Behavioral symptoms are frequent and problematic components of dementia. The aim of this study was to detect behavioral problem of the 25 item of dementia problem behaviour(DPB)assesment scale for demented older adults. Seventy-three patients with dementia staying in the day care center, group home, dementia hospital, nursing home were recruited data on problematic behavior obtained through interviews with their caregiver during 2 months from March to May 2004. Results shows that problematic behaviors common occurring in 95% of subjects. The most frequently exhibited problematic behaviors were repetitive movement(1.05), repetitive questions(1.03), restlessness(1.0). indifference(0.97). shouting/screaming(0.92). Problematic Behaviors of the demented older adults were closely associated to the distress for caregiver. Most distressful ones for caregivers were repetitive questions(1.46), repetitive movement(1.42), shouting/ screaming (1.42), indifference(1.41). restlessness(1.41). Problematic Behaviors of the demented older adults were divided into six subdivisions, among those restless behavior was positively correlated with aggressive behavior, nervous symptom and psychotic symptom. and then nervous symptom was interrelated to psychotic symptom(p<0.01). This study has limitation that field study data were derived from various primary caregivers.
Adult* ; Behavioral Symptoms ; Caregivers* ; Day Care, Medical ; Dementia ; Group Homes ; Humans ; Nursing Homes

This research analyzed the structural dynamics about neglected and isolated patients with Hansen's disease who experienced suicidal urge and overcame suicide. The research found the way to prevent them from killing themselves by searching what triggered the suicidal urge and how they got over the temptation. The participants were 6 members who lived in the group home. They had been excluded from the community and their family. They were trafficked for forced labor from their group home. This experience had caused suicidal urge before they came to the group home. To know how they overcame suicidal urge, they were interviewed by using semi-structured opened ended questions. According to the interview, there are four reasons that stopped the suicidal urge. The participants said that the first reason to stop thinking about death is the belief. This is a reliance on almighty God. Because the place where they live together is run by the Catholic Foundation, the community spirit and their belief are thought as the particular reason. Second, they got an economical and emotional support from their group home. Their group home provided food, clothing, and shelter, which were never provided from their family and society. By living together with other patients, they strengthened their emotional relationship and made a new social community. Next, they were getting generous when they belonged here. They accepted social prejudice without confronting unreasonable issues. Last, they changed their aim of life. They decided to live happily for good. They thought it could be the only way to take revenge to people who ignored and excluded them from the society. That is, they found the certain goal of their life by making new social relationship from the group home which could be called their real home. Also, they were helping one another in their community in various ways. As a result, this facility provided emotional and financial support and cooperating systems to people who were living together. From the investigation going along, social relationship is thought as the main factor of overcoming suicide. So, it is necessary to build social relationship to interact with other people who are in the same oven. It is also important to make well established motional and financial support from the society. On the basis of data furnished by this research, it is essential to develop infrastructure for overcoming suicide of the neglected people beside patients with Hansen's disease.
Clothing ; Financial Support ; Group Homes ; Homicide ; Humans ; Leprosy* ; Prejudice ; Suicide* ; Thinking

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.
Female ; Group Homes* ; Hope* ; Humans ; Love ; Mothers ; Parturition ; Pregnancy ; Pregnancy in Adolescence ; Qualitative Research ; Research Design*

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.
Female ; Group Homes* ; Hope* ; Humans ; Love ; Mothers ; Parturition ; Pregnancy ; Pregnancy in Adolescence ; Qualitative Research ; Research Design*

PURPOSE: The purpose of the study was to explore and describe the adaptation process of older people to group homes. METHODS: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. RESULTS: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was ‘gradually giving up’. Causal conditions were ‘good-for-nothing body’, contextual conditions were ‘pushed’, ‘beleaguered’. Intervening conditions were ‘reliable pillar: children’, ‘having affection (情) more than having it from family: facility workers’, ‘comfort - like feeling at home’, ‘relieved: system’. Action/interaction strategies were ‘facing the unfamiliar reality’, ‘building relationships with other people’, ‘accepting reality’. Consequences were ‘a good place, more than expected’, ‘hope for the remaining days’, ‘waiting for a peaceful death’. CONCLUSION: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.
Adaptation, Psychological ; Adult* ; Clinical Coding ; Grounded Theory ; Group Homes* ; Humans ; Methods ; Qualitative Research

OBJECTIVES: Residential services are provided to help patients with chronic mental illness, but those have some problems because of provider focused services and uniformized training. So the purpose of the study was to explore residential needs of patients with the chronic mental illness such as chronic schizophrenia. METHODS: A survey was conducted on 139 mental illness patients using mental health facilities at Ansan city area in South Korea. We investigated their demographic and social characteristics, the degree of self-reliance and residential service needs. RESULTS: More than half of them had the desire for self-reliance, and they needed job support mostly. They were positive about the use of residential facilities and needed daily living skill and social skill training. Also they preferred day rehabilitation in type of facility. And they wanted to operate in a way that they returned home at the weekend after group home. CONCLUSIONS: For facilitating the recovery of patients with chronic mental illness, it would be necessary to provide individualized residential rehabilitation services and to improve existing residential facilities and programs reflected on the patients' needs.
Clothing ; Group Homes ; Gyeonggi-do ; Humans ; Korea ; Mental Health ; Rehabilitation ; Residential Facilities ; Schizophrenia ; Social Skills ; Sociological Factors

