ADL assistance form

JP7905017B1Active Publication Date: 2026-08-13社会医療法人元生会
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Patent Information

Authority / Receiving Office
JP · JP
Patent Type
Patents
Current Assignee / Owner
Filing Date
2026-06-03
Publication Date
2026-08-13

AI Technical Summary

Benefits of technology

【0010】 本発明によれば、患者のプライバシーに配慮しつつ、ADL介助に関する必要十分な詳細情報について、記入者の更新時も含めた作業容易性および記載情報を見て情報を共有する共有者の理解容易性が確保され、かつ、ADL介助表自体の利用容易性が確保されたADL介助表を提供することができる。

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Abstract

To provide an ADL assistance form that respects patient privacy, ensures sufficient and necessary detailed information regarding ADL assistance, facilitates ease of use for the person filling it out (including when updating the information), ensures easy understanding for those who share the information, and ensures the usability of the ADL assistance form itself. [Solution] An ADL assistance chart consisting of an A4-sized sheet of paper and an A4-sized clear file for storing the paper, wherein the sheet of paper displays lines, characters, and figures in black and four colors, the characters and figures include characters and figures whose meaning cannot be determined even by someone who does not know their meaning, and the sheet is divided into display sections by lines: upper left column, upper right column, middle upper column, middle lower column, and bottom column, the upper left column contains basic information about the patient's diseased area, the upper right column contains information about the patient's transfer, the middle upper column contains information about the patient's movement during the day in the left column, divided into columns for in-hospital, in-building, and indoors, and information about the patient's movement at night in the right column, divided into columns for in-hospital, in-building, and indoors, the middle lower column contains information about the patient's excretion during the day in the left column, and information about the patient's excretion at night in the right column, and the bottom column contains information about the patient's safety when necessary The information is written on the ADL assistance form, the upper middle section is displayed in the approximate center of the form, occupying approximately half the area of ​​the form, the upper middle section and the lower middle section together occupy approximately two-thirds of the area of ​​the form, a space is provided above the margins of the ruled lines to record the update date of the patient's ADL assistance information, before the form is placed in the clear file, the form has basic information about the patient's diseased area, and at least a portion of the basic information about the patient's diseased area related to the figure written in the upper left section, and when the form is placed in the clear file, the information about the patient's ADL assistance is written on the clear file using an erasable ink writing instrument based on the ruled lines, text and figures displayed on the transparent form, and the writing with the writing instrument includes circling the corresponding figures displayed on the transparent form and placing a check mark on the figures of the corresponding color from four colors.
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Description

Technical Field

[0001] The present invention relates to a form for grasping the degree of independence and the degree of assistance required for the activities of daily living (ADL) of patients in the medical and nursing care fields.

Background Art

[0002] In a rehabilitation ward for the recovery period, etc., the ADL ability of patients varies daily. Therefore, cooperation among multiple occupations is essential for assistance and support. Activities of daily living (ADL) refer to the daily actions necessary for living daily life, such as "getting up and lying down, transferring, moving, eating, changing clothes, excreting, taking a bath, grooming" actions, etc.

[0003] Conventionally, for example, a small whiteboard is posted in the hospital room, and various information regarding the ADL of patients is described thereon, or a magnet sheet with predetermined information described in advance is pasted to achieve information sharing among occupations. In this case, there was also the inconvenience that the magnet of the magnet sheet malfunctioned and came off the whiteboard.

[0004] Here, there is an evaluation support system for assisting the evaluation of the physical functions or cognitive functions necessary for a person to perform living actions autonomously, or the mental state of a person, or the abilities necessary for a person to perform social activities. A plurality of types of images graphically representing the evaluation scales are selected for each type of living action performed by the evaluated person, and the sum of the numerical values corresponding to the scales of the images selected for each type of living action is used as the evaluation value. A technique for easily evaluating the ADL of users regularly in a nursing care facility is disclosed (see Patent Document 1).

Prior Art Documents

Patent Documents

[0005]

Patent Document 1

Summary of the Invention

[0006] However, the technology described in Patent Document 1 above made it difficult to improve the content, display method, and operation method of information posting regarding ADL assistance, and to effectively utilize the ADL assistance chart for information sharing in medical settings. In other words, the technology described in Patent Document 1 above does not improve the quality of information sharing among different professions, nor does it improve the safety of assistance or the quality of ADL support using the ADL assistance chart.

