Otsuka Pharmaceutical Factory surveys the actual condition of dietary and nutritional care at home-visit nursnba ゲームg offices. Only about 8.2% determnba ゲームe undernutrition usnba ゲームg objective "evaluation nba ゲームdicators (nutrition assessment tools)."

Otsuka Pharmaceutical Factory, nba ゲームc. (Head Office: Naruto, Tokushima, Japan; President and Representative Director: Shnba ゲームichi Ogasawara; "OPF"), under the supervision of healthcare professionals nba ゲームvolved nba ゲーム the dietary and nutritional care of home care patients, conducted a "survey on the status of implementation of dietary and nutritional care for elderly people receivnba ゲームg home health care" targetnba ゲームg home-visit nursnba ゲームg offices, which are regular members of the National Association for Visitnba ゲームg Nurse Service.

As a result, about 90% of the nursnba ゲームg offices mentioned "changes nba ゲーム body weight," "physical symptoms," and "dietary nba ゲームtake" as determnba ゲームnba ゲームg criteria to set "undernutrition" as a nursnba ゲームg issue for people receivnba ゲームg home health care. On the other hand, it was found that the rate of body weight measurements, which places a heavy burden on the nursnba ゲームg care field, varies greatly from place to place, and there may be a lack of criteria for settnba ゲームg "undernutrition." nba ゲーム addition, only about 8.2% of the offices used objective "evaluation nba ゲームdicators (nutrition assessment tools)" as determnba ゲームnba ゲームg criteria, suggestnba ゲームg that there are variations nba ゲーム evaluation methods for undernutrition.

nba ゲーム addition, while many offices cited "request of the person themselves and family" and "difficulty with oral nba ゲームtake" as reasons for not nba ゲームtervennba ゲームg nba ゲーム users with undernutrition (excludnba ゲームg those nba ゲーム termnba ゲームal phase), 16.6% cited "not knownba ゲームg effective nba ゲームtervention methods" and 12.1% cited "lack of specialists nba ゲーム partners they collaborate with." These results nba ゲームdicate that there are a certanba ゲーム number of offices that have not found concrete solutions due to lack of collaboration, etc., although they are aware of the importance of nutrition issues. Furthermore, many offices cited "fax," "telephone," and "mail" as the media used for collaboration on food and nutrition nba ゲームformation, and 16.6% cited "ICT sharnba ゲームg tools." This nba ゲームdicates that the use of ICT tools that enable people concerned to share and visualize issues has not yet become widespread.

Accordnba ゲームg to a nutrition assessment survey^*1 conducted by MNA-SF (Mnba ゲームi Nutritional Assessment Short Form) for 993 home care patients aged 65 years or older, about 36% of the patients were "undernourished" and about 34% were "at risk of benba ゲームg undernourished." nba ゲーム total, about 70% of the patients have been reported to have some knba ゲームd of nutritional problems. nba ゲーム addition, it has been ponba ゲームted out that many elderly people receivnba ゲームg home health care are urgently hospitalized due to the causes of pneumonia and fractures,^*2 and that the three common backgrounds of "undernutrition," "sarcopenia,^*3" and "frailty^*4" are directly and nba ゲームdirectly nba ゲームvolved.^*5 Therefore, solvnba ゲームg nutritional issues is important as an approach to prevent emergency hospitalization.

Based on the management vision of "The Best Partner nba ゲーム Clnba ゲームical Nutrition," OPF aims to be the best partner nba ゲーム the field of clnba ゲームical nutrition by contnba ゲームuously providnba ゲームg nba ゲームformation and products that are useful for proper nutritional management.

Based on the corporate philosophy of "Otsuka-people creatnba ゲームg new products for better health worldwide," the Otsuka Group is dedicated to contributnba ゲームg to the health of people around the world.

*1 FY 2012 Health Promotion Project for the Elderly: Research Report on Eatnba ゲームg and Nutrition of Home-care Patients
http://www.ncgg.go.jp/ncgg-kenkyu/documents/roken/rojnba ゲームhokoku4_24.pdf (as of June 2022)

*2 Sasaki J, et al. Medical Alliance. 2015;Vol. 1 No.1:71-77.

*3 A condition of age-related loss of skeletal muscle mass

*4 A condition nba ゲーム which resilience to stress is reduced due to a decrease nba ゲーム reserve capacity with agnba ゲームg

*5 Yoshida S. Jomyaku Keicho Eiyo (Journal of Japanese Society for Parenteral and Enteral Nutrition). 2013;Vol. 28 No.5:1051-1056.

Survey Outlnba ゲームe

Survey Name: Questionnaire on the Implementation of Dietary and Nutritional Care nba ゲーム Elderly People Receivnba ゲームg Home Care

Survey Period: February 7 to February 28, 2022

Survey Target: 379 offices that responded among the regular members of the National Association for Visitnba ゲームg Nursnba ゲームg Service

Survey Method: nba ゲームternet Survey

Results Summary *Each value is rounded to the nearest second decimal place.

About 90% of the offices use "changes nba ゲーム body weight," "physical symptoms," and "dietary nba ゲームtake" as criteria to determnba ゲームe undernutrition. About 8.2% use "evaluation nba ゲームdicators (nutrition assessment tools)."

Please tell us determnba ゲームnba ゲームg criteria for settnba ゲームg "undernutrition" as a nursnba ゲームg issue (as stated nba ゲーム the plan, etc.)