OBJECTIVES: Sarcopenia and osteoporosis affects activities of daily living and quality of elderly people. However, little is known about its impact on elderly locomotor diseases, such as osteoporotic vertebral fracture (OVF). There is no report investigating the influence of both sarcopenia and osteoporosis on outcomes of OVF. This study aimed to evaluate the clinical outcomes of OVF in elderly patients from sarcopenic perspectives. METHODS: This prospective study was conducted with 396 patients, aged 65 years or more, hospitalized for the treatment of OVF (mean age, 81.9 ± 7.1 years; 111 males, 285 females). The primary outcome was the Japanese Orthopaedic Association (JOA) score for lumbar disease (at first visit, hospital discharge, and 1 year after treatment) and Barthel index (at the same time and before hospitalization). The second outcome was living place after discharge. Susceptibility to sarcopenia and osteoporosis were evaluated and clinical results of conservative treatment were compared. RESULTS: Sarcopenia significantly affected Barthel index at first visit and discharge. Sarcopenia patients had significantly higher rate for discharge to nursing home and living in nursing home after 1 year than patients without sarcopenia. Osteoporosis significantly affected the JOA score at the first visit and the Barthel index before hospitalization, at the first visit, discharge, and after 1 year. Osteoporosis did not affect the living place at discharge and after 1 year. CONCLUSIONS: Sarcopenia and osteoporosis affected outcomes of conservative treatment for OVF; moreover, sarcopenia affected the living place of OVF patients at discharge and after 1 year.
Activities of Daily Living ; Aged ; Asian Continental Ancestry Group ; Hospitalization ; Humans ; Male ; Nursing Homes ; Osteoporosis ; Prospective Studies ; Sarcopenia

STATEMENT OF PROBLEM: The introduction of "The Long-term Care Insurance System"(a public nursing care insurance scheme) is scheduled from July in 2008. Lately, the importance of oral health care had increased. Introduction and establishment of the methodology (nursing care procedure) based on professional dental knowledge is inevitable. PURPOSE: The purpose of this study was to rouse recognition of the importance of dental care in the long term elderly care in nursing homes, with implementation of the new insurance law. MATERIAL AND METHODS: Visited two institutions for the elderly, Yudang Village and Sungjiwon located in Suwon city to investigate the present conditions in terms of (1) the detailsof the institution, (2) the activities concerning with dental care in the institution, and (3) the consciousness and recognition regarding dental care of the staffs. RESULTS: In two institutions, under the present conditions, oral cleaning (including the cleaning of denture) for residents was operated with no professional advices and limited professional dental care. It was found that there was very little awareness of aspiration pneumonia. The members of staff however, did recognizethe necessity of professional maintenance and management of oral care in daily nursing care, and that many residents hold dental problems. They were very eager in introducing the methodology (nursing care procedure) in dental care in nursing homes.
Aged ; Asian Continental Ancestry Group ; Consciousness ; Dental Care ; Dentists ; Humans ; Insurance ; Insurance, Long-Term Care ; Jurisprudence ; Korea ; Long-Term Care ; Nursing Care ; Nursing Homes ; Oral Health ; Pneumonia, Aspiration

This article aims to extract some lessons from the last five years' experience of Japan in its implementation of Long-term Care Insurance scheme(LTCI). Although both Korea and Japan are facing the most rapid ageing of the population among the OECD countries, the Japan precedes Korea in many aspects by about thirty years. Long-term care(LTC) services had been provided through two schemes in Japan before the introduction of LTCI in April 2000: Welfare Service Programs and the Health Service System for the Elderly(HSSE). LTCI incorporated both the previous social or welfare services and the long-term care services under the HSSE. Japanese LTCI started with the aims of introducing improved insurance coverage for home care, extending such coverage for the first time to nursing homes and further reducing the dependency of the elderly on beds in hospitals. In Korea, due to the lack of infrastructure to support the LTC services in Korea as well as the yet immature ageing of population, it would be quite risky to make haste in introducing LTCI in Korea. Rather the main focus of the Korean LTC policy should be put on establishing and enlarging both facilities and human resources to support the LTC services.
Aged ; Asian Continental Ancestry Group* ; Health Services ; Home Care Services ; Humans ; Insurance Coverage ; Insurance, Long-Term Care* ; Japan ; Korea ; Long-Term Care* ; Nursing Homes

BACKGROUND AND PURPOSE: The objective of this study was to determine the prevalence of and risk factors for dementia in residents aged 65 years and older in a Chinese nursing home. METHODS: A cross-sectional study was carried out in a nursing home located in Hangzhou, Zhejiang Province, China. Cognitive status, including the presence of dementia and mild cognitive impairment (MCI), was measured using a combination of medical history and objective cognitive assessments. Logistic regression analysis was conducted to predict the associated risk factors. RESULTS: In total, 943 residents (334 males and 609 females) aged 84.00±6.67 years (mean±SD) were included. Dementia was diagnosed in 420 (44.5%) residents, and MCI was diagnosed in 195 (20.7%). Mild, moderate, and severe dementia were present in 20.3%, 14.0%, and 65.7% of those in the dementia group, respectively. Logistic regression analysis revealed that dementia was associated with a low education level (p=0.000), an advanced age (p=0.010), and a history of stroke (p=0.023). CONCLUSIONS: Our study found a high prevalence of dementia in a Chinese nursing home, and a high prevalence of patients with severe dementia. Risk factors for dementia included a low educational level, an advanced age, and a history of stroke. Appropriate interventions need to be applied to this population.
Asian Continental Ancestry Group* ; China ; Cross-Sectional Studies ; Dementia* ; Education ; Humans ; Logistic Models ; Male ; Mild Cognitive Impairment ; Nursing Homes* ; Nursing* ; Prevalence* ; Risk Factors* ; Stroke