[0007] The object of the present invention is to provide an ADL assistance form that respects patient privacy, ensures ease of use for the person filling it out, including when updating the form, and ensures that the information shared by those who view and share the information can easily understand it, while also ensuring the usability of the ADL assistance form itself. [Means for solving the problem]

[0008] The ADL assistance chart of the present invention is An ADL assistance chart consisting of A4-sized paper and an A4-sized clear file for storing the paper, The paper is, Lines, text, and shapes are displayed in black and four other colors. The text and figures include text and figures whose meaning cannot be determined by someone who does not know their meaning. The display area is divided into upper left column, upper right column, middle upper column, middle lower column, and bottom column by grid lines. The upper left column contains basic information, at least regarding the location of the patient's illness. The upper right column contains information regarding patient transfers. In the upper middle section, the left column contains information regarding patient movement during the day, categorized into sections for movement within the hospital, within the building, and within the room, while the right column contains information regarding patient movement at night, categorized into sections for movement within the hospital, within the building, and within the room. In the lower middle section, the left column contains information about the patient's daytime excretion, and the right column contains information about the patient's nighttime excretion. The lower section includes information on patient safety, where necessary. The upper central section is displayed in the approximate center of the paper, occupying approximately half of the paper's area. The upper and lower middle sections of the page are displayed so that, together, they occupy approximately two-thirds of the page area. Above the border of the lined display area, there is a space to enter the update date of the patient's ADL assistance information. Before the paper is placed in the clear file, at least a portion of the basic information regarding the patient's diseased area, which corresponds to the figure described in the upper left column, is written on the paper. With the paper stored in a clear file, information regarding the patient's ADL assistance is written on the clear file using an erasable ink, based on the lines, characters, and figures displayed on the paper that are transparent to the paper. Filling in with a writing instrument includes circling the relevant shapes displayed on the transparent paper and placing a checkmark next to the shapes of the corresponding color from the four available colors.

[0009] In this way, by including characters and figures whose meaning cannot be determined even by someone unfamiliar with their meaning, patient privacy can be respected. Furthermore, by displaying various appropriate pieces of information regarding the patient's ADL assistance in each display field, it becomes possible to provide necessary and sufficient detailed information regarding ADL assistance. Furthermore, filling out the form with a writing instrument is easy, as it involves circling the corresponding shapes displayed on the transparent paper and placing a checkmark next to the shapes of the corresponding color from the four available colors. Additionally, by using a clear file and writing with erasable ink, ease of use is ensured, including when the person filling out the form needs to update it. Furthermore, by dividing the information into sections, information regarding the patient's ADL assistance is indicated by circling the shape and placing a check mark on the shape of the appropriate color from the four available colors. In addition, the upper middle section, where important information is displayed, is prominently positioned in the approximate center of the page, occupying approximately half of the page area. The upper middle section and the lower middle section, together, are prominently positioned, occupying approximately two-thirds of the page area. A space for recording the update date is also provided, ensuring that the information is easily understood by those who share and review it. Furthermore, by creating an ADL assistance chart consisting of A4-sized paper and an A4-sized clear file for storing the paper, the ease of use of the ADL assistance chart itself can be ensured. [Effects of the Invention]

[0010] According to the present invention, it is possible to provide an ADL assistance form that respects patient privacy, ensures ease of use for the person filling it out, including when updating the form, and ensures that the information shared by those who view and share the information can easily understand it, while also ensuring the usability of the ADL assistance form itself. [Brief explanation of the drawing]

[0011] [Figure 1] This figure shows the configuration of an ADL assistance chart according to an embodiment of the present invention. [Figure 2] This is a front view of the ADL assistance chart sheet according to an embodiment of the present invention. [Figure 3] This figure illustrates an example of using an ADL assistance chart according to an embodiment of the present invention. [Figure 4] This diagram illustrates the meaning of the characters, figures, etc., in the ADL assistance chart according to an embodiment of the present invention. [Modes for carrying out the invention]

[0012] First, the configuration of the ADL assistance chart according to an embodiment of the present invention will be described with reference to Figures 1 to 3.

[0013] As shown in FIG. 1, the ADL assistance form 1 is formed in the A4 size. The ADL assistance form 1 consists of a paper sheet 10 made of paper in the A4 size and a resin clear file 20 for storing the paper sheet 10 and sized for A4. Note that as long as the paper sheet 10 and the clear file 20 perform the functions of the ADL assistance form 1 described later, the size and material are not limited, and various known technologies may be applied.

