis for determining which information should be extracted from such information. In other words, when multiple pieces of information of the same type but with different date and time information exist within the information to be extracted, the output unit 114 of the care support server 100 refers to the accepted specified date, extracts and outputs the information with date and time information closest to the accepted specified date. In the example shown in the figure, a specified date is accepted, but a specified time may also be accepted.

[0068] Fig. 14 is a diagram showing an example of a UI screen in which changes in a target course relative to a specified past course are displayed in a visually recognizable manner. The example shown in Fig. 14 is a display example similar to the example shown in Fig. 13, but differs from the example shown in Fig. 13 in that information regarding changes relative to a past course to be compared is displayed in a visually recognizable manner distinct from other information.

[0069] The user first selects the desired season from among the season candidates displayed in a pull-down menu that appears when the user taps display target selection button 545. The illustrated example shows that the second season has been selected as the display target. Next, the user selects the season for which the user wants to check changes from among the season candidates (seasons earlier than the season selected in display target selection button 545) displayed in a pull-down menu that appears when the user taps comparison target selection button 547. The illustrated example shows that the first season has been selected as the comparison target.

[0070] The request unit 212 of the linked terminal 200 requests the care support server 100 to transmit the assessment information assigned with the second course identifier and further request differential information between the assessment information assigned with the second course identifier and the assessment information assigned with the first course identifier. The output unit 114 of the care support server 100 extracts the assessment information assigned with the second course identifier and the assessment information assigned with the first course identifier from the storage device 150. The output unit 114 compares the assessment information and outputs the differential information, which is the source of the request, to the linked terminal 200, which is the sender of the request, as differential information to be displayed on the display unit in a manner that allows information that has changed between the first and second courses to be visually distinguished from other information. When the linked terminal 200 receives the differential information between the assessment information assigned with the second course identifier and the assessment information assigned with the first course identifier from the care support server 100, the display control unit 213 classifies the differential information into ICF categories and displays it on the display panel 220 as shown in the figure.

[0071] Specifically, information that has not changed relative to the first season is displayed in the same manner as in the example of Fig. 13. Information that has changed relative to the first season, that is, information that existed in the first season but does not exist in the second season, is displayed as deleted item 613a, for example, with a cross mark against the item and deletion badge 505 so that it can be visually recognized that it has been deleted. Information that has changed relative to the first season, that did not exist in the first season but does exist in the second season, is displayed as added item 613b, for example, with a cross mark against the item and addition badge 506 so that it can be visually recognized that it has been added.

[0072] The manner in which changes are represented is not limited to these modes, and for example, a specific color display or blinking display may be adopted. Also, in the example of FIG. 14, items 613 for unchanged information are displayed, but these may not be displayed and only changed items may be displayed. Also, only deleted items 613a for deleted information may be displayed, or conversely, only added items 613b for added information may be displayed. The user may be able to select how changes are displayed. Alternatively, information to be displayed (the second course in the illustrated example) and information to be compared (the first course in the illustrated example) may simply be displayed side by side. For example, the display screen may be divided into two, with the information to be displayed on the left half and the information to be compared on the right half.

[0073] 15 is a diagram showing an example of a UI screen that allows acquisition of current status information of a support recipient while referring to assessment information of a specified past course and a specified date and time. Specifically, it shows how, in an assessment conducted in the current course (the third course in the example shown in the figure) shown in the course badge 501, information on the support recipient in the past course (the second course in the example shown in the figure) shown in the comparison selection button 547 is referred to.

[0074] When starting the assessment or during the assessment, the user, the support person conducting the assessment, taps the comparison selection button 547 to display a pull-down menu, and selects the course to be compared from the list of course candidates (the candidates are courses that preceded the current course shown in the cool badge 501).

