JP7129072B2 - Program and information display device - Google Patents

Description

TECHNICAL FIELD The present invention relates to a program and an information display device for supporting eating for a person who is suspected of having, for example, a decline in swallowing function.

For example, in Non-Patent Document 1, there are 1 to 25 check items that can be considered as the state of a person whose swallowing function is reduced, and "possible things" and "measures to be considered" corresponding to each check item. measures” are stated.

"Meal Support Check Sheet Guide" Otsuka Pharmaceutical Factory, Inc.

In Non-Patent Literature 1, the user himself/herself has to investigate what can be considered about the target person and countermeasures to be considered in relation to the check items, which is not convenient.

An object of the present invention is to provide a convenient program and an information display device.

In order to achieve the above object, the program according to the first aspect of the present invention is
Check items that indicate the condition of a person with impaired swallowing function, possible causes of the condition for each condition, possible risks for the person with the condition, and when the condition occurs a computer equipped with a check item database that stores in advance countermeasures to be considered in order to prevent deterioration of swallowing function,
Check item presenting means for displaying and presenting a plurality of check items considered as conditions of a person with dysphagia registered in the check item database on a display screen;
operation receiving means for receiving an operation of selecting a check item corresponding to the state of the observation subject whose eating was observed from among the plurality of check items presented by the check item presentation means;
reading means for reading from the check item database conceivable matters and countermeasures corresponding to the check item selected by the operation receiving means;
display control means for displaying, on a display device, information indicating the selection status of the check items, and the conceivable matters and countermeasures read by the reading means;
function as

In order to achieve the above object, an information display device according to a second aspect of the present invention includes:
Check items that indicate the condition of a person with impaired swallowing function, possible causes of the condition for each condition, possible risks for the person with the condition, and when the condition occurs a check item database for pre-stored in association with countermeasures to be considered in order to prevent deterioration of swallowing function;
a check item presenting means for displaying and presenting a plurality of check items considered as conditions of a person having dysphagia registered in the check item database on a display screen;
an operation receiving means for receiving an operation of selecting a check item corresponding to the state of the observation subject whose eating was observed from among the plurality of check items presented by the check item presenting means;
reading means for reading from the check item database conceivable matters and countermeasures corresponding to the check item selected by the operation receiving means;
display control means for displaying, on a display device, information indicating the selection status of the check items, and the conceivable matters and countermeasures read by the reading means;
Prepare.

According to the present invention, it is possible to provide a convenient program and an information display device.

1 is a configuration diagram of an information display device according to an embodiment of the present invention; FIG. It is an example of a configuration of a check item database. It is an example of a configuration of a check item database. It is an example figure of a structure of a personal information database. It is an example figure of a structure of an observation finding database. It is an example figure of a structure of a meal proposal database. It is a flow chart of meal support processing. It is a figure which shows the various display screens displayed by an information display apparatus. It is a figure which shows the structural example of meal assistance information. It is a figure which shows the structural example of an oral maintenance plan.

(Configuration of information display device)
An observer, including the user of the information display device 100 of FIG. Based on the input information, the information display device 100 presents information (such as “possible things”, “consideration items”, and recommended “meal details” to be described later) for assisting the subject in eating. do. Based on the information presented, observers and other interested parties can consider a course of action to support the subject's diet (oral maintenance plan, etc.). Thus, the information display device 100 operates as a meal assistance device that assists the subject in eating.

The above subjects are hospital patients, residents of nursing homes, etc. For example, those who are suspected of having impaired swallowing function (including those who actually have impaired swallowing function). is.

The observers include physicians, dentists, dietitians (including registered dietitians), nurses, dental hygienists, speech therapists, occupational therapists, physical therapists, care workers, and the like. Observation is usually performed by multiple people.

The information display device 100 is composed of a personal computer or the like, and as shown in FIG. 105 and.

The nonvolatile storage device 101 is a hard disk or the like. Various programs and various data required to operate the information display device 100 are stored in the nonvolatile storage device 101 . For example, the non-volatile storage device 101 stores a meal assistance program 11, a check item database 12, a personal information database 13, an observation findings database 14, a meal proposal database 15, and the like.

The meal assistance program 11 causes the CPU 103 to execute meal assistance processing, which will be described later.

The check item database 12 includes "check items" and "possibilities" and "consideration items" associated with the "check items" (see FIGS. 2 and 3). The check item database 12 is prepared in advance, and the contents of the 'considered things' and 'items to consider' are determined in advance by experts in relation to the 'check items'.