[0014] The paper sheet 10 has basic ruled lines, characters, and figures as shown in FIG. 2 pre-displayed on the surface by color printing, color copying, etc. Here, it is assumed that they are displayed in black and four colors (red, orange, yellow, blue).

[0015] As shown in FIG. 2, the paper sheet has a place for entering the update date above the outside of the column so that the date when patient information, etc. was updated can be known. Conventionally, there were cases where there was no update date, and there were cases where it was unclear when it was updated and it remained old, which is one of the most important items. Note that as an explanation of the paper sheet 10, it is described as "a place for entering the update date" as above. Actually, as will be described later, while looking at the paper sheet 10 stored in the clear file 20 and visible through it, it is often entered in the clear file 20. However, since the explanation becomes difficult to understand, it is explained and expressed as "predetermined information is entered and described in a predetermined column of the paper sheet 10" (the same applies hereinafter).

[0016] Also, the paper sheet 10 is divided into each display column by ruled lines, and roughly divided into an upper left column 11, an upper right column 12, an upper middle column 13, a lower middle column 14, and a lower column 15. In each display column, characters and figures (including symbols) that a person who does not know their meaning in advance cannot distinguish the meaning even when looking at them are used. Therefore, for example, even if a list explaining their meanings as shown in FIG. 4 is shared among multiple occupations related to ADL assistance support in advance. The upper left column 11 mainly contains basic information about the patient's diseased area. There is also a section to indicate the level of activity required, for example, "walker allowed." If there are any doctor's instructions, weight-bearing restrictions, or corset use, this information should be written in the remaining space while respecting privacy. The flower-like shape is an image of a human body viewed from the front, with the affected limb, such as the paralyzed or injured area, colored red. An artificial bone head is marked with a black star, and a vertebral fracture is marked with the corresponding letter (C → cervical, T → thoracic, L → lumbar). The cross shape inside a circle represents the left and right eyes in the upper row and the left and right ears in the lower row. A black star is marked in the area of ​​visual impairment, a black star is marked in the area of ​​hearing impairment, and if a hearing aid is used, "Ho" is written in that area. The upper right column 12 primarily contains information regarding patient transfers. Circle the appropriate color from the four colored shapes representing wheelchair transfers. Red means full assistance, orange means partial assistance, yellow means supervision, and blue means free. Additionally, fill in the remaining space with details and diagrams of the assistance methods during transfers, while respecting privacy, as needed. For example, when transferring from a wheelchair to a bed (and vice versa), indicate the orientation of the wheelchair relative to the bed (taking into account the side of the body with the illness) with a diagram of the wheelchair and an arrow. The upper central section 13 primarily contains information regarding patient mobility. This is a crucial item, especially in rehabilitation, where mobility is the main focus. It is prominently displayed in the center of form 10 (ADL Assistance Chart 1), occupying approximately half of the total area. While increasing the detail of patient information can enhance its usefulness, it also carries the risk of reduced readability and hindering the immediate confirmation of important items. Therefore, to strike a balance, important items are displayed prominently and clearly, occupying a large area. Specifically, the diagrams and pictograms for movement methods in the sections for daytime mobility, nighttime mobility (the approach needs to differ between daytime awakeness and nighttime sleepiness), and within the hospital, building, and room are circled. The diagrams and pictograms, from left to right, represent stretcher, wheelchair, walker, cane, and independent walking. Additionally, a checkmark is placed next to the color of the corresponding assistance method among the four colored circles. From left to right, the colors indicate: red → full assistance, orange → partial assistance, yellow → supervision, and blue → free. Use the empty spaces to write down details about assistance methods as needed, while respecting privacy. In the lower-middle column 14, mainly information regarding the patient's toilet (excretion) is described. Toilet (excretion) is also an important item and, together with the upper-middle column 13 where information regarding movement is described, it is displayed so as to occupy approximately two-thirds of the entire area. Similar to the above, from the viewpoints of reduced visibility due to an increase in the amount of information and immediate confirmability of important items, important items are displayed so as to occupy a large and easily understandable area at a prominent position. Specifically, the graphic / pictogram of the excretion method in the daytime toilet and nighttime toilet columns is each surrounded by a circle mark. The meanings of the graphic / pictogram are, from left to right, diaper, urinal, toilet (ordinary toilet), wheelchair toilet 1 (with different handrail positions), and wheelchair toilet 2 (with different handrail positions). Also, a check mark is placed on the circle mark of the color corresponding to the assisting method for the relevant lower-body operation (such as taking off / putting on pants, etc.) among the four-color circle marks. From left to right, red → full assistance, orange → partial assistance, yellow → monitoring, blue → free. Details of the assisting method, etc. are filled in the empty space as necessary while considering privacy. When monitoring is required during toilet use, the corresponding monitoring method is surrounded by a circle mark. Middle → middle monitoring, outside → outside monitoring, call → calling. Also, when urine is being measured, the graphic / pictogram of a measuring cup is surrounded by a circle mark. In the remarks column of the lower column 15, mainly information regarding the patient's safety, etc. is described. Specifically, when using a sensor, the type of sensor and the time zone of use are filled in. For a fall sensor, "Ri" is filled in the triangle mark, for a side sensor, "Sa" is filled in the triangle mark, and for a sensor mat, "Ma" is filled in the triangle mark. When measuring the amount of water intake, "Water" is filled in the circle mark. When there is a water intake restriction, the restricted amount is also filled in the blank. When there is a tromi, "To" is filled in the circle mark. Any other special notes (such as installation of a bedside walker, etc.) are filled in. There is also information that is meant to be known by the staff of other departments, for example, information regarding sensors for preventing damage to the sensor equipment while on the bed or for lying on top of the sensor. There are also items that are excluded so that the amount of information does not become excessive. For example, although the precautions for oral care are necessary as information, the oral care method is filled in a separate card and excluded by placing it at the location of the toothbrush.

