Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC

Eun-Joo Bang; Soon-Young Yun

doi:10.12799/jkachn.2010.21.2.263

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Original Article
Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC: Eun-Joo Bang, Soon-Young Yun; Journal of Korean Academy of Community Health Nursing 2014;21(2):263-272.
DOI: https://doi.org/10.12799/jkachn.2010.21.2.263
Published online: April 4, 2014

¹Part-time Lecturer, Seoul National University, Korea.

²Professor, Seoul National University, Korea.

• Received: April 2, 2010 • Revised: June 19, 2010 • Accepted: June 23, 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract

Abstract

Purpose
This study was to identify health needs of the elderly at nursing homes by long-term care grade.
Methods
The health needs of 116 elders at two nursing homes in Seoul were measured with resident assessment protocols (RAPs), activities of daily living (ADL), and cognitive performance scale (CPS), and pain and depression were measured by resident assessment instrument (RAI).
Results
With regard to RAPs, 11 out of 18 items had different distribution in the 3 groups significantly. The 1st-grade elders had a higher percentage of 9 items than the 2nd- and 3rd-grade ones but the 3rd-grade ones had the highest health needs related with activity. The 2nd-grade elders had similar health needs to the 1st-grade ones. In terms of functional level, the 1st-grade elders had the highest percentage of CPS and ADL but the 3rd-grade ones had the highest score of pain and depression out of the 3 groups. The standardized assessment instrument to identify specific health needs by the 3 groups should be developed. Therefore, care plans to meet health needs of the 3 groups will be made.
Conclusion
It is suggested that nursing care is required to the elderly of the 1st- and 2nd-grade and safe activity and environment to the 3rd-graded ones.
Key Words: Nursing home; Health services needs and demand; Aged

Table 1

General Characteristics of Subjects

Table 2

Disease Characteristic

Table 3-1

Health Care need of RAPs by Grade

Table 3-2

Differences of health Care need of RAPs by Grade

^*p<.05; ^**p<.01.

Table 4

Number of RAPs by Grade

Table 5-1

Health Care need of CPS, ADL, Pain by Grade

^*p<.05.

Table 5-2

Health Care need of Depression by Grade

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