• Title/Summary/Keyword: living will

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A Study on Factors Affecting Suicidal Tendency of the Elderly Living Alone on Care Services

  • Seo, Hwoyeon;Sohn, Jee Hoon;Cho, Sung Jun;Sung, Su Jeong;Cho, Maeng Je;Ahn, Seung Hee
    • Korean Journal of Biological Psychiatry
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    • v.25 no.3
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    • pp.72-78
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    • 2018
  • Objectives The high suicide rate has risen as a main concern in South Korea. Given the complexity of the mechanism resulting in complete suicide, studies targeting various populations are needed for broader understanding of its risk factors. This study aims to analyze the factors affecting the suicidal tendency in the population of the elderly living alone in Seoul depending on basic elderly-care services. Methods A total number of 415 people participated in the study. Home-visit interviews were administered by trained interviewers. Suicidal tendency was measured by the Korean version of mini international neuropsychiatric interview (K-MINI). Health-related quality of life was measured by a brief version of the World Health Organization Quality-of-life Scale (WHOQOL-BREF). Alcohol problem was assessed by the Korean version of the alcohol use disorders identification test (AUDIT-K). Among total subjects of 415 interviewees, the actual responses of 408 people were used for the final analysis. Results The result showed that the suicide risk was high in persons isolated from social support [odds ratio (OR) = 4.49], having depression (OR = 14.85), and having low quality of life (OR = 4.39). Conclusions We found that social support, depression and health-related quality of life are associated with suicidal tendency in the elderly living alone on basic services. Our evidence will contribute to suicide prevention policy for the elderly living alone on care services.

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A Study on the Living Quarter interior design of Offshore Ship - Focused on the Living Qauter of FPSO - ("Offshore"해양특수선의 LQ실내디자인에 관한 연구 - FPSO선박의 Living Quarter를 중심으로 -)

  • Joo, Min-Kyoo;Lee, Gyoo-Baek
    • Korean Institute of Interior Design Journal
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    • v.22 no.5
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    • pp.357-366
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    • 2013
  • Global Energy Industry's high oil prices persist while their petroleum and gas production areas are entering the decline phase. More and more the drilling facilities used to bore oil from deeper depths are advancing further out into the oceans, which cause the development of "OFFSHORE" ship manufacturer facility's production demands to increase. The "OFFSHORE" ships provide a living space or L.Q (Living Quarters) for crewmen who work on the water far away from any mainland for extended periods of time. This research analyzes the LQ areas and the characterization of interior designs of different types of "OFFSHORE" ships that were built in South Korea. Also using overseas countries' Classification Society, known as "NORSOK," and analyzing their own design guidelines in conjunction with the research, the process of interior design and baseline data research was used to blueprint the new LQ areas. According to the results of the research, where ships get comprised of characteristics and operations by standards of the Classification Society's RULE, has the greatest effect on the design and design method of the LQ area. The research also shows that a conservative shipbuilding market of the Shipbuilding Company and ship owners' feelings are steadily changing to more open mindedness of acceptance. Therefore, the Korean Classification Society has to provide the new design principle to correspond to the international regulations and more various interior design plans of LQ areas needed to be present based on the new design guidelines. The capacity of the South Korean OFFSHORE shipbuilding industry is the world's top leader; however, the interior design of the LQ areas are still based from outdated designs from the 1980's. Hopefully these research results will be the cornerstone to help the shift from the outdated designs of the LQ areas to more practical modern designs.

Factors Affecting the Need for and Utilization of Medical Care In Urban Areas (도시지역 의료요구와 의료이용에 미친 제요인 분석)