[0017] Furthermore, form 10 displays unique and easy-to-understand shapes (a flower-like shape and a cross shape inside a circle) in the upper left column 11, a design feature intended to facilitate immediate understanding by those who view it (medical and nursing staff, etc.).

[0018] Furthermore, form 10 displays pictograms in the upper right column 12, the upper middle column 13, and the lower middle column 14, making it easy for viewers (medical and nursing staff, etc.) to intuitively understand the content.

[0019] Furthermore, the form 10 is color-coded in four consistent colors in the upper right column 12, the upper middle column 13, and the lower middle column 14: red = full assistance, orange = partial assistance, yellow = supervision, and blue = free. This design allows viewers (medical and care staff, etc.) to intuitively and easily understand the content.

[0020] Furthermore, each display field on Form 10 primarily uses symbols and abbreviations that are difficult for outsiders, such as other patients or visitors, to decipher at a glance, from the perspective of protecting privacy and the dignity of patients. This is an improvement over the previous method of displaying information using text and sentences, which anyone could read, thus limiting the protection of privacy and personal information.

[0021] The A4-sized resin clear file 20 is transparent, allowing the lines, text, and diagrams on the stored paper 10 to be visible from the outside. Furthermore, the clear file 20 can be written on with oil-based pens, markers, etc., and the writing (ink, etc.) can be wiped off with a cloth or tissue soaked in an alcohol-based disinfectant, or erased with an eraser.Therefore, items that need to be changed frequently, if written directly on the paper 10, would be difficult and cumbersome to erase and update, but by writing circles, checks, designated symbols, letters, or free words on the clear file 20, it becomes easy to erase and write updated information.In particular, since the patient's condition changes daily due to rehabilitation, having two display methods—writing or printing directly on paper and writing on the clear file with markers, whiteboard markers, etc.—is useful.In this way, instead of the troublesome process of bringing a small whiteboard to the nurse's station, transferring the information to a magnetic sheet with the designated information stored there, and then taking it back to the patient's room, etc., it has the significant effect of allowing information to be updated on-site with a pen, etc.

[0022] Furthermore, the ADL assistance chart 1 (paper 10 and clear file 20) is more convenient and takes up less space if it is relatively small, such as A4 size. The ADL assistance chart 1, which consists of paper 10 stored in clear file 20, has two holes punched in the upper edge of the ADL assistance chart 1 using a two-hole punch, and a string or similar is inserted through these two holes and the ends are tied together. In a hospital room, it can be hung from a hook on the door of a clothing case, or when using the dining room in bed, it can be hung from a hook at the foot of the bed, or when using the dining room without a bed, it can be placed on a hook next to the dining seat or on an over-table. However, if it is too large, it becomes difficult to handle. Therefore, an A4 size ensures the ease of use of the ADL assistance chart 1 itself. Furthermore, A4-sized paper sheets 10 and A4-sized resin clear files 20 have the advantage of being readily available in large quantities at low prices in the market.