The check items indicate the possible conditions (candidates) of persons with impaired swallowing function (persons with dysphagia), and the conditions of persons to be observed (understood by observation, as described later). In addition to the possible state, there are also states that can be grasped without observation (subject's medical history, fever, etc.) are checked when the observer determines that they match the check item. That is, the observer checks (selects) check items (candidates) corresponding to the state of the person to be observed. Since the observer confirms the state of the subject of observation according to the check items, the check items also indicate items that the observer should confirm (check) regarding the state of the subject of observation. There are a total of 25 check items, and "1" to "25" are sequentially assigned as "item number" to each check item (see the numbers in the "item number" column in FIGS. 2 and 3). ).

Each check item with item numbers 1 to 5 (for specific details, refer to the check items for item numbers 1 to 5 in FIG. 2. Hereinafter, the same applies to each check item.) is a check item related to the general condition of the subject. Yes, and belongs to the category of “general condition” (see FIG. 2).

Check items with item numbers 6 to 10 are check items related to the subject's cognitive function or willingness to eat, and belong to the category of "cognition/willingness" (see FIG. 2).

Check items with item numbers 11 to 15 are check items related to the oral function of the subject, and belong to the category of "oral function" (see FIG. 2).

Check items with item numbers 16 to 20 are check items related to the pharyngeal function of the subject, and belong to the category of "pharyngeal function" (see FIG. 3).

Each of the check items with item numbers 21 to 25 is a check item related to posture maintenance (holding of posture when eating) of the subject, and belongs to the category of "posture maintenance" (see FIG. 3).

"Things to be considered" are things that can be considered about the subject when the corresponding check item is checked (for example, the reason why the status of the subject is the status of the check item, the concern about the subject) risk). For example, when item number 1 is checked (“has a history of being hospitalized for “pneumonia” within the last six months”), “possible things” include “high risk of aspiration” and “oral Poor sanitary conditions inside” (see Figure 2).

"Consideration item" is an item to be considered (for example, countermeasures to be considered to prevent deterioration of swallowing function) for the subject when the corresponding check item is checked. For example, when the check item of item number 16 ("choking on tea or soup") is checked, "consideration items" include "consideration of monitoring and assistance methods during meals" and "consideration of thickening". (See Figure 3).

The personal information database 13 is a database of the personal information of the subject. As shown in FIG. 4, the personal information database includes the subject's "ID", the subject's "last name", "first name", "gender", "date of birth", and "most recent observation date". (date of last observation) are associated with each other. "ID" is a unique number assigned to each subject.

The observation findings database 14 is a database of past check conditions (observation findings) of check items and various types of information input by an observer for each subject (ID). As shown in FIG. 5, in the observational findings database 14, each ID has check items of item numbers 1 to 25 ("1" if checked, "0" if not checked) ( 5), the observation date on which the check (observation) was performed (see the "Observation date" column in FIG. 5), and other information entered by the observer. (Refer to the column of "Others" in FIG. 5.) and are associated with each other. The other information includes information such as the eating pattern and the observer input in the meal support process described later. Each piece of information that constitutes the observation finding database 14 is added in a meal support process, which will be described later.

In the meal proposal database 15, as shown in FIG. 6, "check numbers" are associated with "meal details" associated with each check number. The “number of checks” is the number of check items checked among the check items with item numbers 1-25. The "meal content" indicates the content of a meal that is suggested (recommended) according to the number of checks. Meal content is specified here by the food form, which is the form of the food served in the meal. "Fasting" in the content of meals means supplying nutrition by intravenous drip or the like instead of eating. Each code in the meal content is a classification code set in "Academic Society Classification 2013 (Meal)" in "Japanese Society of Dysphagia Rehabilitation Dysphagia Rehabilitation Classification 2013" (see also Non-Patent Document 1), and is "0j". (code for designating swallowing training food), "0t" (code for designating swallowing training food), "1j" (code for designating modified swallowing diet), "2-1" (code for designating modified swallowing diet) , “2-2” (code for specifying swallowing-adjusted diet), “3” (code for specifying swallowing-adjusted diet), and “4” (code for specifying swallowing-adjusted diet). Each code designates a food form, in the order '0j', '0t', '1j', '2-1', '2-2', '3', '4', which is easier to swallow ( “0j” is the easiest to swallow). Above “4” is “ordinary diet” (a type of diet) that is usually eaten by people who do not have dysphagia. "Code 4 or higher" in FIG. 6 includes the code "4" as well as the "regular diet." The meal proposal database 15 is prepared in advance, and the relationship between the number of checks and the content of meals is obtained by various surveys by experts (for example, statistics on the relationship between the number of checks and the types of meals that can be taken). ) can be used as long as it is determined in advance. The greater the number of checks, the more severe the dysphagia tends to be (the tendency for the dysphagia to deteriorate remarkably). Therefore, in the meal proposal database 15, the more the number of checks, the easier the swallowing is to be selected (finally fasting).

