• Title/Summary/Keyword: Institutional care

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The Study of Exploration of the User & the Physical Components of Outpatients' Waiting Areas in General Hospital (인간 행위분석을 통한 종합병원 외래환자 대기실에 관한 연구)

  • 이성훈
    • Korean Institute of Interior Design Journal
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    • no.9
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    • pp.18-23
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    • 1996
  • Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

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A Case Study of Children's Emotional Care Program in Combining Analysis between Children's drawings and Parenting Stress based on Web System (웹 시스템에 기반한 아동 그림과 양육스트레스 분석을 통한 정서 관리 프로그램 적용 사례 연구)

  • Lee, Seong-Oak;Kim, Byung-Chul
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.201-209
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    • 2020
  • In this paper, we perform a case study of children's emotional care program that analyzes the emotional status through the drawings of children based on web system. In order to overcome spatial and temporal environment constraints, we have developed based on web system that performs to support the whole process from the request of analysis of children 's drawings to the feedback of the final result step by step. The online platform is designed to conduct observations for the purpose of primary screening using a smartphone, and then proceed to the offline secondary care linkage process based on the results. Then according to the results of the analysis, children and parents who need deep examination are figured out and professional institutions are linked to them for help. Parental stress had been analyzed to improve the accuracy of the test and to figure out the cause of the problem. The study was conducted on 2,532 children and their parents between the ages of 3 and 5 years attending a day care center. As a result, 564 children and 223 parents were figured out to be in need of secondary institutional care, and 311 parents were educated and counseled from the professional institutions.

A Study on the Ageism and Age-integrated Perception of Healthcare Professional Groups with experience in treating elderly patients (노인의료전문가 집단의 연령주의 및 연령통합 인식에 관한 연구)

  • Oh, Hye In;Ju, Kyong Hee;Kim, Ju Hyun
    • Korean Journal of Family Social Work
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    • no.61
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    • pp.59-91
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    • 2018
  • Using a Consensus Qualitative Research approach, this study aimed to identify the ageism and explore age-integration as a solution of age discrimination that occurs during the delivery of medical services by nine healthcare professionals who have experience in treating elderly patients. There were two-sided confession has shown by health care professionals about the Ageism. They reported that they don't discriminate by age. However, They also appealed an inconvenience due to the elderly. There were real Ageism in the Healthcare Professional site as a way of Unsuitable care, elderly alienation and dependence on caregivers, polarization of medical service and double discrimination against poor elderly. They found it difficult to offer age integrated health care as a means to mitigate or solve. However they have sought to break barriers to communication, provided a comfortable environment not only for senior citizens but also for all others, and have diversified institutional and service standards. To ensure the healthy life and proper medical service of the rapidly increasing elderly patients, we proposed to do critical review of the factors in the Korean medical system that accelerate the Ageism, reorganization of the health care system for the poor elderly, including the curriculum associated with age-integrating within the health care professional education system, raising the Geriatric Medical Service and the relating professionals and improvements in perception of the health care domains for the elderly and older adults.

Verification of effectiveness of evaluation of long-term care institution (장기요양기관(시설급여) 평가의 효과성 검증)

  • Kim, Yun-Jeong;Kim, Young-Jea;Lee, Sang-Jin
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.5
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    • pp.781-791
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    • 2019
  • The purpose of this study was to evaluate the evaluation of long - term care institutions (evaluation rating, evaluation rating, suitability of evaluation index), quality of service of caregivers, Quality satisfaction, life satisfaction, and facility choice. After receiving the IRB, in January and February of 2018, the survey was completed for 79 long-term care institution managers, 381 nursing care workers, and 381 elderly people. The survey carried out an allocation sample reflecting the 2015 long - term care (facility benefit) evaluation results. The results of this study are as follows. First, it is found that the institutional evaluation (evaluation level, change of evaluation level, recognition of suitability of the index) has a greater impact on the quality of life of the elderly, appear. However, the intention of reselecting the facility after discharge was more influenced by the quality of services of caregivers. Therefore, except for the intention to reschedule the facility, it can be said that the evaluation of the National Health Insurance Corporation was partially validated.