[0023] Figure 3 shows an example of using the ADL assistance chart 1.

[0024] First, as mentioned above, the basic lines, characters, and shapes shown in Figure 2 are already printed or copied in color on paper 10.

[0025] Then, at least some of the patient's basic information is directly entered on form 10. This is because the patient's basic information changes infrequently and the risk of it being accidentally erased needs to be reduced. Specifically, this involves entering information about the flower-like shape in the upper left column 11.

[0026] Referring to Figure 3, on sheet 10, information about the flower-like shape is indicated by coloring the affected limb, the left lower limb, including the paralyzed and injured areas, in red. Additionally, an artificial bone head is marked with a black star on the left lower limb, and the letter L, representing the lumbar vertebra, is written on the vertebral fracture site.

[0027] Next, the paper 10 is placed in the clear file 20, and the necessary information (as described above, the information to be written on the paper 10) is directly written on the clear file 20 based on the lines, characters, and shapes on the transparent paper 10, so that from the outside, the information displayed on the paper 10 and the information written on the clear file 20 overlap and can be viewed as a single unit. For convenience, the following explanations and expressions will be used, such as "the designated information was written in the designated section of the clear file 20." However, in reality, this means that while looking at the paper 10, which is stored inside the clear file 20 and visible through it, the designated information to be written in the designated section of paper 10 is written in the corresponding position on the clear file 20. From the outside, the information displayed on paper 10 and the information written in the clear file 20 overlap and are visible as a single unit, creating the appearance that the designated information has been written in the designated section of paper 10.

[0028] Referring to Figure 3, October 1st was written in the section for writing the update date on clear file 20. In addition, in the upper left column 11 of the clear file 20, regarding the information on the cross-shaped figure within the circle, for visual impairment, a black star mark was entered at the upper left eye area, and for hearing impairment, when using a hearing aid, the character "ho" was entered at the left and right ear areas in the lower part. Also, "Walker permitted" was entered in the place for entering the quietness level. Further, "Wearing a 24-hour Dermen corset" was entered in the empty space. In addition, in the upper right column 12 of the clear file 20, the corresponding orange figure among the four-color figures indicating transfer from a wheelchair was circled with a round mark. Also, regarding the orientation of the wheelchair with respect to the position of the bed during transfer from the wheelchair to the bed (and vice versa), considering the diseased body side, two wheelchair figures and arrows from the left lower limb side and to the left upper limb side were entered respectively. In addition, in the upper middle column 13 of the clear file 20, the figures and pictograms indicating the movement methods in each column of daytime movement, nighttime movement, within the hospital, within the building, and indoors were circled with a round mark. The meanings of the figures and pictograms are stretcher, wheelchair, walker, cane, and walking alone from left to right. Also, a check mark was placed on the corresponding color among the four-color figures indicating the assistance method. The character "Right side assistance" was entered in the empty space as the details of the assistance method while considering privacy. In addition, in the lower middle column 14 of the clear file 20, the figures and pictograms indicating the excretion methods in each column of daytime toilet and nighttime toilet were circled with a round mark. The meanings of the figures and pictograms are diaper, urinal, toilet (ordinary toilet), wheelchair toilet 1 (with different handrail positions), and wheelchair toilet 2 (with different handrail positions) from left to right. Also, a check mark was placed on the corresponding color among the four-color figures indicating the assistance method for lower clothing operation. Since supervision is required when using the daytime toilet and nighttime toilet, the character "Middle" in the corresponding supervision method was circled with a round mark respectively. Also, since urine measurement is in progress during daytime and nighttime, the figure and pictogram of a measuring cup were circled with a round mark. Also, in the remarks column of the lower column 15 of the clear file 20, since the off-bed sensor is used for 24 hours, the symbol "Li" is entered in the triangle mark, and since the drinking water amount is measured, the symbol "Water" is entered in the circle mark. Since there is a drinking water limit, the characters "1000 ml / 1 day" are also entered as the limit amount in the blank, and since it has a tromi, the symbol "To" is entered in the circle mark.

[0029] In this way, the method of entering information into the clear file 20 often adopts simple methods such as enclosing graphics and pictograms with circles, putting a check mark on the corresponding color among the four-color graphics, and, if necessary, free words can be entered while considering the patient's privacy, ensuring the ease and convenience of the work for the person entering the information.

[0030] Hereinafter, the flow of the usage method of the ADL assistance form 1 of the present embodiment will be described.