[0075] When the supporter specifies the second course to be compared, the request unit 212 of the linked terminal 200 requests assessment information with the identifier of the second course from the care support server 100. For example, if "oral" is selected from the assessment tag 590 as shown in the figure, only assessment information related to "oral" may be requested. The output unit 114 of the care support server 100 extracts the assessment information with the identifier of the second course from the storage device 150 and outputs it to the linked terminal 200, which is the sender of the request. When the linked terminal 200 receives the assessment information with the identifier of the second course from the care support server 100, the display control unit 213 displays the answers obtained in the second course corresponding to each item in the assessment as answers to be compared, side by side in the input form for each item. Being able to refer to answers obtained in past courses in this way allows the supporter to proceed with the current assessment more smoothly. Even when presenting answers to be compared in this way, a date may be specified via the specified date box 546, as described in the example of FIG. 13 .

[0076] While the above mainly describes examples of using condition information with identifiers for each course, care plan information, individual training plan information, and performance information can also be used in a similar manner. For example, when using past data to propose candidate care plans and support content for the next course, users (such as staff at a community comprehensive support center) can refer to information from previous courses. For example, information with previous course identifiers can be used as input information, and candidate care plans and support content based on that input can be obtained as output from a rule-based or machine learning model. This method allows care plans and support content to be formulated based on reflections from previous courses, thereby increasing the likelihood of problem resolution and condition improvement. It also allows proposals based on data, regardless of staff experience. Furthermore, when used by staff at care facilities providing services as users, information from previous courses can be used to formulate candidate individual training plans for the next course, as well as the programs and instruction content included in the service.

[0077] Next, the main processing flow of the care support server 100 will be described. Fig. 16 is a flow diagram showing a series of processing flows for assigning an identifier for identifying a course to information acquired by the care support server 100. The flow starts when the care support server 100 attempts to start a new course for a specific support recipient. Note that the following flow will only explain the main processing involving identifiers, and will omit processing when information about a support recipient is simply requested in connection with the formulation of a plan, assessment, etc.

[0078] In step S101, the output unit 114 outputs information related to the list of support recipients illustrated in FIG. 5 to the linked terminal 200, and checks whether the linkage terminal 200 has requested registration of a new support recipient or whether an already registered support recipient has been specified. If registration of a new support recipient has been requested, the process proceeds to step S102, where the output unit 114 outputs the registration form illustrated in FIG. 6 to the linked terminal 200, and the reception unit 111 receives the input items. If the reception unit 111 receives a request to create a class, the process proceeds to step S104. If an already registered support recipient has been specified, the process proceeds to step S103, where the output unit 114 outputs basic information related to the specified support recipient to the linked terminal 200. If the reception unit 111 receives a request to create a class, the process proceeds to step S104.

[0079] In step S105, the reception unit 111 executes a process to start the first course for the newly registered support recipient in response to the creation of the requested course, and executes a process to start the course that is incremented from the course that has already ended for the already registered support recipient. Specifically, the reception unit 111 acquires the date and time information at that time and specifies the start time of the course.

[0080] When proceeding to step S105, if there is information to be continued for the target supportee, the assigning unit 112 executes processing for the information as continuing information. For example, for information to which an identifier for a past season before the current season is assigned, and which also represents the supportee in the current season, the assigning unit 112 copies the information and overwrites the identifier for the current season.

[0081] After step S105, the care management process linked to the course is started. In step S106, the reception unit 111 checks whether information on the target support recipient has been sent from the linked terminal 200. If such information has not been sent, the process proceeds to step S109. If such information has been acquired, the process proceeds to step S107, where the assignment unit 112 assigns an identifier that identifies the current course to the information. Subsequently, in step S108, the storage control unit 113 stores the information with the assigned identifier in the storage device 150. Thereafter, the process proceeds to step S109.

[0082] In step S109, the reception unit 111 checks whether or not the linked terminal 200 has requested information on the supportee for the specified past course. If such a request has not been received, the process proceeds to step S111. If such a request has been received, the process proceeds to step S1110, where the output unit 114 extracts information to which the identifier of the specified past course has been assigned from the storage device 150 and outputs it to the linked terminal 200. At this time, if difference information from information to which the identifier of a reference course has been assigned is required, the difference information may be extracted and output to the linked terminal 200 with a specific flag attached so that it can be displayed on the display unit in a manner that allows it to be visually distinguished from other information. Thereafter, the process proceeds to step S111.