Care and future expectations of families with severe disabilities (중증장애 가족의 돌봄과 미래기대)

  • Shin, Kyung-An
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.139-146
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    • 2020
  • Care of people with severe disabilities requires care throughout their life cycle compared to non-disabled families. For this reason, carers of severely handicapped families are highly likely to have negative feelings throughout the family as well as daily stress. Disabled families also have a high rate of experiencing difficulties between non-disabled children or married couples in life centered on the disabled. In particular, the rapid aging in Korea affects the lives of the elderly disabilities along with the aging of the caregivers. The study explored alternatives to realistic support through the past and present experiences of caregivers with disabilities through qualitative research methods, and derived hopes and expectations for the future as follows.First, after confirming the disability for infants and toddlers with disabilities, information about the support system or system is provided from the rating agency. Second, providing "customized care support" suitable for the type of disability or individual characteristics at the social, political, institutional, and economic levels. Third, the provision of programs for non-disabled children and the provision of healing programs only for families with disabilities or those with disabilities. Fourth, the provision of spaces and programs that provide rest and rest for adults with disabilities. Fifth, the application of a long-term care system for the elderly reflecting the aging age of the disabled and institutionalization of community care for the disabled. The research is meaningful in that it presents discussion points for improving the quality of life of adults and the elderly with disabilities.

Concurrent Chemoradiation with Weekly Cisplatin for the Treatment of Head and Neck Cancers: an Institutional Study on Acute Toxicity and Response to Treatment

  • Ghosh, Saptarshi;Rao, Pamidimukkala Brahmananda;Kumar, P Ravindra;Manam, Surendra
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7331-7335
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    • 2015
  • Background: Concurrent chemoradiation with three weekly high dose cisplatin is the non-surgical standard of care for the treatment of locally advanced head and neck cancers. Although this treatment regime is efficacious, it has high acute toxicity, which leads not only to increased treatment cost, but also to increased overall treatment time. Hence, the current study was undertaken to evaluate the acute toxicity and tumor response in head and neck cancer patients treated with concurrent chemoradiation using $40mg/m^2$ weekly cisplatin, which has been our institutional practice. Materials and Methods: This single institution retrospective study included data for 287 head and neck cancer patients treated with concurrent chemoradiation from 2012 to 2014. Results: The mean age of the patients was 48.8 years. The most common site of involvement was oral cavity. Most of the study patients presented with advanced stage disease. The mean overall treatment time was 56.9 days. Some 67.2% had overall complete response to treatment as documented till 90 days from the start of treatment. According to the Radiation Therapy Oncology Group (RTOG) acute radiation morbidity scoring criteria, mucositis was seen in 95.1% of the patients. Dermatitis and emesis were observed in 81.9% and 98.6%, respectively. Regarding haematological toxicity, 48.8% and 29.6% suffered from anaemia and leukopenia, respectively, during treatment. Acute kidney injury was assessed using the Common Terminology Criteria for Adverse Events (CTCAE), and was found in 18.8% of the patients. Conclusions: Concurrent chemoradiotherapy with weekly cisplatin is an effective treatment regime for head and neck cancers with reasonable toxicity which can be used in developing countries, where cost of treatment is so important.

Analysis on the Home Modification related System for the Elderly (고령자 주택개조 관련 제도 현황 분석)

  • Kwon, Oh-Jung;Kim, Jin young;Lee, Yong min
    • Korean Institute of Interior Design Journal
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    • v.27 no.2
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    • pp.24-36
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    • 2018
  • Implementing a home modification to enable elderly's safe and independent living is the key plan to realize their aging in place. South Korea in which had entered an aged society is not yet vitalized in home modification for the elderly compared to that of welfare-developed countries, and South Korea provides support that is limited to the low-income elderly. Therefore, this purpose of this study was to analyze the laws related to the home modification, the present condition of home modification support, the standards and guidelines in home modification, the support in house modification cost, and supporting organization and working force in the home modification. Through the analyzing process, this study examined the current situation and problems of institutional support in the home modification for elderly and the proposed plan for institutional improvement. The suggestions based on the results are as in the following. 1) Home modification support law(act or regulation) is required to be improved 2) Home modification support system correspondent to aging process should be provided regardless of their income levels. 3) Delicate plan standard and guideline are necessary for a process of implementing the home modification for the elderly. 4) Information on life behavior is in need for the implementation of elderly-customized home modification. 5) Cost for the home modification should be considered to cover by the Act on Long-Term Care Insurance for the Aged. 6) Housing Welfare Center and Housing Welfare Professional should be actively utilized for the home modification support institution and work force.