  • 송건용;김홍숙
    • Korea journal of population studies
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    • v.5 no.1
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    • pp.167-186
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    • 1982
  • Financial barrier is well known as a determinant of the perceived need for and utilization of medical care in urban areas. This study aims to; a) estimate the levels of the perceived need for and utilization of medical care, b) analyze the reasons for not receiving medical care, and c) determine factors affecting the levels of need and utilization, and major reasons for not receiving medical care. The data of household interview survey in urban areas collected for a National Survey on Reorganization of Nationwide Health Care Delivery Network is used. An interview was conducted with a total of 2, 538 households in urban areas during a 28 day period of October through November, 1981, giving an overall response rate of 99 percent. The results show a factor of third-party payer is most influential to utilization (physician visits by patient), and living standard is a determinant to explain the variance of major reasons for not receiving medical care. Therefore, financial burden is still a major determent in utilization of medical care in urban areas. Improved level of living standard and expanded coverage of the third-party payer such as health insurance and public medical assistance will increase both an overall levels of utilization of and the need for medical care in urban areas in the future. The major statistics are as follows; a) rate of the need for medical care during a 15 day period per 100 persons was 33 percent: the differential rates appeared in sex, age, living standard, and third- party payer variables, b) percent of treatment employed per 100 persons who are wanting medical care was 82: the percents were high in young ages, high levels of living standard and education, and persons covered by third-party payer, and c) economic reasons for not receiving medical care per 100 persons who are wanting medical care were occupied with 60 percent: the rates are high in old ages, low levels of living standard and persons not covered by third-party payer.

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Research on the Domain Formation of Living Base Space of Credit System High Schools - Focused on Japanese Comprehensive High Schools - (학점제 고등학교 생활거점공간의 영역 형성에 관한 연구 - 일본의 총합학과 고등학교를 대상으로 -)

  • Son, Suk-Eui;Kim, Seung-je
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.10
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    • pp.3-10
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    • 2019
  • The high school credit system is a system in which students select complete various subjects, depending on their career, and graduate when their accumulated credit reaches the standard. It is expected that the high school credit system, which guarantees the individual's right of choice, will bring an educational effect that can respond to the student's career aptitude. However, it is expected that problems in the aspect of school life, such as the weakening of class belongingness or difficulty of securing a stable base venue within the school building would be accompanied. This research analyzed students' usage condition depending on the living base space environment feature in schools that are implementing moving-selective class in the aspect of activity domain formation and contemplated the venue evaluation. The purpose is to provide the basic data of an architectural plan of a stable living base space within the school building through this. 'Living base center type' and 'living base dispersion type' school buildings among Japanese integral department high schools were used as the target to analyze the usage condition in the aspect of domain formation. As a result, a conclusion was deducted that student's securement of territory consciousness about the base space and venue construction for the community of various studying groups affects life satisfaction.

Activities of Daily Living of the Elderly Using Day and Night Care Facilities and the Nursing Needs of the Elderly and their Caregivers (주야간보호시설 이용 노인의 일상생활수행능력과 노인 및 주부양자의 간호요구도 조사)

  • Kim, NaEun;Park, NamHee
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.253-264
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    • 2022
  • Purpose: This study aimed to identify the activities of daily living of the elderly in day and night care facilities and the nursing needs of the elderly and caregivers. Methods: The subjects of this study were 90 elderly people and their caregivers, who lived in B and G cities used day and night care facilities. The collected data were analyzed using frequency analysis, descriptive statistics, independent t-test, and Pearson's correlation coefficient using the SPSS 25.0 program. Results: Caregivers have a higher awareness of nursing needs than the elderly. Both the elderly and their caregivers had the highest informational nursing requirements. There was a positive correlation between the activities of daily living of the elderly and physical nursing needs of caregivers, and there was also a positive correlation among the nursing needs in each area. Conclusion: These results suggest that day and night care facilities should provide customized nursing services by assessing the activities of daily living of the elderly and the nursing needs of the elderly and caregivers by area before establishing a nursing plan. This will enable them to provide effective nursing services for elderly people. In addition, we propose research to develop a nursing information program for the elderly and caregivers.

The lived Experience of the Middle Aged Korean Women's living with Mothers in Law(=Sigipsalee) (한국중년여성의 시집살이 경험)

