Nursing Care Support Handbook

Nursing CareSupportHandbook

Kyushu UniversityOf�ce for the Promotion of Gender Equality

Office for the Promotion of Gender Equality, Kyushu University

Nursing Care Support Handbook

This Handbook was prepared as a guide to support the

faculty and staff members of Kyushu University in

thinking of nursing care. It is our hope that the faculty

and staff members will find the handbook to be helpful

and informative. We also hope that the handbook will

serve as a useful future reference for students.

Forward

Issued: March 2016Revised: February 2017

Contents

What is long-term care insurance?

Procedures for long-term care services

Services available under long-term care insurance

Leave of absence for nursing care

Other support programs

Links for further information / Contact list11

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09

08

06

04

Office for the Promotion of Gender Equality, Kyushu University

744 Motooka, Nishi-ku, Fukuoka 819-0395 JAPANIto campus, Kyushu UniversityNew Central Library 2nd floor

This handbook was prepared by Kyushu University as part of the “Initiative for the Implementation of the Diversity Research Environment,” the Ministry of Education, Culture, Sports, Science and Technology (MEXT) Support Program for the Development of Human Resources in Science and Technology.

TEL：092-802-2034　FAX：092-802-2038E-mail:[email protected]

URL: http://danjyo.kyushu-u.ac.jp/

4 5KYUSHU UNIVERSITY KYUSHU UNIVERSITY

When nursing care comes close to you, you should first understand long-term care insurance.What is long-term care insurance?

What is long-term

care insurance?

The long-term care insurance program was implemented in Apri l 2000. This program is operated by the municipal ity whe re t he pe r son conce rned l i v e s i n . When a pe r son becomes 40 years of age, he/she wi l l be enro l led in the long-term care insurance program as an insured person, and a person certified by his/her municipality as a person that is under the condition of need for long-term care and is the age of 65 or older may receive services at any t ime. A person aged 40 to 64 i s a l so e l i g i b l e t o r ece i ve nu rs i ng ca re services, if the person is certified as a person that is under the condition of need for long-term care due to the specified diseases covered by long-term care insurance.

1. Persons aged 65 or over (Category1 insured persons)

2. Persons aged 40 to 64 that are insured by medical insurance (Category2 insured persons)

●Cancer at terminal stage

●Rheumatoid arthritis

●Amyotrophic lateral sclerosis

●Ossification of posterior longitudinal ligament

●Osteoporosis following a bone fracture

●Dementia in middle age

●Spinocerebellar degeneration

●Spinal carnal stenosis

●Progeria

●Multiple system atrophy

●Diabetic neuropathy, diabetic nephropathy and diabetic retinopathy

●Cerebral vascular disease

●Parkinson's disease, Progressive supranuclear palsy and corticobasal degeneration

●Arteriosclerosis obliterans

●Chronic obstructive pulmonary disease

●Osteoarthritis following significant deformity of both knee joints, or the hip joint

Insurance benefits under long-term care insurance are paid directly to the facilities and service providers used by elderly persons, and users pay only a portion of the cost payable by users.

To use facilities and services under the long-term insurance program, you must undergo a review to obtain a certification of needed long-term care.

What is the long-term care insurance program?

Mechanism of long-termcare insurance

Persons who are eligible for long-term care services, etc.

Persons aged 40 to 64Category2 insured persons

Compensation for care services (90% of service fee will be paid)

Collaboration

Consultation, support, etc. (free)

Provision of nursing care services

Usage fee for nursing care services(10% of the cost must be paid by the user)

Persons aged 65 or overCategory1 insured persons

Municipalities (insurance providers)Operate the long-term care insurance program

Long-term insurance benefits payment

Nursing care service providersProvide services

Specified diseases (16 types)

■ Persons aged 40 or over become an insured persons under the long-term care insurance.

1.<Persons aged 65 or over> (Category1 insured person)If persons are under the condition that requires long-term care or the condition that requires support due to becoming bed ridden or demented

2. <Persons aged 40 to 64> (Category2 insured persons)If persons are under the condition of need for long-term care or needed support condition due to illness caused by aging such as dementia and cerebrovascular injury in middle age (specified diseases)

■ Persons who are eligible to use services under long-term care insurance are as follows.