Foodservice Management in Institutions for the Disabled in Korea (장애인 복지시설의 급식 및 영양관리실태)

  • Kim, Yeon-Soo;Kim, Ki-Nam;Chang, Nam-Soo
    • Journal of the Korean Society of Food Culture
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    • v.16 no.2
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    • pp.187-193
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    • 2001
  • The residents of institutional settings for the disabled people are likely to be a potentially nutritional at-risk groups. The objective of the present study was to investigate the current nutrition and foodservice management in institutions for the disabled using a survey questionnaire. The majority (85%) of the institutions was using a simple pre-set menu that consists of rice, soup or stew, kimchi, and two other side dishes. Some twelve percent of the institutions served only one side dish. The residents were consuming a diet of a low diversity with insufficient amounts of micronutrient rich foods. As a protein source, legumes and soybean curds, and eggs were served 90% and 94% of the time, while beef, pork or poultry, a better iron source, was served less than 2-3 times per month. Fruits were most infrequently served food items in these facilities with 38% of the facilities serving fruits only 2-3 times per month. With regard to the nutrition and health care management, the physical examination on the residents was conducted annually in 88.8%, routine hemoglobin measurement peformed in 66%, and nutrition education was conducted in 10.9% of the surveyed facilities. The foodservice and nutrition management manual will help ensure a safe and better quality foodservice for the disabled people, which is necessary for the improvement of health and nutrition of these people.

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A basic study on the animal welfare evaluation in Korean zoos (국내 동물원의 동물복지 평가에 관한 기초 연구)

  • Cho, Kyung Uk;Choe, Byung-In;Kim, Hwi Yool;Han, Jin Soo;Kim, Jin Suk
    • Korean Journal of Veterinary Research
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    • v.49 no.1
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    • pp.91-99
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    • 2009
  • The concept about zoo is changing from the animal exhibition which simply contained the animals to the ecological zoo which has the function of preserving the animal species. At the central point of maintaining such role, the basic principle called the animal welfare lies obviously. Korea has applied the animal welfare principles such as carrying out the enrichment in the zoos since 2003, but there has not been any institutional device to evaluate and examine the application of the animal welfare so far. This study aims to confirm the level of animal welfare in Korea and suggest a developmental direction. For the purpose of the study, 12 zoos in Korea were evaluated according to 68 evaluating categories. 'Five Principles of Animal Welfare' in the Secretary of State's Standards of Modern Zoo Practice were selected and carried out as the evaluation categories, and the result, from the highest to lowest score given, was 'provision of food and water', 'provision of protection from fear and distress', 'provision of health care', 'provision of an opportunity to express most normal behaviours', and 'provision of a suitable enrichment' with the overall score of the entire Korean zoos being 2.86 (${\pm}$ 0.56). It was also confirmed that in order to improve the animal welfare of the Korean zoos, the animal management system must be standardized and organized. The evaluation and feedback, the active practice of animal welfare and its legislative support should be provided to establish an effective institutional device as well.

The Context of Housing for the Old Age in Korea with Perspective of Franklin's Social Constructionism Model (프랭클린(Franklin)의 사회구성주의 모델 관점으로 본 한국의 노인주택 맥락)

  • 유병선;전경화;홍형옥
    • Journal of Families and Better Life
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    • v.22 no.1
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    • pp.103-114
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    • 2004
  • This study was performed by the literature review on housing of the aged in Korea with social constructionism perspective. This kind of research may be utilized as a theoretical framework for performance of any systems of housing for the aged. In terms of structural context, the value of conventional custom of filial piety thoughts and duty for family are being collapsed, which nay be suitable to the change of society, should be considered for positive acceptance of changes in ideology. In terms of institutional context, a method to grope for housing for the aged should be established through amicable cooperation between organizations of legalization concerned. In terms of organizational context, there is no organization that exclusively concern housing for the aged until now, thus, development of concrete manual is required for jobs of service in current department of policy for the aged. In terms of operational context, the service may include the understanding of characteristics of the aged and design of housing may also change the service of administration, and as cooperation in the local community care systems may change the service to the aged in the field. Connection of these services and operation of these organizations nay be required in the field to manage housing. Finally in terms of intersubjective context, as the form and method of housing management service is important, with understanding of the social meaning and importance on the role of manager.