Using the RAM 102 as a main memory, the CPU 103 executes the meal assistance program 11 and executes meal assistance processing, which will be described later.

The display 104 is composed of a liquid crystal display device or the like, and displays various images under the control of the CPU 103 .

The input device 105 is composed of a keyboard, a mouse, and the like.

(Meal support processing)
Next, the meal assistance process performed by the CPU 103 will be described with reference to FIG. The meal support process is used when one or more (usually more than one) observers observe a subject's meal (a meal menu is appropriately determined for observation according to the subject). The meal assistance process is started when, for example, one of the observers participating in the observation operates the input device 105 as a user to activate the meal assistance program 11 . Observations are made multiple times on a regular basis for the same subject.

In the meal support process, the CPU 103 first executes a personal information input acceptance process (step S101). For example, the CPU 103 displays the personal information input screen of FIG. 8(A) on the display 104 . The user uses the input device 105 to enter the personal information of the person to be observed this time (here, surname, first name, sex, date of birth, and observation date (date of observation this time)) on the personal information input screen. sequentially input to the input fields N1 to N5. The entered contents are displayed in the input fields N1 to N5 (the same applies to other input fields. Also, even if a check box to be described later is checked, the fact that the check box is checked is indicated by blackout or the like).

When the input of the surname (or given name) is received, the CPU 103 refers to the personal information database 13 and determines whether the surname (or given name) is the same or not. If registered, the CPU 103 reads the ID, first name (or last name), gender, date of birth, and most recent observation date corresponding to the last name (or first name) to the RAM 102, and among the read information, the first name (or family name), gender, and date of birth are entered in the entry fields N2 (or N1) to N4. That is, the first name (or last name), sex, and date of birth are automatically entered (automatically displayed). The most recently read date of observation may be automatically input (automatically displayed) as the observation date in the input field N5. In addition, when the same surname (or given name) is registered multiple times (when there is a person with the same surname (or the same name)), the CPU 103 displays candidates (name (or Last name), gender, date of birth) are presented and the user is allowed to select. The CPU 103 displays the selected candidates in the input fields N2 (or N1) to N4. The first name (or surname), gender, and date of birth automatically input by the CPU 103 can be corrected by the user. If the same family name (or first name) is not registered, the automatic input as described above is not performed, and the user inputs necessary information. The automatic input improves convenience for the user.

When the user finishes inputting each piece of information such as the family name, the user uses the input device 105 to select the “Next” button image B1. Upon accepting the selection, the CPU 103 ends the process of step S101. Each piece of information such as the family name that has already been input is held in the RAM 102 .

After that, the CPU 103 executes a food form input acceptance process (step S102). For example, the CPU 103 displays the food form input screen of FIG. 8(B) on the display 104 . The user uses the input device 105 to input the “meal form” of the meal eaten by the subject during this observation. The food form is specified by, for example, staple food information (name and code in “Society Classification 2013 (Meal)”), side dish information (name and code in “Society Classification 2013 (Meal)”), and thickness. These are entered in the input fields N11 to N15. The name of the staple food (white rice, bread, etc.) is entered in the input field N11. In the input field N12, the code of the staple food in the “Society Classification 2013 (Meal)” is entered (in the case of the regular meal, “Normal meal” is entered. The same applies to the code). The name of the side dish (cream stew, boiled fish, etc.) is entered in the input field N13. In the input field N14, the code of the side dish in the "Academic Society Classification 2013 (meals)" is entered. Thickness (dark, medium, thin, none (no thickness)) is entered in the input field N15. After completing the input, the user uses the input device 105 to select the “next” button image B12. CPU103 will complete|finish the process of step S102, if the said selection is received. The food form (staple food (name and code), side dish (name and code), thickness) that has already been input is held in the RAM 102 . When the "previous" button image B11 is selected, the process returns to step S101.

After that, the CPU 103 executes observer input acceptance processing (step S103). For example, the CPU 103 displays the viewer input screen of FIG. 8(C) on the display 104 . The user uses the input device 105 to perform checks corresponding to doctors, dentists, registered dietitians/nutritionists, nurses, dental hygienists, speech therapists, occupational therapists, physical therapists, nursing staff, and others. By checking boxes C21 to C30, the observer (observer) who participated in the current observation is entered. Observers are identified by occupation. After completing the input, the user uses the input device 105 to select the "next" button image B22. Upon accepting the selection, the CPU 103 ends the process of step S103. Observer information that has already been input (checked) is held in the RAM 102 . When the "previous" button image B21 is selected, the process returns to step S102.