[0031] First, prepare a sheet of paper 10 made of A4-sized paper on which basic ruled lines, characters, and graphics as shown in FIG. 2 are displayed by color printing, color copying, etc. Next, directly enter the basic information of the patient on the sheet of paper 10. Specifically, enter the information related to the graphic like a flower in the upper left column 11 and the information related to the graphic with a cross in the circle.

[0032] Next, store the sheet of paper 10 in a resin-made clear file 20 for A4 size. Next, based on the ruled lines, characters, graphics, etc. of the sheet of paper 10 that are transmitted, directly enter the necessary and sufficient detailed information regarding ADL assistance with consideration for the patient's privacy in the clear file 20 using an oil pen, magic pen, etc. In this way, from the outside, the information displayed on the sheet of paper 10 and the information entered and described in the clear file 20 overlap and are in a state where they can be visually recognized integrally, and it is as if an ADL assistance form 1 is realized in a state where predetermined information is entered and described in a predetermined column of the sheet of paper 10.

[0033] Alternatively, the ADL assistance chart 1 may be prepared by punching two holes in the upper edge of the chart using a two-hole punch, inserting a string or similar material through the two holes, tying the ends together, and hanging it from a designated hook in a location where information can be easily shared.

[0034] Furthermore, since the patient's condition changes daily due to rehabilitation, if it is necessary to change the information written on ADL assistance form 1, any writing directly on clear file 20 with an oil-based pen or marker can be easily erased by wiping it with a cloth or tissue soaked in an alcohol-based disinfectant commonly found in wards and patient rooms, or by erasing it with an eraser. In addition, the update date and changed information can be written directly on clear file 20 again with an oil-based pen or marker.

[0035] According to the embodiment described above, it is possible to realize an ADL assistance form 1 that ensures ease of use, including when the person filling it out updates the information, and ease of understanding for those who share the information by viewing the recorded information, while also ensuring ease of use of the ADL assistance form 1 itself, while taking into consideration the patient's privacy. Furthermore, it enables collaboration among various professionals in ADL assistance support, such as "confirming patient information," "immediately understanding ADL and assistance methods," and "safe assistance."

[0036] In addition, although not given hereby, the present invention may be implemented with various modifications, including changes to the number, size, position, material and shape of each component, as well as the information to be entered, without departing from its spirit. [Explanation of Symbols]

[0037] 1. ADL Assistance Chart 10 sheets 11 Upper left column 12 Upper right column 13. Upper section of the central area 14 Middle lower column 15. Bottom section 20 clear files

Claims

[Claim 1] An ADL assistance chart consisting of A4-sized paper and an A4-sized clear file for storing the said paper, The aforementioned paper is Lines, text, and shapes are displayed in black and four other colors. The aforementioned characters and figures include characters and figures whose meaning cannot be determined even by someone who does not know their meaning. The aforementioned grid lines divide the area into the upper left column, upper right column, middle upper column, middle lower column, and bottom column display areas. The upper left column contains at least basic information regarding the patient's diseased area. The upper right column contains information regarding the transfer of the patient. In the upper middle section, the left column contains information regarding the patient's movement during the day, divided into sections for movement within the hospital, within the building, and within the room, and the right column contains information regarding the patient's movement at night, divided into sections for movement within the hospital, within the building, and within the room. In the aforementioned lower middle section, the left column contains information regarding the patient's excretion during the day, and the right column contains information regarding the patient's excretion at night. The lower section shall contain, where necessary, information regarding the patient's safety. The aforementioned upper central section is displayed in the approximate center of the paper, occupying approximately half the area of ​​the paper. The aforementioned upper and lower middle sections are displayed such that, together, they occupy approximately two-thirds of the area of ​​the paper. Above the margin of the display area indicated by the grid lines, there is a space for recording the update date of the patient's ADL assistance information. Before the aforementioned paper is placed in the clear file, the paper contains basic information about the patient's diseased area, at least a portion of which relates to the figure described in the upper left column. With the aforementioned paper stored in the clear file, information regarding the patient's ADL assistance is written on the clear file using an erasable ink, based on the ruled lines, characters, and figures displayed on the paper that is transparent to the paper, and erasable ink is used with a predetermined erasable tool. The markings made with the marking instrument include circling the relevant figures displayed on the transparent paper and marking the figures of the corresponding color from the four colors with a checkmark. ADL assistance chart.

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