scholarly journals A Study on the Method to Secure Evacuation Safety of Long-term Care Hospitals for the Elderly through Actual Condition Surveys

2021 ◽  
Vol 35 (6) ◽  
pp. 45-52
Author(s):  
Soo-Kyung Shin ◽  
Young-Hoon Bae ◽  
Jun-Ho Choi
Keyword(s):  
Large Scale ◽  
Long Term Care ◽  
The Elderly ◽  
Actual Condition ◽  
Term Care ◽  
Evacuation Plans ◽  
Improvement Measures ◽  
Evacuation Safety ◽  
Fact Finding

In long-term care hospitals, there are many patients with reduced mobility and the fire compartment is difficult, so there is a high possibility of large-scale casualties in the event of a fire. Various studies have been conducted to reduce these risks, but studies on problems related to evacuation safety and improvement measures are lacking. Therefore, this study intends to examine the problems related to evacuation safety through a fact-finding survey targeting two hospitals and to suggest improvement measures. As a result, problems related to 1) maintenance of fire doors, 2) establishment of a horizontal evacuation plan, 3) evacuation mechanism, and 4) recognition and implementation of worker evacuation plans were derived, and improvement measures for each problem were suggested.

scholarly journals Evaluating Fire Risk of Long-term Care Hospitals for the Elderly

2021 ◽  
Vol 35 (6) ◽  
pp. 53-60
Author(s):  
Soo-Kyung Shin ◽  
Young-Hoon Bae ◽  
Jun-Ho Choi
Keyword(s):  
Long Term Care ◽  
Safety Evaluation ◽  
Fire Risk ◽  
The Elderly ◽  
Night Time ◽  
Term Care ◽  
Refuge Area ◽  
Evacuation Safety ◽  
Refuge Areas

Long-term care hospitals for the elderly have a high risk of fire. To reduce this risk, the installation of a horizontal refuge area has been stipulated since 2015. However, most hospitals are still at risk due to the lack of retroactive regulations. Therefore, in this study, the efficiency of the horizontal refuge area was analyzed through evacuation safety evaluation using fire and evacuation simulations. As a result of evacuation safety evaluation for the two hospitals, the reduction ratio of evacuation time was 70% (day time) and 77% (night time). In addition, evacuation safety can be secured through the installation of a horizontal refuge area. The results of this study are expected to be used as a basis for preparing retroactive regulations for horizontal refuge areas in long-term care hospitals for the elderly in the future.

Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

scholarly journals Impact of Frailty on Medical and Long-Term Care Expenditures for the Elderly Age 75 or Over in Japan

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 176-176
Author(s):  
Hiroto Yoshida ◽  
Yuriko Kihara
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Elderly Age ◽  
Term Care ◽  
Intentional Weight Loss ◽  
Long Term Care Insurance ◽  
And Gender ◽  
The Impact

Abstract This study examined the impact of frailty on medical and long-term care expenditures in an older Japanese population. The subjects were those aged 75 years and over who responded to the survey (March 2018) in Bibai, Hokkaido, Japan (n=1,203) and have never received certification of long-term care insurance at the survey. We followed up 867 individuals (72.1%) until the end of December 2018 (10 month-period). We defined frailty as a state in performing 4 items and over of 15 items which were composed of un-intentional weight loss, history of falls, etc. Among 867 subjects, 233 subjects (26.9%) were judged to be frailty group, and 634 subjects (73.1%) non-frailty group. We compared period to the new certification of long-term care insurance (LTCI), accumulated medical and long-term care expenditures adjusted for age and gender between the two groups during the follow-up period. Cox proportional hazard models were used to examine the association between baseline frailty and the new certification of LTCI. The relative hazard ratio (HR) was higher in frailty group than non-frailty group (HR=3.51, 95% CI：1.30-9.45, P=.013). The adjusted mean accumulated medical and long-term care expenditures per capita during the follow-up were significantly (P=.002) larger for those in the frailty group (629,699 yen), while those in the non-frailty group were 450,995 yen. We confirmed strong economic impact of frailty in the elderly aged 75 or over in Japan.

A Model for Working with the Elderly in Institutions

1981 ◽  
Vol 62 (7) ◽  
pp. 420-425 ◽  
Author(s):  
Alicia S. Cook
Keyword(s):  
Theoretical Model ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Human Needs

Abraham Maslow's hierarchy of human needs provides a useful operating framework for professionals working with residents of long-term care institutions. The difficulties and obstacles that the elderly often encounter in these facilities are addressed and discussed for each level of the theoretical model.

A Study of Patterns of Dying in a Multilevel Geriatric Setting

1983 ◽  
Vol 2 (2) ◽  
pp. 79-85
Author(s):  
Isabel Brown
Keyword(s):  
Retrospective Study ◽  
Long Term Care ◽  
Death And Dying ◽  
Chronically Ill ◽  
The Elderly ◽  
Care Hospital ◽  
Term Care ◽  
Apartment Complex ◽  
General Community

ABSTRACTA retrospective study was conducted in a large multilevel geriatric centre to analyse the deaths reported in the year 1981. This centre provides accommodation for 750 elderly and/or chronically ill persons in three agencies—an apartment complex, a home for the aged, and a long-term care hospital The study revealed that the hospital is the place of death for a high proportion of the elderly residents of the centre. In particular, residents of the home for the aged are unlikely to remain in the “home” to die. It was found that patterns of death and dying for individuals admitted to the hospital from the general community differ in several ways from the patterns of those who are already living in the centre in terms of age and probable cause of death.

Sign in / Sign up

Export Citation Format

Share Document