After that, the CPU 103 executes observation finding input acceptance processing (step S104).

In the observation finding input acceptance process, the CPU 103 first displays the first observation finding input screen shown in FIG. 8D on the display 104 . Check items with item numbers 1 to 5 belonging to the general condition category (see FIG. 2) are displayed on the first observation finding input screen. The user checks the check items corresponding to the state of the person being observed this time among the check items with item numbers 1 to 5. It should be noted that whether or not an item corresponds to a check item is determined by an observer other than the user (the same applies to other check items). The check is performed by checking check boxes C31 to C35 corresponding to each check item. Through such a check, the condition of the subject of the current observation (also referred to as an observation finding) is input. The above-mentioned "state of the subject of this observation" (observation findings) includes things that can be grasped by observation, such as "difficulty eating by himself", as well as "has a history of being hospitalized for" pneumonia "within the past six months. It may include things that can be grasped without observation, such as "there is" (the same applies to other categories). After completing the check, the user uses the input device 105 to select the “next” button image B32. When receiving the selection, the CPU 103 displays the second observation finding input screen of FIG. 8(E) on the display 104 . At this time, information on whether each check item is checked is stored in the RAM 102 . When the "previous" button image B31 is selected, the process returns to step S103.

Check items with item numbers 6 to 10 (see FIG. 2) belonging to the category of cognition/motivation are displayed on the second observation finding input screen of FIG. 8(E). The user checks the check items corresponding to the state of the person being observed this time among the check items with item numbers 6 to 10. FIG. The check is performed by checking check boxes C41 to C45 corresponding to each check item. Through such a check, the condition (observation finding) of the subject of the current observation is input. After completing the check, the user uses the input device 105 to select the “next” button image B42. Upon accepting the selection, the CPU 103 displays the third observation finding input screen of FIG. 8(F) on the display 104 . At this time, information on whether each check item is checked is stored in the RAM 102 . When the "previous" button image B41 is selected, the display returns to the first observation finding input screen.

Check items with item numbers 11 to 15 belonging to the oral cavity function category (see FIG. 2) are displayed on the third observation finding input screen in FIG. 8(F). The user checks the check items corresponding to the condition of the person being observed this time among the check items with item numbers 11 to 15. FIG. The check is performed by checking check boxes C51 to C55 corresponding to each check item. Through such a check, the condition (observation finding) of the subject of the current observation is input. After completing the check, the user uses the input device 105 to select the “next” button image B52. When receiving the selection, the CPU 103 displays the fourth observation input screen of FIG. 8(G) on the display 104 . At this time, information on whether each check item is checked is stored in the RAM 102 . When the "previous" button image B51 is selected, the display returns to the second observation finding input screen.

Check items with item numbers 16 to 20 belonging to the pharyngeal function category (see FIG. 3) are displayed on the fourth observation input screen in FIG. 8(G). The user checks the check items corresponding to the state of the person being observed this time among the check items with item numbers 16 to 20. FIG. The check is performed by checking check boxes C61 to C65 corresponding to each check item. Through such a check, the condition (observation finding) of the subject of the current observation is input. After completing the check, the user uses the input device 105 to select the “next” button image B62. Upon accepting the selection, the CPU 103 displays the fifth observation finding input screen of FIG. 8(H) on the display 104 . At this time, information on whether each check item is checked is stored in the RAM 102 . When the "previous" button image B61 is selected, the display returns to the third observation finding input screen.

On the fifth observation input screen in FIG. 8(H), check items (see FIG. 3) with item numbers 21 to 25 belonging to the posture maintenance category are displayed. The user checks the check items corresponding to the condition of the person being observed this time, among the check items with item numbers 21 to 25 . The check is performed by checking check boxes C71 to C75 corresponding to each check item. Through such a check, the condition (observation finding) of the subject of the current observation is input. After completing the check, the user uses the input device 105 to select the “next” button image B72. CPU103 will complete|finish the process of step S104, if the said selection is received. At this time, information on whether each check item is checked is stored in the RAM 102 . When the "previous" button image B71 is selected, the display returns to the fourth observation finding input screen.

