• Journal of the Korean Institute of Rural Architecture
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• v.8 no.2
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• pp.36-45
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• 2006

The purpose of this study is to clarify the spatial use pattern changes over time in skilled nursing facility. The investigation had been executed against the elderly(65 and over) in skilled nursing facility. This article discuss the basic characteristics of the elderly with dementia and the daily living activities of the elderly with dementia at skilled nursing facility in Jangseong-gun. The survey was repeated 2 times at the period of 61 months and 88 months after the opening of the facility. Changes over time of the spatial use patterns are clarified. Some results show as follows: (1)As the time went by, there is wide difference between behavioral places and nursing levels on the living activities of the elderly with dementia. (2)As the time went by, the elderly who have a tendency to stay in his bedroom through the greater part of the days.

• Journal of the Korean Institute of Rural Architecture
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• v.18 no.1
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• pp.39-46
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• 2016

The purpose of this study is to clarify the actual conditions of the floor area of skilled nursing facilities in rural area. The thorough investigation and observation works were made from the viewpoints of floor area of the skilled nursing facilities. This article discusses about the basic condition and the floor area for daily living activities of the elderly in 3 skilled nursing facilities in west gyeongnam province. As the result, There is a wide gap between floor area ratio of skilled nursing facilities. The characteristics of the private establishment skilled nursing facilities in the west gyeongnam province were figured out through the analysis of spatial composition in skilled nursing facilities for the elderly. The skilled nursing facilities in west gyeongnam mainly focus on the living environment orientated toward the bedroom. The difficulty is to encourage the communication between the skilled nursing facility patients because the facilities are composed of small semi-public zone.

• Journal of the Korean Home Economics Association
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• v.43 no.10 s.212
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• pp.125-139
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• 2005

The purpose of this study was to provide basic information about the program space planning of skilled nursing facilities for the elderly in order to consider elderly health and diversity and to improve their rehabilitation ability. A mail survey was undertaken and 58 out of 78 facilities $(74.4\%)$ responded to the questionnaire. The answers of $56 (71.8\%)$ were used for analysis. The results of the study were as follows. Many programs, especially exercise, recreation, and facility events programs that require dynamic activity, were conducted in the lounge of the facilities because that area was wide with various equipments such as tables, sofas, and sound facilities, and did not require any huge movements of the elderly since it was very close to the elderly individual rooms. The art and human knowledge programs, managed with small groups, were peformed in separate program rooms or elderly individual room so that the elderly could pay attention to the programs. On the other hand, as for the design elements, the spaces for the art and human knowledge programs required good lightings and separate program rooms. The area of the spaces for the exercise, recreation and facility events programs was found to be the most problematic element, even though they were performed in the comparatively wide lounge. For future research, a field observation study is suggested to analyze the detail relations among the program spaces.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.3
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• pp.353-366
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• 2003

Purpose: This study was to define the care time of elderly in long-term care facilities and to compare and analysis the care time by staff and facility types. Method: The data were collected from 530 elderly over sixty, residing in two long-term care hospitals for dementia, three long-term care hospitals for the elderly and two skilled nursing facilities. Care time for individual residents was measured the total time spent by nurses, aides. Result: The average care time measured by nursing staff was 158.6 minutes a day. The average care time for one resident by nurse was 40.4 minutes, and by aides, 118.2 minutes. The difference of the care time showed statistical significance between long-term care facility types(p<0.001) : average care time for dementia hospital(199.1min) was twice as long as that of skilled nursing facility(94.1min). Conclusion: The results of the study showed that the care time differentiates care time provided to elderly in long-term care facilities in Korea. The study suggests the need to emphasize the importance of standardization of level of staff and service programs by the long-term facilities.

• Korean Institute of Interior Design Journal
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• v.13 no.1
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• pp.62-69
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• 2004

The purpose of this study was to analyze spatial composition of elderly skilled nursing facility and to provide basic information for setting up the detail facility architectural guidelines. The results of the study were following: the residential spaces of the facilities in this study were more or less overcrowded since their capacity were more than 5 elderly residents. The dimensions of some residential spaces did not even come up to the standard of elderly welfare law in force. On the other hand, the facilities had a tendency to use a space with multiple purposes or to allocate a space but to leave it with no use. Moreover comparing with the 1st floor, which was mainly for the staffs and had enough space to spare, the upper floor which was for the elderly residents, was crowded with nursing staffs and elderly residents and had densely closed residential and public spaces. For the problem solving, law and regulation modification is needed according to the case study about the usage and using frequency of each facility space. And the crowded area for the elderly residents could be enlarged through the reduction(or combination) of the rarely used spaces and moving a few residential spaces into the 1st floor.

• Journal of The Korea Institute of Healthcare Architecture
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• v.11 no.2
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• pp.7-16
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• 2005

Recently, as the population of the elderly rapidly increases, the number of the special care facility for the elderly is a big social issue. Especially, special care facilities(nursing home, skilled nursing home, etc) for the elderly in Seoul are insufficient now. So this study quantitatively estimates nursing home beds needed in seoul in 2007, 2012 and 2017, and proposes an allocation of these facilities in Seoul. This study is to clarify problems in supply of long-term care facilities and present a solution for them. The main outcome of this study can be summarized into three parts; first, as architectural planning and supply estimation of long term care facility, an aged population of cities and countries in Seoul should be considered. Second, when the allocation of long term care facility in Seoul, the type of facilities, regional equilibrium etc. should be considered. Third, nursing home and residential care home are linked with the other area.