◆ To receive care benefits or use prevention services, you must obtain a certification of needed long-term care (or a certificate of needed support).

CommunityGeneral

Support Center

As to how to use the services, please see the next page.

The procedures are described on P.6.

Community General Support Center is a support center established by each municipality to provide community support for elderly persons for their daily living. Each Center has public health nurses, certified social workers, senior care managers and other staff. The Center serves as a contact desk for elderly persons and their family members in the community, and works with other organizations to help resolve issues and provide consultation.

*

＊What is a Community General Support Center?


The applicant’s attending doctor is requested by the municipality to submit a statement of opinion on the conditions of disease of the applicant, special medical treatment needed, the level of dementia or

disability and other relevant matters.

Partial nursing care is needed due to unstable mental and/or physical condition, or dementia or other similar condition.

Statement of opinion of attending doctor

Computer assessment is made based on the result of at-home screening.

Initial assessment

Second assessment

Process up to obtaining a certification of needed long-term care (needed support)

Services provided after the issuance of a certification of needed long-term care

●To make inquiries about long-term care insurance or to use services under long-term care insurance, you can consult with long-term care insurance desk in municipalities and 23 special wards in Tokyo, community general support centers, in-home care support providers and other support organizations.●If you wish to use services, you must submit a “certification of needed long-term care (needed support)” together with a long-term care insurance certification to the long-term care insurance desk of your municipality.●You may request a community general support center, an in-home care support provider or a long-term care insurance facility to prepare and submit an application for you.

Certification Committee of Needed Long-Terms Care reviews the case to determine what level of care is needed based on the result of initial assessment, investigation of situation, statement of opinion of attending

doctor and other relevant facts. (The decision is NOT based on the level of severity of illness, etc.)

At-home screening

Consultation/Application

A certification investigator from your municipality will visit the applicant’s home for interview.The investigator will conduct an interview to assess mental and physical conditions of the applicant using a certification

investigation sheet that is commonly used throughout Japan.

Should you have questions concerning certification of needed long-term care or wish to obtain an application form, please refer to each municipality’s website.

Long-term care benefits Community support projects (general projects)Preventive benefits

Notice of certification of needed long-term care and screening results

Certification of needed long-term care

● There are 8 types of results: Care levels 1 to 5; Support levels 1 and 2; and Not applicable (Self-support).● A person who is found to be “not applicable” may not use long-term care services.● The effective period of certification generally expires at the lapse of 6 months in the case of new application and amended application, and at the lapse of 12 months in the case of renewal. However, if the mental or physical condition of the person concerned is expected to drastically deteriorate, the effective period may be shortened up to 3 months, and if the mental and physical condition of the person concerned is deemed to be stable for a long period of time, the effective period may be extended up to 24 months.

Consultation first

Preparation by a care manager＊ of a care service usage plan (Care Plan)

Preparation by a care manager＊ of a care prevention plan

In-facility services

・Intensive care homes for the elderly(facilities providing long-term care to the elderly)

・Long-term care health facilities for the elderly

・Medical long-term care sanatoriums for the elderly

・Specified facilities - intensive care homes for the elderly

・Fee-based homes for the elderly (providing nursing care, residential type, health care type)

・Moderate-fee homes for the elderly (care home, Type-A)

・Residential homes for the elderly providing care services (limited to the facilities providing services equivalent to the services provided by fee-based homes for the elderly)

・Home visit long-term care by regular visitor as needed

・Multifunctional long-term care in a small group homes

・Home-visit at night for long-term care

・Communal daily long-term care for a dementia patient, etc.

・Multifunctional preventive long-term care in a small group home

・Preventive long-term care for a dementia patient in communal living, etc.

・Home-visit service for preventive long-term care

・Outpatient rehabilitation for preventative long-term care

・Management and guidance for in-home medical service for preventive long-term care, etc.

In-home long-term care services

・Home visit long-term care・Home visit nursing・Outpatient day long-term care

・Daily life long-term care services, etc.

Preventive long-term care services

Preventive long-term care projects

Services based on the actual

situation of the municipality

Community-based preventive

long-term care services

Community-based long-term care services

Documents necessary for application

High level of nursing care is needed.

Middle level of nursing care is needed.

Low level of nursing care is needed.