  • Han, Hae-Sil;Kim, Ae-Jung;Yang, Bok-Sun
    • Korean Parent-Child Health Journal
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    • v.7 no.2
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    • pp.182-200
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    • 2004
  • Purpose: This study is to explore the essence of those lives who have been living with their mothers- in- law for more than 10years since their marriage by applying Van Manen's hermeneutic phenomenological methodology. It consists of four steps such as concentration on the nature of lived experience, existential research, hermeneutic phenomenological reflection and hermeneutic phenomenological writing. Method: Six middle aged participants who have been living with mothers- in- law in middle size of cities were interviewed and observed with their written consent for one month from 20, April. 2000 to 20 May 2000. To expand insight by analyzing sayings, folks stories, writings, etymology of sigipsalee relevant to it were collected and reviewed. Result: Five essential themes were derived by repeated reviewing the transcription of those interview such as difficulty living with endless heart distress, feeling oppressed, feeling deeply lonely, having a stronger backing as time passes, in turn harmonizing with each other. On the basis of the five essential theme hermeneutic phenomenological writing was done as follow. Participants lived lives filled with uneasy feeling from the newly formed relationship among in laws but especially with mothers- in- law. Participants did their best to be acknowledged found that at a significant moment during family event they would be treated as strangers so that they felt isolated and alone. Mothers in laws played a dominant role in most of family decision even buying their children's clothes. Mother in laws rarely complemented them so that they felt inferior as a person. As time passes. Mothers-in-law and daughters-in-law become adjusted to this lifestyle with each other and assumed a more mature relationship which includes a mutual respect thus better harmony. Participants become to have stronger backing so that they express their opinion to mothers-inlaw. With time both of them are getting old, participants show form of pity to their mothers-in- law. Sometimes participant surprise themselves by noticing a change in their behavior to the same pattern Mothers-in-law have showed them. Conclusion: Although generalizations have limitations, findings resulting from the study will enrich family nursing knowledge and understanding the problems when living with mothers-in- law in the same house. It will give a cleared view of problems faced by middle aged korean women in the Korean patriarchal culture. Researchers have recommended to study experiences of married young adult korean women's generation and the findings compared with this study to show trends and changes.

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A Study on the Shamanistic House Sprits and Spatial Organization of Korean Traditional Houses (한국전통주거(韓國傳統住居)에 나타난 가택신앙(家宅信仰)과 공간구성(空間構成)에 관한 연구(硏究))

  • Cheon, Deuk-Youm;Na, Kyung-Su;Son, Heui-Ha;Na, Ha-Young
    • Journal of architectural history
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    • v.10 no.4 s.28
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    • pp.43-55
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    • 2001
  • Living spaces are the results of social environment and also the reflection of the viewpoints by their residents toward human culture and society. Therefore, in studying living spaces, the true essence of the spaces could be easily distorted when cultural and symbolic motives and values are disregarded and only their apparent characteristics are looked into. Hence, it's necessary to simultaneously understand both physical dwelling spaces from architecture's view points and social ideas, simultaneously, of people who form and interact with the spaces. Hence, this paper tries to study housing religion which is one of shamanistic religions which, in turn, have been the fundamental element of ancient religions and came into existence on the basis of dwelling spaces. This study presumes that house religion may have been permeated with its creators' ideas about living and those ideas could be one of those factors which plays a role in organizing of dwelling spaces. As such, with these prior analyses, this thesis attempts to understand the meaning of various dwelling spaces via the characteristics and functionalities of various house spirits which are mentioned in a local house religion and also will find out spatial harmony of Korean traditional living spaces by way of corelations among living spaces, people, and personalized house spirits. Almost all traditional Korean houses have assigned a house spirit to their individual dwelling space. This means a traditional house was considered as a scared space in a secular world called human society and the space was actually intended to protect sacredness of dwelling places from earthliness outside. So when the hierarchy of house spirits in housing religion is projected to a Korean traditional house, it can be shown that a dwelling house as a building was personified to a respectable human status. In other words, it can be concluded that each space was synonymous with a dwelling place for each house spirit and was considered a sacred godly place. In a nutshell, not only each space in a Korean traditional house was a physical and functional space, but also it formed a scared spatial place along with the concept of house spirits intending to ward off disasters and enjoy a comfortable life through those religious symbols and meanings. Housing shamanistic religion which has long been existing with residents and their lives is seeped with the viewpoints of the residents toward life, and hence understanding the meanings and organization of Korean traditional housing can reveal commonly practiced principles of spatial organization of the traditional houses. Therefore an analysis of Korean traditional housing on the basis of humanistic social ideas will help learn Korea's traditional houses which need to be understood in various methods.