After step S104, the CPU 103 executes database registration processing (step S105). First, the CPU 103 stores a set of surname, first name, gender, and date of birth that are input (including automatic display) in the current personal information input acceptance process (step S101) and are held in the RAM 102 as a personal information database. 13, it is determined whether or not it has already been registered in association with the same ID. If it is not registered (when the observation is the first time), first, an ID is generated. The ID is generated with the largest number among the IDs already registered in the personal information database 13 +1. Thereafter, the CPU 103 associates the newly generated ID with the surname, given name, sex, date of birth, and date of observation held in the RAM 102 and registers them in the personal information database 13 . The observation date is registered as the latest observation date. One record in the personal information database 13 is composed of the ID, surname, given name, sex, date of birth, and date of most recent observation. If the family name and the like have already been registered (when the observation is not the first time), the most recent observation date in the one record is updated to the observation date that is input this time and held in the RAM 102 . The CPU 103 holds, in the RAM 102, newly registered or already registered records to be processed (ID, family name, first name, sex, date of birth, date of observation) as personal information records.

In addition, the CPU 103 stores various types of information input in the food form input receiving process (step S102), the observer input receiving process (step S103), and the observation finding input process (step S104) and stored in the RAM 102 in the observation finding database 14. Register additionally. Specifically, the CPU 103 determines whether or not each of the check items with item numbers "1" to "25" is checked, and whether or not the subject is checked in the current observation, the ID, the observation date, and the item numbers "1" to "25" held in the RAM 102 as described above. The food form of the meal eaten (staple food (name and code), side dish (name and code), thickening) and the observers who participated in this observation are associated with each other, and the observation findings database 14 (Fig. 5). The eating pattern and the observer are registered as other information (FIG. 5). The CPU 103 holds the record to be processed this time in the RAM 102 as an observation-related record.

In steps S102 to S104, the CPU 103 performs input (including automatic display) in the current personal information input acceptance process (step S101) and holds in the RAM 102 the family name, first name, gender, and date of birth. It may be determined whether the set of days has already been registered in the personal information database 13 in association with the same ID. If it has already been registered, the CPU 103 reads one record containing the ID (if there are multiple records, the record with the latest observation date) from the observation finding database 14 to the RAM 102, and starts executing steps S102 to S104. When the display of each screen of FIGS. 8A to 8H starts, the content of the read record may be reflected. In other words, the content of the read record (input content in the previous observation) may be automatically initially displayed as already input.

For example, when the food form input screen of FIG. , Thickness) may be input (displayed) in the input fields N11 to N15 from the beginning.

For example, when the first observation finding input screen of FIG. Among the check boxes C31 to C35, the check box corresponding to the check item with the checked item number may be checked from the beginning (the check points in the previous observation are displayed).

The initial display improves convenience for the user and allows the user to grasp the result of the previous observation (input information).

After step S105, the CPU 103 executes a meal support information display process (step S106) for displaying meal support information reflecting the contents of each record held in the database registration process (step S105). An example of meal support information is shown in FIG. Meal support information includes various types of information based on the information input by the user (including determination results such as "What can be considered?", "Let's consider this countermeasure", "Recommended meal content", etc.). are listed.

In the columns of "Name", "Gender", "Date of Birth", and "Date of Observation" in FIG. ) is displayed. "Age" is calculated from the date of birth. The "number of observations" indicates how many times the current observation is made, and is specified by the number of records having the ID included in the record registered in the observation finding database 14 ( If there are 3 records, the 3rd time).

In the "staple food" column, the "side food" column, and the "thickness" column in the "food form" in FIG. code), thickening is displayed.

The pentagonal radar chart R1 displayed in the column of "i~tomiru score" is based on whether or not each of the check items with item numbers "1" to "25" included in the observation-related record is checked. created by Specifically, the CPU 103 classifies the number of checked check items (the number of checks) into categories ("general condition", "cognition/motivation", "oral function", "pharyngeal function") based on the information on the presence or absence of the check. ”, “posture maintenance”) are identified and scored. The score is the number obtained by subtracting the number of checks from 5, and the maximum score is 5 (the higher the score, the smaller the number of checks). The CPU 103 displays the points obtained by scoring each of the five categories in a pentagonal radar chart R1. A pentagonal radar chart R1 is drawn as a solid line as one obtained by the observation of this time.

The pentagonal radar chart R2 displayed in the column of "i~tomiru score" is the observation-related record among the records having the same ID as the ID included in the observation-related record in the observation finding database 14. is created based on the record that has an observation date one previous to that of . Specifically, the CPU 103 identifies the record having the previous observation date, reads it to the RAM 102, and determines whether or not each of the check items with item numbers “1” to “25” included in the read record is checked. Based on this, the number of checks is specified and scored for each category in the same manner as above. The CPU 103 displays the points obtained by scoring each of the five categories in a pentagonal radar chart R2. A pentagonal radar chart R2 is drawn with a dotted line as one obtained from the previous observation.