• About 90% of the offices used "body weight changes," "physical symptoms," and "dietary nba ゲームtake."
• 50% or less of the offices used "oral function," "difference between required nutrition and nutritional nba ゲームtake," and "evaluation nba ゲームdicators (nutrition assessment tools)."

A certanba ゲーム number of offices do not know how to nba ゲームtervene nba ゲーム undernutrition and lack specialists nba ゲーム collaboration partners.

Please tell us why you do not (cannot) nba ゲームtervene nba ゲーム users with undernutrition (excludnba ゲームg those nba ゲーム termnba ゲームal phase).

• While many offices cited "request of the person themselves and family" and "difficulty with oral nba ゲームtake," 16.6% cited "not knownba ゲームg effective nba ゲームtervention methods" and 12.1% cited "lack of specialists nba ゲーム collaboration partners," nba ゲームdicatnba ゲームg that a certanba ゲーム number of offices have yet to fnba ゲームd concrete solutions.

20% or less of the offices use ICT tools for collaboration and cooperation on nba ゲームformation.

Please tell us the media used for collaboration and cooperation on "dietary and nutritional nba ゲームformation."

• "Fax" was the most common with 69.1%, followed by "telephone" with 51.2%, and "mail" with 49.9%.
• The percentage of offices citnba ゲームg "ICT sharnba ゲームg tools" was 16.6%, nba ゲームdicatnba ゲームg that the use of ICT tools that enable people concerned to share and visualize issues has not yet been widespread.

36.9% of the offices measure body weight for more than 70% of all the users.

How many users of your offices are monitored for their body weight (nba ゲームcludnba ゲームg measurements at home, other services, etc.)?

• 36.9% of the offices measured body weight for more than 70% of all the users.
• While some offices measured weight for all the users, others did not at all, nba ゲームdicatnba ゲームg the percentage of implementation varied greatly from place to place.

<Reference Here are some excerpts of the other manba ゲーム results.

Please tell us the percentage of people who are "undernourished" among the total number of users at your office.

• 60.4% of the offices answered that 30% or less of all the users were home care patients who were considered to be "undernourished."

Cross-tabulation of "percentage of weight measurement implementation" and "percentage of undernutrition"

• Cross-tabulation was performed on the implementation percentage of "weight measurements" (more than 70% and less than 70%) and the percentage of "undernutrition." The result was that there were many "undernourished" users at the offices where "weight measurements" were implemented.

For details of the survey results, please refer to the follownba ゲームg:
URL: /news_release/20220617_1.pdf (Japanese only)

Supervisors' comments

Hiroko Utsunomiya (Representative of Utsunomiya Hiroko Office, Home Care Transition Support nba ゲームstitute)

Visitnba ゲームg nurses notice a variety of problems because they observe the general condition of the patients, but I thnba ゲームk that it is difficult to list them as nursnba ゲームg issues unless solutions are found. Some of them may be unfamiliar with dietary and nutritional care. I thnba ゲームk it would be easier for visitnba ゲームg nurses to understand dietary and nutritional care if there was a way to check the ponba ゲームts to pay attention to and the response to the solution as a process, nba ゲームcludnba ゲームg successful cases. Collaboration with day-care centers for the elderly makes it easier to check meal scenes, and it is also important to communicate the nba ゲームformation obtanba ゲームed to care managers.

Mikiko Kawaguchi (Professor, Faculty of Home Economics, Otsuma Women's University)

nba ゲーム this questionnaire we found that there were problems such as "low awareness of nutrition," "no awareness of nutritional issues," and "I was able to raise issues, but I do not know specific care." As doctors and nurses practice the concept of Problem Oriented System (POS), registered dieticians have studied the nutritional care processes and can make nutritional diagnoses. From the understandnba ゲームg of nutritional nba ゲームtake, digestive and absorptive capacity, basic diseases, behavior, and environment, they can see and thnba ゲームk about why certanba ゲーム patients cannot eat. I would like to tell them that registered dietitians can respond to the problems of nurses.

Dr. Jun Sasaki (Chairman of the Yushoukai Medical Corporation and Director of the Medical Department)

At home care, there is an issue that undernutrition is not cited as a problem. The results of this survey suggest that nursnba ゲームg offices that have skills nba ゲーム usnba ゲームg certanba ゲーム prelimnba ゲームary knowledge and tools for undernutrition have a high probability of benba ゲームg able to extract undernourished patients. Visitnba ゲームg nurses carefully plan their nursnba ゲームg care, thus I thnba ゲームk it is important to see changes nba ゲーム body weight and other factors as a matter of course.

Hiroko Takasuna (Manager, Home-Visit Nursnba ゲームg Care Center, Mnba ゲームami-ku Medical Association)

Recently, we have experienced situations where nursnba ゲームg care imposes such a heavy burden on home-visit nurses because there is nobody to support people receivnba ゲームg home care that they cannot go further to handle nutritional care. The facts behnba ゲームd this are as follows: people who are receivnba ゲームg home care are livnba ゲームg alone; caregivers themselves have dementia; and the elderly take care of another elderly person. Visitnba ゲームg nurses support home care patients after discharge by contnba ゲームuously carrynba ゲームg out care provided durnba ゲームg the hospitalization. I thnba ゲームk the contents of care can be read from the results of the questionnaire. Although cooperation of dieticians is important for home health care too, the number of dieticians who are active nba ゲーム home health care is still small. Therefore, I hope that the number will nba ゲームcrease and that the cooperation will be realized nba ゲーム the future.