The Results of Care Management Process for Dependent Elderly at Nong Song Hong District, Khon Kaen, Province

Abstract

The purposes of this research were: 1) to assess an activity daily living of the dependent elderly, 2) to assess the level of knowledge and skills in caring for the dependent elderly of the caregiver, and 3) to find problems and obstacles in the implementation of the development of caring for the dependent elderly under the care management process of Nong Song Hong District, Khon Kaen Province. This research is the formative evaluation research for selecting the population using a purposive sampling technique. It consists of the dependent elderly, elderly’s caregiver, and staff who were responsible for elderly work from health service networks and local administrative organizations, totaling 418 persons.  The data collected by structured interviews, questionnaires, screening, and assessment form, summary report and medical record, observation form between August 2020 - December 2020.  The results found that the capacity to do daily activities of the dependent elderly improved by 16.21%, the same 71.38%, decreased 7.93%. The knowledge and skill level of the caregivers was at the good level, 84.69% and 72.45%, at the moderate level, 12.24% and 25.51, at the level should be improved 3.06% and 2.04, respectively. For operational problems and obstacles, it was found that the officers who were responsible for the work had a lot of workloads, lack of understanding of the operation, lack of clear responsible person, the operation procedure was complicated, the method of disbursement of the budget was not clear, some elderly’s caregiver instants lack confidence in caring for the elderly. Therefore, the care management process for the dependent elderly should be developed to be more effective.