The Development of a Long Term Care Service for Dependent Elders in Nongsim Sub-district, Borabue District, Mahasarakham Province
Article Sidebar
Main Article Content
Abstract
This action research aimed to improve long term care service for dependent elders with chronic illnesses and conditions in Nongsim sub-district, Borabue district, Mahasarakham province using conceptual framework from long-term care service and chronic care model approach. Research approach consisted of 2 cycles of action research, of which each cycle included 4 phases: PLAN, ACT, OBSERVE, REFLECT. Fifty
three key informants were selected by purposive sampling included 15 dependent elders, and their caregivers, village health volunteers, community leaders, multi-disciplinary personnel and care manager. Data were collected using focus group, in-depth interviews, observation and also secondary data from related records and documentations. All qualitative data were analyzed by content analysis and descriptive statistic was used for quantitative data analysis
The research outcomes showed that long term care service encouraged 77.70% of dependent elders to be improved as they had higher Barthel ADL index. Several long term care service packages were developed in order to support dependent elders in various situations and contexts such as basic foundation and hygiene
care; rehabilitation; stroke care; cancer and end-of-life care; bedsore care; and careplan for caregivers. Also clinical practice guideline for long term care service was developed under CUP agreement.
The recommendations were to expand and to develop more long term care packages and clinical practice guideline in other contexts. Also key messages from practice level should be presented and submitted as executive summary in order to improve policy and decision making at local administrative organization to participate in health service fund.
Article Details
References
Aekplakorn W. Report survey of thai health by 5 th physical examination. Nonthaburi: Health system research institute; 2014. Thai
National Statistical Office, Information and communication technology. Aging survey inThailand 2014. Bangkok: National Statistical Office; 2014. Thai.
National Health Security Office. Manual of long term care system in public health for dependent elderly at the community in health security system 2016. Bangkok: National Health Security Office Press; 2016. Thai.
National Health Commission Office. The development of a long term care system fordependent elders. 2 nd ed. Bangkok: Nation Health Assembly; 2009. Thai
Ministry of Social Development and Human Security. The act on the elderly in 2003. 7 th ed.Bangkok: Theppenwapanich Press; 2010. Thai
Jithapunkul S. Principles of geriatric medicine. 3 rd ed. Bangkok: Chulalongkorn University Press; 2001. Thai.
Kemmis S, McTaggart R. The action research planner. 3 rd ed. Victoria: Deakin University Press; 1988.
Wagner EH, Bodenheimer T, Grumback K. Improve primary care for patients with chronic illness: The Chronic Care Model, Part 2. JAMA. 2002; 288(15): 1909-14.
Oumtanee A. Qualitative research in nursing. 3 rd ed. Bangkok: Chulalongkorn University Press; 2016. Thai.
Klinchuen W, Chanapai N. Basic care of bed sore clinic ostomy and wound of nursing division at Siriraj hospital. Bangkok: Health Nursing Division, Faculty of Medicine, Siriraj Hospital, Mahidol University Press; 2018. Thai.
Lapbejakul s, Chansirikarn S, Sasat S, et al. Manual guideline of long term care for family care team. Bangkok: Cyber Print Group Press; 2016. Thai.
Department of Health Service Support. Manual of family care giver for long term care. Bangkok: The Agriculture Cooperative Federation of Thailand Press; 2018. Thai.
The Supreme Patriarch Center on Aging. Discharge planning model for elderly patient with dementia by multidisciplinary team. Bangkok: Beyound Publishing; 2011.
Varisara L, Deunphen S, Srivieng P. Communitybased palliative care by volenteers: perception of village health volenteers in a community of Khon Kaen Province. Srinagarind Med J. 2013; 28(2): 199-204. Thai
Public Health Nursing Division of the Health Department of Ministry of Public Health. Manual guideline for home health care. Bangkok: Public Health Nursing Division Press; 2013. Thai.
Urirach B, Churairat D. Elder’s health status and quality of life under the health care provided by Community Network and Simulated Families. Journal of Nursing and Health Care. 2017; 35(3): 175-85. Thai.
Chirawatkul S. Qualitative study in nursing: Research methodology and case study. 2 nd ed. Bangkok: S. Asia Press; 2012. Thai.
Kumniyom N, Sritanyaratana W. Needs of long term care service packages for frail older persons in community. Journal of Nursing and Health Care 2016; 34(3): 125-131. Thai.
Nuntaboot K. Lessons’learned from the development of elderly care system by local communities. Bankok: Community Health System Research and Development Center, and Thai Health Promotion Foundation; 2015. Thai.
Bureau of Health Administration, Ministry of Public Health. Family care team, FCT. Nontaburi: Ministry of Public Health; 2015.Thai