• Journal of the Korean Home Economics Association
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• v.42 no.11
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• pp.31-45
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• 2004

The purpose of this study was to provide basic information about the facility planning to reduce elderly isolation and to improve their rehabilitation ability. Four re%archers observed the using behavior of the elderly residents in the corridor and lounge of 5 facilities. The results of the study were as follows. The using rate of the lounge wis higher than that of the corridor since most of the elderly were controlled by the staffs at the lounge. The facility could decrease the crowd of the lounge by arranging the sofa at the corridor-especially surrounding the atrium. The use rate in the lounge was very dependent on the time of the day, because its use was influenced mainly by daily schedule, and this resoled in it being largely inactive most of the time. A counter plan is needed to encourage natural interaction among the elderly. Individual or small group activities are required in addition to the regular programs. Since the furniture arrangements_(sofas and tables) at the corridor could induce elderly isolation and inactivity, various equipments should be arranged for the self-controlled activities. The indirect participation in the regular activities, which are usually conducted in the lounge, should also be considered in the corridor so that the elderly could observe them at any places.

• Korean Institute of Interior Design Journal
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• v.14 no.6 s.53
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• pp.148-156
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• 2005

The purpose of this study was to investigate spatial characteristics and using behavior of activity room in skilled nursing facilities for the elderly and to provide basic guidelines about its space planning. The activity rooms in the most of the research facilities were arranged by usage modification of unnecessary spaces after the foundation of the facility, and were used not only for the program service but for the staff lounge. It decreased space speciality and resulted in limited area of the space and crowded furniture arrangement. The design guidelines for activity room were as follows. First, the space plan of activity room is based on the use of once to twice per week and for 30 minutes per use, and is mainly for the human knowledge and art programs that are appropriate for small group. Second, the activity room of the facility with less than 3 stories needs to be in the same floor as elderly individual room, but should be independent and easy to be controlled by the staff. On the other hand, in more than 4 stories facility, it is better to be in the different floor as the elderly living area such as administrational area close to the lounge and garden. Third, at least $5.9m^{2}$ per user for the area of the activity room is recommended including the elderly, staff, furniture, equipments and restroom. Fourth, the furniture of activity room includes the shelves, big table with enough knee space, wheel, and stopper, and stackable chairs. Toilets and water closet are needed for the emergency, and the windows to the corridor and curtain door should be avoided for soundproof and easy access of wheelchair users.

• Hip & pelvis
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• v.34 no.4
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• pp.227-235
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• 2022

Purpose: Outpatient classified total hip arthroplasty (THA) is a safe option for a select group of patients. An analysis of a national database was conducted to understand the risk factors for unplanned discharge to a skilled nursing facility (SNF) or acute rehabilitation (rehab) after outpatient classified THA. Materials and Methods: A query of the National Surgical Quality Improvement Program (NSQIP) database for THA (Current Procedural Terminology [CPT] 27130) performed from 2015 to 2018 was conducted. Patient demographics, American Society of Anesthesiologists (ASA) classification, functional status, NSQIP morbidity probability, operative time, length of stay (LOS), 30-day reoperation rate, readmission rate, and associated complications were collected. Results: A total of 2,896 patients underwent outpatient classified THA. The mean age of patients was 61.2 years. The mean body mass index (BMI) was 29.6 kg/m² with median ASA 2. The results of univariate comparison of SNF/rehab versus home discharge showed that a significantly higher percentage of females (58.7% vs. 46.8%), age >70 years (49.3% vs. 20.9%), ASA ≥3 (58.0% vs. 25.8%), BMI >35 kg/m² (23.3% vs. 16.2%), and hypoalbuminemia (8.0% vs. 1.5%) (P<0.0001) were discharged to SNF/rehab. The results of multivariable logistic regression showed that female sex (odds ratio [OR] 1.47; P=0.03), age >70 years (OR 3.08; P=0.001), ASA≥3 (OR 2.56; P=0.001), and preoperative hypoalbuminemia (<3.5 g/dL) (OR 3.76; P=0.001) were independent risk factors for SNF/rehab discharge. Conclusion: Risk factors associated with discharge to a SNF/rehab after outpatient classified THA were identified. Surgeons will be able to perform better risk stratification for patients who may require additional postoperative intervention.

• International Journal of Human Ecology
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• v.7 no.1
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• pp.13-23
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• 2006

The purpose of this study was to provide basic information regarding the planning of lounge and hallway areas for skilled nursing facilities for the elderly, given that residents spend much of their time in these areas. This study examined Korean elderly residents' occupancy and behavior in lounges and hallways in order to analyze how plan type, spatial composition, and equipment affect residents. To do this, observations were conducted in five facilities that were provided to the elderly at no charge. Results indicate that a central garden offers a wide hallway area that can be used not only for strolling but also for list of activities; at the same time, it can reduce the overall rate of inactivity. A shorter distance between the lounge and hallway on the opposite side is likely to help better disperse residents' throughout the facility. Hallway corners have potential for activities that may require sofas, tables, or equipment for individual activities; they could also be used for planned interaction programs or unplanned collaboration on the part of small groups of residents.