Care level 1 Support level 1

Support level 2

Not applicable

Care level 2

Care level 3

Care level 4

Care level 5

Partial social support is needed. The person to whom none of care levels 1-5 and support levels 1 to 2 is applicable.

Lectures on promotion of sound health for the elderly, nursing care prevention courses, such as a course for the improvement of motor functions, for those whose vital functions are deteriorating and nursing care will be needed in the near future are available.

The person is not demented or does not have any similar symptoms and mental and physical condition is stable, but social support is needed.

The highest level of nursing care is needed.

Procedures for long-term care services

▪Application for certification of needed long-term care / needed support (the form is available at the reception desk of welfare and long-term care insurance section of each ward)

▪ Long-term care insurance certificate▪ For those who are aged between 40 and 64, medical insurance certificate▪ Document by which Individual Number (My Number) of the applicant (the insured) can be verified (My Number verification document)▪ Document by which identity of the person holding My Number or his/her representative can be verified (identification document)

Various services under long-term care insurance will be provided depending on the level of care needed. Services you may receive

vary depending on the levelof care needed!

A person who has the risk of becomingunder the condition of need for long-term careor needed support condition

Care manager is formally called “long-term care support specialist” and prepares a care plan, communicates with relevant organizations and makes arrangements upon consultation or request of a person who received a certification of needed long-term care or his/her family members for the person requiring care to be able to receive appropriate care services under the long-term care insurance.

＊Who is a care manager?

Procedures for long-termcare services


Use services under the long-term care insurance wisely to achieve a better work-life balance

Kyushu University has in place a system of leave of absence for nursing care. Family care leave (unpaid)Care levels 1～5 Support levels 1 and 2You may take family care leave when you need to provide nursing care for a period of 2 weeks or longer to a person (eligible family members) who requires constant care due to injury, illness or physical or mental disability.・Up to 6 months in total (or up to 93 days for fixed-term faculty members, etc.＊1 and fixed-term faculty members (indefinite change )＊2), and up to three times for each eligible family member.

Support services for daily life, such as meals and bathing, or for the maintenance or improvement of vital functions are provided through a day visit to a day service center.

Outpatient day long-term care (day service) Outpatient preventive long-term careCommon services, such as support for daily life, and se l ec t i ve se rv i ces based on t he pe rson’s goa l (improvement of motor functions, nutrition and oral functions) are provided.

Support services for daily life, such as meals and bathing, and rehabilitation to maintain or improve vital functions are provided through a day visit to a long-term care health facility for the elderly or medical institution.

Outpatient rehabilitation (day care) Outpatient rehabilitation for preventive long-term careIn addi t ion to support serv ices for da i ly l i fe and rehabilitation as common services, selective services to meet the person’s goal (improvement of motor functions, nutrition and oral functions) are provided at a long-term care health facility for the elderly or medical institution.

A home helper visits the person’s residence and provides support for physical activities, such as bathing, using a restroom and having meals, and other daily life, such as cooking and laundry. Transportation services (care taxi), which offers support for getting on and off, to visit hospital are also available.

Home-visit long-term care (home help) Home-visit service for preventive long-term careWhen no family support or community support is available for activities which the user is unable to do alone, home visit services are provided by a home helper to support him/her to become independent.

A person who requires constant nursing care that is difficult for him/her to receive at home is admitted and receives support and care for daily life.(Only for those at care level 3 or higher. However, those at care level 1 or 2 may be eligible if he/she is recognized as living at home is difficult for unavoidable reasons (exceptional admission).)

A person with stable condition receives care, primarily rehabilitation, to be able to go back home and live at home. (Care level 1～5)

Nursing care, long-term care and rehabilitation, etc. are provided based on the medical management to a person who finished receiving medical treatment for an acute phase and requires long-term treatment. (Care levels 1～5)

A certified care worker and nurse visit the person’s residence and provide bathing service using a mobile bath.

Home-visit bathing service Home-visit bathing service for preventive long-term careAs far as the person does not have a bathing facility or using a bathing room of other facilities is difficult due to infectious diseases, etc., home-visit bathing services are provided.

Under the instruction of a doctor, a physiotherapist, occupational therapist or speech therapist visits a home of a user who has difficulty visiting hospital, and assists rehabilitation.