In the "observation findings" column of FIG. 9, whether or not each of the check items with item numbers "1" to "25" included in the observation-related record is checked is displayed together with the check items by category ("general condition", "cognition/motivation", "oral function", "pharyngeal function", and "posture maintenance"). The presence or absence of a check is indicated by a square at the head of each check item, and the white square indicates no check (in FIG. 9, for example, the check item "lack of appetite" is not checked). A square filled with black indicates that there is a check (in FIG. 9, for example, the check item of "poor awakening" is checked). As shown in FIG. 9, by displaying a list of the check results together with the check items, the check status can be visually grasped easily.

In the column "What can you think about?" A list of "possible things" associated with the checked check item specified by the presence/absence of the item is displayed. Specifically, the CPU 103 identifies the check item checked this time based on the presence or absence of the check included in the observation-related record, refers to the check item database 12 based on the identified check item, and performs the identified check. If the "possible thing" associated with the item (for example, "currently has a fever of 37 ° C or higher" is checked, "high risk of aspiration", "oral hygiene bad", "possible dehydration"). The CPU 103 displays the read "what can be considered" in the column of "what can be considered?". It should be noted that the CPU 103 displays only one of the plurality of "possible things" that have been read out, if there are overlapping ones.

In the column of "Let's consider this kind of countermeasure" in FIG. A list of "consideration items" associated with checked check items specified by (checked/unchecked) is displayed. Specifically, the CPU 103 refers to the check item database 12 based on the check item specified above, and "consideration item" (for example, "current temperature of 37° C. or higher") associated with the specified check item. If "I have a fever" is checked, "Consider oral care methods", "Consider changing diet", "Consider monitoring and assistance methods during meals", "Consider dehydration measures") read all The CPU 103 displays the read "what can be considered" in the column of "what can be considered?". It should be noted that the CPU 103 displays only one of the multiple read "consideration items" if there are duplicate items.

The recommended (suggested) meal content is displayed in the column of "recommended meal content" in FIG. Here, the recommended content is displayed by the code of "Academic society classification 2013 (meal)" (here, food form). The recommended content is specified by the meal suggestion database 15 . Specifically, the CPU 103 counts the number of checked check items specified above (the number of checks), refers to the meal proposal database 15 based on the counted number of checks, and determines the meal associated with the number of checks. The content ("fasting" or the above code) is read, and the read meal content is displayed in the "recommended meal content" column.

In the column of "additional comment" in FIG. 9, the user appropriately inputs comments via the input device 105. FIG.

Observers and related parties who did not participate in the observation (hereinafter collectively referred to as observers, etc.) hold a meeting (interprofessional meeting) to discuss measures to enable the subject to continue oral feeding. Develop an oral maintenance plan (a plan to support eating so that the person can maintain oral feeding). At this time, the meal support information in FIG. "Things", contents of "Considerations"), radar charts R1 and R2) are referred to. This allows an observer or the like to visually obtain a hint when creating an oral maintenance plan. In particular, as shown in FIG. 9, various types of information including "What can you think about?", "Let's consider this countermeasure", and radar charts R1 and R2 are displayed as a list by the meal support information, so that the observer can etc. can intuitively give hints when creating an oral maintenance plan. In addition, the information displayed in the "What can you do?" and "Let's consider this countermeasure?" can be easily confirmed, and observers can easily confirm hints when creating an oral maintenance plan. Therefore, according to this embodiment, the convenience of creating an oral maintenance plan is improved compared to the conventional method (in other words, the convenience of meal support is improved compared to the conventional method; the same applies hereinafter). Note that "list display" includes, as appropriate, a list display that fits within one screen, a list display that allows the entirety to be confirmed by scrolling, a list display that is divided into a plurality of pages, and the like. Only one of "what can be considered" and "let's consider this countermeasure" may be adopted, and even in that case, the above effect can be obtained to some extent. In addition, in the present embodiment, if the user inputs the necessary information, the meal support information is automatically generated. From this point as well, the convenience of creating an oral maintenance plan is improved compared to the conventional method, and the meal support is provided. convenience is improved compared to the conventional one.

