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

Article information

Res Community Public Health Nurs. 2010;21(2):263-272

Publication date (electronic) : 2014 April 04

doi : https://doi.org/10.12799/jkachn.2010.21.2.263

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

²Professor, Seoul National University, Korea.

Address reprint requests to: Bang, Eun-Joo, College of Nursing, Seoul National University, 28 Yongon-dong, Jongno-gu, Seoul 110-799, Korea. Tel: 82-2-740-8466, Fax: 82-2-3665-7135, ejbang@snu.ac.kr

Received 2010 April 02; Revised 2010 June 19; Accepted 2010 June 23.

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.

Keywords: Nursing home; Health services needs and demand; Aged

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