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Way to on the Improvement of University Life in Vietnam Foreign Student Abroad - Based on a Survey of Living, Economic, Welfare Environment, University Major Education, and Language Training - (베트남 유학생들의 행복한 대학생활 적응 방안 - 생활·경제, 복지 환경, 대학 전공 교육, 언어 연수 설문 조사를 기반으로 -)

  • Bak, Jong-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.8
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    • pp.495-504
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    • 2019
  • Since the 2000s, the number of foreign students in Korea has increased considerably. In late 2010, the government's strategy to internationalize higher education will bring the number of foreign students to 140,000 as of 2019 and soon to 200,000 by 2023. As the number of foreign students increases, the happy life of foreign students in Korea has become a very important social issue at a time when the population is shrinking. Increasing the satisfaction level of foreign students living in Korea is a matter that should not be overlooked given that our society will face problems of globalization and population cliff in the future. Recently, the number of Vietnamese students studying in Korea has been on the rise, raising the need to pay attention to their happy study lives. In this study, I would like to suggest a plan for the happy life of Vietnamese students in Korea. To that end, 90 Vietnamese students in Korea were surveyed on their satisfaction with living, economy, welfare environment, university education, language education and overall studying abroad. Foreign students entering Korean society should also work together in terms of living, economy, welfare and education so that they can recognize themselves as a member of our society and live happily abroad.

The Limitations of Advance Directive (사전의료지시의 한계)

  • Oh, Se-Hyuk;Jeong, Hwa-Seong
    • The Korean Society of Law and Medicine
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    • v.11 no.2
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    • pp.239-274
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    • 2010
  • Advance directive refers to a description of the treatment method a patient wants to be provided with in case where the person is unconscious or lacks an ability to decision making in a future period or a declaration of intention that delegates and appoints another person who makes a decision regarding a treatment method on behalf of the person. Advance directive is usually a document form, but oral statement is acceptable as well. Advance directive may have a variety of forms though, it basically consists of two basic forms. That is, one is a living will, and the other is a surrogate decision making. Though the importance of advance directive has been emphasized, and the necessity of adopting the system has been strongly argued for so far, the debates on criteria, method, and procedure alike have not yet reached an agreement. It is because even the concept of advance directive is more or less ambiguous, and each specific method has its own theoretical limitations and practical constraints. Thus the inquiries on advance directive raised in the study are summarized as the meaning, practicability, and philosophical foundation of the advance directive. Firstly, the theoretical limitations of Advance directive may be categorized into conceptual and moral limitations. In case of conceptual limitations, authors of advance directives may not be well aware, in advance, of the particular situation in which he or her will experience in the future, and patients may experience the change in his or her values and lack the understanding and information about the future situation due to the changes in treatment methods. In case of moral limitations, a patient has a limited moral autonomy right and self identity that have an impact on his or her preference. Secondly, in case of practical constraints for advance directive, there exist cultural features, low ratio of documentation, as patients themselves admit, and low predictability and stability of patient's own preference regarding life-sustaining care. And the problem of validity and accuracy in proxy's decision making is also raised. Those who administer a living will, especially, may have a difficulty in understanding the directive by a patient, so that the accuracy of execution cannot be secured. In the sense, it is needed to implement a legal device in order to solve such problems. In summary, it is urgently required to understand the limitations and explore desired alternatives to overcome the relevant problems in advance, which must contribute to successfully adopting and effectively operating the advance directive system in Korea.

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Needs for the Design of Residential Unit in the Elderly Housing (노인시설의 단위주거에 대한 요구 분석)

  • 박희진;양세화;오찬옥
    • Korean Institute of Interior Design Journal
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    • no.36
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    • pp.44-51
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    • 2003
  • The purpose of this study is to present the design guidelines of residential unit for the elderly by investigating their needs and preferences. The results of this study will be utilized to develop the alternative elderly housing which is appropriate for the Korean culture. To perform an empirical analysis, the existing data collected in 2000 for the study of silver industry In Ulsan were used. The subjects were 292 elderly aged 65 and over living in Ulsan. Statistics employed for the analysis were frequencies, percentage, and Chi-squared test with cross-tabulations. About 70% of the elderly respondents preferred more than 49.5$m^2$(15-pyung) for the size of residential unit and about 50% of them wanted to have bedroom, bathroom, kitchen, and living room In the unit. Most elderly (72%) did not prefer to select interior finishes for their units by themselves. Surprisingly, the elderly did not want to bring their own furniture when relocating to the elderly housing, which was somewhat different result from previous studies. There were significant differences between preferred unit size and level of education, income, and living with or without spouse. Also, income and health status were the characteristics of elderly which made differences in preferred space composition.