J Korean Acad Community Health Nurs.  2010 Jun;21(2):263-272. 10.12799/jkachn.2010.21.2.263.

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

• Bang EJ
• Yun SY

• KMID: 2292906
• DOI: http://doi.org/10.12799/jkachn.2010.21.2.263

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.

Keyword

Nursing home; Health services needs and demand; Aged

MeSH Terms

Activities of Daily Living
Aged*
Depression
Health Services Needs and Demand
Humans
Long-Term Care*
Nursing Care
Nursing Homes
Seoul

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