[0083] In step S109, the reception unit 111 checks whether or not an end specification for the current course has been received. If an end specification has not been received, the process returns to step S106. If an end specification has been received, the process proceeds to step S112, where the reason for end is received. The assignment unit 112 assigns an identifier that identifies the course to be ended to the reason for end, and the memory control unit 113 stores the reason for end in the memory device 150 as one piece of information about the support recipient. The care support server 100 performs completion processing for the course, setting the date and time when the end specification was received as the end date and time of the course, and ends the series of processes.

[0084] Here, the main configurations of the care support device, the care support method, and the care support program described above will be summarized. [Appendix 1] A reception unit (111) that receives the designation of a period from the consideration of nursing care support for a support recipient to the end of nursing care support; An assigning unit (112) that assigns an identifier that identifies the course to each of a plurality of pieces of information related to the support recipient acquired during the course; a storage control unit (113) that stores the plurality of pieces of information to which the identifiers have been assigned in a storage device (150); an output unit (114) that extracts from the storage device and outputs the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses; A care support device (100) comprising: [Appendix 2] The care support device of claim 1, wherein the plurality of pieces of information include at least status information (151a) of the person being supported, care plan information (152a) including support content and an implementation plan for the support content, individual training plan information (153a) created based on the care plan information, and performance information (154a, 154b, 154c). [Appendix 3] The care support device of claim 1, wherein when the output unit displays the plurality of pieces of information assigned with the identifier for the specified course on the display unit, the output unit displays information that has changed from the information assigned with the identifier for the course prior to the specified course in a manner that makes it visible and distinguishable from other information. [Appendix 4] At least some of the plurality of pieces of information include date and time information relating to the date and time the information was generated; 2. The care support device according to claim 1, wherein the output unit selects which of the extracted pieces of information to output based on a specified date and time specified by a user. [Appendix 5] The reception unit receives a reason for termination when receiving the termination specification of the course, the assigning unit assigns an identifier that identifies the season to the reason for ending, 2. The care support device according to claim 1, wherein the storage control unit stores the reason for termination as one of the plurality of pieces of information in the storage device. [Appendix 6] 2. The care support device according to claim 1, wherein the plurality of pieces of information to which the identifiers are assigned are stored in a distributed manner in two or more of the storage devices according to their respective attributes. [Appendix 7] The care support device of claim 1, wherein the assignment unit is configured to assign an identifier to a past course that is an earlier course than the current course, and for continuing information that also represents the person being supported in the current course, the assignment unit copies the information to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier is ... [Appendix 8] The care support device of claim 1, wherein the assignment unit assigns the identifier for the current course to information that is assigned an identifier for a past course that is an earlier course than the current course, and for continuing information that also represents the person being supported in the current course, the assignment unit assigns the identifier for the current course in addition to information that is assigned the identifier for the past course. [Appendix 9] A reception step in which a reception unit (111) receives a designation of the start of a course, which is a period from consideration of care support for a support recipient to the end of care support; An assignment step of assigning an identifier that identifies the course to each of a plurality of pieces of information about the supportee acquired until the reception unit receives the end designation of the course; a storage step of storing each of the plurality of pieces of information to which the identifiers have been assigned in a storage device (150); an output step of extracting from the storage device the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses, and outputting the extracted information; A care support method using a care support device having the above structure. [Appendix 10] A reception step in which a reception unit (111) receives a designation of the start of a course, which is a period from consideration of care support for a support recipient to the end of care support; An assignment step of assigning an identifier that identifies the course to each of a plurality of pieces of information about the supportee acquired until the reception unit receives the end designation of the course; a storage step of storing each of the plurality of pieces of information to which the identifiers have been assigned in a storage device (150); an output step of extracting from the storage device the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses, and outputting the extracted information; A care support program that runs on a computer. [Explanation of symbols]

