ABSTRACT
In January 2004, a panel of experts (chairman : Satoshi Ueda) commissioned by the Health and Welfare Bureau for the Elderly, the Ministry of Health, Labor and Welfare, came up with an idea suggesting a direction the nation’s rehabilitation project for the aged should take in the future. This has rekindled the debate over the way the rehabilitation work for the old people should be carried out the inevitable subject of discussion that had been taken place on and off since the nursing care insurance system came into being.We have been involved in the rehabilitation of those people mainly with the after-effects of strokes since the early 1960’s when the Japanese government embarked on the rehabilitation project for the elderly.In this paper, we examined our ways of grappling with the task of rehabilitation for the aged people in retrospect. At the same time, from the standpoint of the philosophy that the rehabilitation work for the aged should be aimed at recovering their mental and physical functions to improve their quality of life, we envisioned the future of the rehabilitation project for the old people with stress placed on the following two points :(1) the working on a rehabilitation program for the aged after the model of the international classification of functioning, disability and health ; and(2) the building up of a community-based rehabilitation system interlocked with an overall program for the promotion of health care, welfare and security in the local community.
Subject(s)
Work , Forecasting , AgedABSTRACT
In view of the present situation of agriculture in which housewives have to handlethe bulk of farm work, a study was made on the health conditions of women engaged in farming in comparison with those of non-farmers.<BR>The study covered a total of 28, 600 females, aged from 40 to 59, who received masshealth screenings conducted between 1978 and 1980 on rural inhabitants in Nagano Prefecture as part of the outreach program by the health service corps of our hospital.<BR>All the examinees live in areas whose principal crops are rice, vegetables and/or fruits.<BR>The data were arranged according to seasons based on the dates of health examination in order to clarify the seasonal variations of morbidity rates and other indices of health.<BR>Another investigation was made into seasonal changes in the length of time used byhousewives in farming, domestic chores, rest and so on with a view to studying correlation between the mode of living and health conditions.<BR>To sum up, our findings are as fllows:<BR>(1) Seasonal variations in the results of various laboratory tests and morbidity rates were notable, depending on the amount of farm work, dietary habits, coldness and the height above sea level.<BR>(2) During summer months, the incidence of anemia was exceedingly high, obesity rates plummeted, and serum cholinesterase values dropped sharply among housewives who are engaged in farm work, compared with those who are not.<BR>(3) In summer, farm housewives worked long hours in the fields, slept less and rested less. They had not enough time to attend to household duties.