"Possible things" and "Let's consider such countermeasures" may overlap with multiple check items, but the meal support information of this embodiment eliminates this overlap. This makes it easy to grasp "things that can be considered" and "let's consider this countermeasure". Therefore, according to this embodiment, the convenience of creating an oral maintenance plan is improved as compared with the conventional one. Furthermore, since specific proposals for meal content can be received from the "recommended meal content", the convenience of creating an oral maintenance plan is improved compared to the past.

Also, as mentioned above, the greater the number of checks, the more pronounced the deterioration of the swallowing function. The smaller the area, the larger the area), and there is a tendency for the swallowing function to decline. As shown in FIG. 9, by overlapping the radar chart R2 from the previous observation and the radar chart R1 from the current observation, it is easy to compare these areas, and the observer can easily understand the subject's eating and swallowing. The degree of functional deterioration can be easily grasped visually. It should be noted that the smaller the area of the radar chart, the shorter the life may be, so the life can be grasped from the radar chart. Based on these, future measures (including preparation of an oral maintenance plan) can be made effectively.

Further, by informing the user of the previous check result for each of the check items being presented, as in the initial display, the user can easily grasp the previous check result, thereby improving convenience. In addition to notification of the previous check result by checking the check items in advance as described above, for example, the previous check box is provided separately from the current check boxes C31 to C35, By checking the check box for the previous time, the result of the previous check may be notified. Alternatively, a list of previously checked check items may be displayed.

In order to support the preparation of the oral maintenance plan, the CPU 103 of the information display device 100 accepts input of information necessary for preparing the oral maintenance plan via the input device 105, and prepares the input information as a template. It may be reflected in the maintenance plan (see FIG. 10), and the reflected oral maintenance plan may be output (output to a printer) together with the meal support information. The information necessary for creating an oral maintenance plan includes (1) participants who participated in the multi-professional conference, (2) future tasks and goals, (3) period, (4) target persons (here, users ) or family's intention, (5) test items that have been performed so far (repetitive salivary swallowing test (RSST), modified water swallowing test (MWST), food test (FT), neck auscultation, endoscopic swallowing test (VE)) (6) Food form/thickness, supplementary food, information on whether to change or maintain the current environment around the meal, (7) Change or maintain the current oral care method (8) Need for medical or dental care, (9) Information necessary for calculation addition (I) in oral maintenance addition (points noticed, advice, etc., and the name of the person who proposed it and occupation), (10) Information necessary for calculation addition (II) in oral maintenance addition (points noticed, advice, etc., and name and occupation of person who proposed it), (11) Notice from doctor or dentist points, advice, etc., and the name of the doctor or dentist). The entered information is reflected, for example, in each column of the oral maintenance plan template shown in FIG. 10, and printed together with meal support information as appropriate. As a result, the oral maintenance plan can be prepared semi-automatically, and the convenience of preparing the oral maintenance plan is improved compared to the conventional method.

(Modification)
Modifications of the above embodiment will be described below. At least some of the following modifications can be combined unless contradictory. It should be noted that the configuration of the above embodiment and the configuration below can be omitted regardless of whether or not the configuration relates to the above "problems to be solved by the invention" (in that case, , which can be another invention).

(Modification 1)
The meal content displayed in the “recommended meal content” column is not the code of “Society Classification 2013 (meals)”, but specific foods and dishes, meal menus, specific food forms, etc. There may be. For example, "Recommend food Y from X food company" may be displayed in the "recommended meal contents" column. In this case, a database may be prepared in which the code of the “Society Classification 2013 (Meal)” and the food are associated with each other, or the “Meal Details” in the Meal Proposal Database 15 may be changed to food information. . Also, the "number of checks" in the meal proposal database 15 may be changed to other information based on checked check items. For example, the number of checks may be scored (full score - number of checks). For example, the "number of checks" may be changed to the number of checks in a specific category. Also, the area, shape, deformation rate (the deformation rate relative to the unchecked radar chart), etc. of the radar chart R1 may be changed. Furthermore, the check distribution of all check items from 1 to 25 or the check distribution of check items for each category may be changed. As described above, the meal content displayed in the "recommended meal content" column (recommended meal content in the meal support information) is information based on the checked check items (specified by the checked check items). number, distribution, information such as a radar chart based on checked check items, etc.). In other words, the CPU 103, for example, selects the checked check items (candidates selected by the user from among a plurality of candidates considered as the state of a person with dysphagia (number, distribution, radar chart shape, etc.) including )) may be displayed as recommended meal contents for the subject of this observation. Data (such as a database) indicating the relationship between checked check items (selected candidates) and recommended meal content is prepared in advance (stored in the nonvolatile storage device 101, for example), and is referred to by the CPU 103. All you have to do is The relationship is determined in advance by, for example, an expert conducting various investigations (for example, collecting statistics on the relationship between checked items and forms of ingestible meals).