[0085] 100...care support server, 110...system control unit, 111...reception unit, 112...assignment unit, 113...storage control unit, 114...output unit, 140...communication unit, 150...storage device, 151...status information DB, 151a...status information, 152...care plan information DB, 152a...care plan information, 153...individual training plan information DB, 153a...individual training plan information, 154...performance information DB, 154a to 154c...performance information, 200...linked terminal, 210...terminal control unit, 211...reception unit, 212...request unit, 213...display control unit, 220...display panel, 230...touch panel, 240...communication unit, 250...storage unit, 251...CG library, 501...cool badge, 505...delete badge, 506...add badge, 510...information display box, 511...expand app Icon, 520...New registration button, 530...Date box, 531...Calendar icon, 541...Start cool button, 542...End cool button, 543...OK button, 544...Cancel button, 545...Display target selection button, 546...Specified date box, 547...Compare target selection button, 551...Select button, 552...Radio button, 553...Input box, 554...Check box, 555...Check mark, 561...Forwarding indicator, 570...Category tab, 581...Information window, 582...Assessment window, 583...Exit window, 590...Assessment tag, 611...ICF tab, 612...Item box, 613...Item, 613a...Deleted item, 613b...Added item, 800...Linked server, 900...Network

Claims

1. a reception department that accepts the designation of a period from when nursing care support for a support recipient is considered to the end of nursing care support; An assigning unit that assigns an identifier that identifies the course to each of a plurality of pieces of information related to the support recipient acquired during the course; a storage control unit that stores the plurality of pieces of information to which the identifiers are assigned in a storage device; an output unit that extracts from the storage device and outputs the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses; A care support device comprising:

2. The care support device of claim 1, wherein the plurality of pieces of information include at least condition information of the person being supported, care plan information including support content and an implementation plan for the support content, individual training plan information created based on the care plan information, and performance information.

3. The care support device of claim 1, wherein when the output unit displays the plurality of pieces of information assigned with the identifier for the specified course on the display unit, information that has changed from the information assigned with the identifier for the course prior to the specified course is displayed on the display unit in a manner that allows it to be visually distinguished from other information.

4. At least some of the plurality of pieces of information include date and time information relating to the date and time the information was generated; The care support device according to claim 1 , wherein the output unit selects which of the extracted pieces of information to output based on a specified date and time specified by a user.

5. The reception unit receives a reason for termination when receiving the termination specification of the course, the assigning unit assigns an identifier that identifies the season to the reason for ending, The care support device according to claim 1 , wherein the storage control unit stores the reason for termination as one of the plurality of pieces of information in the storage device.

6. The care support device according to claim 1 , wherein the plurality of pieces of information to which the identifiers are assigned are stored in a distributed manner in two or more of the storage devices according to their respective attributes.

7. The care support device of claim 1, wherein the assignment unit is configured to assign an identifier to a past course that is an earlier course than the current course, and for continuing information that also represents the person being supported in the current course, the assignment unit copies the information to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier to which the identifier is ...

8. The care support device of claim 1, wherein the assignment unit assigns the identifier for the current course to information that is assigned an identifier for a past course that is an earlier course than the current course, and for continuing information that also represents the person being supported in the current course, the assignment unit assigns the identifier for the current course in addition to information that is assigned the identifier for the past course.

9. A reception step in which a reception unit receives a designation of the start of a course, which is a period from consideration of nursing care support for a support recipient to the end of nursing care support; An assignment step of assigning an identifier that identifies the course to each of a plurality of pieces of information about the supportee acquired until the reception unit receives the end designation of the course; a storage step of storing each of the plurality of pieces of information to which the identifiers are assigned in a storage device; an output step of extracting from the storage device the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses, and outputting the extracted information; A care support method using a care support device having the above structure.

10. A reception step in which a reception unit receives a designation of the start of a course, which is a period from consideration of nursing care support for a support recipient to the end of nursing care support; An assignment step of assigning an identifier that identifies the course to each of a plurality of pieces of information about the supportee acquired until the reception unit receives the end designation of the course; a storage step of storing each of the plurality of pieces of information to which the identifiers are assigned in a storage device; an output step of extracting from the storage device the plurality of pieces of information to which the identifiers are assigned for a designated course designated by a user among the courses, and outputting the extracted information; A care support program that runs on a computer.

Images