(Modification 2)
The contents of the observational findings database may be shared, for example, for each facility such as a hospital and for each region, and used for various statistics (for example, the contents of the observational findings database may be stored for each facility such as a hospital and for each region. create other databases and use them for statistics, etc.). For example, one record of the observation findings database includes identification information for identifying a facility or area and personal information corresponding to the ID, and a plurality of information display devices 100 (for example, one or more are arranged for each facility). A communicable server computer is provided, and each information display device 100 (CPU 103) sequentially stores the one record in the database provided in the server computer based on the operation from the user (each of a plurality of subjects A plurality of records generated by each observation of a plurality of times are stored.An appropriate ID is assigned to each record so that each subject can be specified.The ID is managed by the information display device 100, for example. The value of the ID number + the identification number unique to the information display device 100 may be used as the ID.). In addition, the one record may include the level of nursing care required, the degree of progress of dementia, the state of health (information on lifestyle-related diseases), and the like of the subject at the time of observation. In this way, various statistics can be obtained. For example, it is possible to obtain statistics for grasping the relationship between the need for nursing care, the degree of progress of dementia, the health condition, the area or deformation rate of the radar chart, and the score of each of the five categories. In addition, it is possible to obtain statistics on chronological changes in the check distribution of check items (changes for each subject) and statistics on which check items are likely to be checked for each region. Based on the statistics of the time series transition (transition for each subject) of the check distribution of check items (including the shape of the radar chart, etc.) It is possible to grasp whether the person is likely to fall into a trap or the prospect of improvement of the swallowing function, which can be used for future measures (countermeasures for meal support, etc.). In addition, it is possible to grasp the tendency of the target person for each region from the statistics of which check items (or categories) are likely to be checked for each region. For example, if the number of checks in the "cognition/willingness" category is extremely large, it can be understood that dementia is common. For example, an area with many check items (in particular, item number 1) belonging to the category of "general condition" is found to be an area with many aspiration pneumonia. For example, it is possible to grasp the relationship between food cultures that differ from region to region and checked check items. Based on such an understanding, appropriate measures can be taken for each region.

(Modification 3)
Various data (particularly various databases) stored in the nonvolatile storage device 101 may be stored in a server or the like external to the information display device 100 .

11... meal support program, 12... check item database, 13... personal information database, 14... observation findings database, 15... meal proposal database, 100... information display device, 101. Nonvolatile storage device 102 RAM 103 CPU 104 display 105 input device R1, R2 radar chart C11 to C16, C21 to C30, C31 ~ C35, C41 ~ C45, C51 ~ C55, C61 ~ C65, C71 ~ C75 ... check box

Claims (3)

Check items that indicate the condition of a person with impaired swallowing function, possible causes of the condition for each condition, possible risks for the person with the condition, and when the condition occurs a computer equipped with a check item database that stores in advance countermeasures to be considered in order to prevent deterioration of swallowing function,
Check item presenting means for displaying and presenting a plurality of check items considered as conditions of a person with dysphagia registered in the check item database on a display screen;
operation receiving means for receiving an operation of selecting a check item corresponding to the state of the observation subject whose eating was observed from among the plurality of check items presented by the check item presentation means;
reading means for reading from the check item database conceivable matters and countermeasures corresponding to the check item selected by the operation receiving means;
display control means for displaying, on a display device, information indicating the selection status of the check items, and the conceivable matters and countermeasures read by the reading means;
A program that acts as a The observation of the meal and the selection of the check item are performed multiple times for the same observation subject,
When presenting the plurality of check items, the check item presenting means notifies, among the plurality of check items, the check item selected by the operation accepted by the operation accepting means in the previous observation.
A program according to claim 1. Check items that indicate the condition of a person with impaired swallowing function, possible causes of the condition for each condition, possible risks for the person with the condition, and when the condition occurs a check item database for pre-stored in association with countermeasures to be considered in order to prevent deterioration of swallowing function;
a check item presenting means for displaying and presenting a plurality of check items considered as conditions of a person having dysphagia registered in the check item database on a display screen;
an operation receiving means for receiving an operation of selecting a check item corresponding to the state of the observation subject whose eating was observed from among the plurality of check items presented by the check item presenting means;
reading means for reading from the check item database conceivable matters and countermeasures corresponding to the check item selected by the operation receiving means;
display control means for displaying, on a display device, information indicating the selection status of the check items, and the conceivable matters and countermeasures read by the reading means;
Information display device.

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