Home-visit rehabilitation Home-visit rehabilitation for preventive long-term care

Under the instruction of a doctor, a nurse or any other care provider visits a home of a user who has difficulty visiting hospital and provides nursing care or assistance for medical treatment.

Restrictions on overtime work or work late at night for family careYou may request that you do not work overtime beyond 24 hours per month and 150 hours per year to provide care to an eligible family member.You may request that you do not work between 10:00 pm to 5:00 am to provide care to an eligible family member.

Early start or late start for family careYou may change the starting time of work and ending time of work up to one hour to provide care to an eligible family member, to the extent that your daily working hours remain the same.

Day off for family care (paid)You may take a day off to provide necessary care to an eligible family member, including nursing care, accompanying a family member to visit hospital and making an arrangement for an eligible family member to receive long-term care services.・Up to 5 days per calendar year if you have only one eligible family member, and up to 10 days per calendar year if you have 2 or more eligible family members.

Information or document not listed below may be requested to provide. For details concerning eligibility, requirements and the number of days of leave taken, documents to be submitted and other relevant matters, please inquire at the personnel affairs section of your division first.

Please inquire at the personnel affairs section of your division for details about eligibility and requirements.＊1 Fixed-term faculty and staff members, etc.:Fixed-term faculty, Faculty (annual salary), Special fixed-term faculty, Fixed-term administrator and technician, Special fixed-term administrator and technician, Highly specialized staff, Re-employed staff, Temporary staff, Part-time staff, Visiting lecturer and visiting researcher＊2 Fixed-term faculty and staff members (converted to contracts without fixed term), etc.:Fixed-term faculty (converted to contracts without fixed term), Faculty (annual salary) (converted to contracts without fixed term), Special fixed-term faculty (converted to contracts without fixed term), Fixed-term administrator and technician (converted to contracts without fixed term), Special fixed-term administrator and technician (converted to contracts without fixed term), Highly specialized staff (converted to contracts without fixed term), Re-employed staff (converted to contracts without fixed term), Temporary staff (converted to contracts without fixed term), Part-time staff (converted to contracts without fixed term), Visiting lecturer and visiting researcher (converted to contracts without fixed term)

Partial leave for family care (unpaid)You may take leave for a portion of working hours in a day to provide nursing care to an eligible family member.・This leave may not be taken if working hours on that day are 6 hours or less.・Up to 6 months in total (or up to 93 days for fixed-term faculty members, etc.＊1 and fixed-term faculty members, etc. (indefinite change)＊2), and up to three times for each eligible family member.

・You may take leave up to consecutive 4 hours starting from the starting time of work or ending at the ending time of work in 1-hour intervals.Either leave starting from the starting time of work, or ending at the ending time of work, or both can be taken.

In-facility services

Documents necessary for the procedure

Paid/Unpaid Documents to be submitted

Family care leave

Day off for family care

Partial leave for family care

Restrictions on overtime work or work late at night for family care

Unpaid

Paid

“Application for family care leave”, documents by which condition of need for long-term care can be verified ◆ If returning to work prior to the expiration of the requested period, “notice of change to the status of leave”◆ If withdrawing the application prior to the planned starting date, “notice of withdrawal of application for leave”

Record of leave, “notice of status of eligible family members, etc.”

“Application for partial leave for family care”, documents by which condition of need for long-term care can be verified

Early start or late start for family care“Request for restrictions on overtime/restrictions on work late at night/request for early start or late start”

“Request for restrictions on overtime/restrictions on work late at night/request for early start or late start”

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Please refer to our Office’s website for regulations concerning the systemsfor day off, etc. that are available for the faculty members.In addition to the above services, there are community-based services, such as rental services or sales of equipment for

long-term care, periodic visits and long-term care for a dementia patient.http://danjyo.kyushu-u.ac.jp/Website

◆ When any change to leave, etc. occurs, “notice of change to the status of leave, etc.” must be submitted.

Visit to service facilitiesService at hom

eShort-stayat a servicefacility

◆Those at care levels 1 to 5 are eligible for this service.

Home-visit nursing care （A short time visit less than 20 minutes in the early morning, in the evening or late at night is available.）Home-visit preventive long-term care

A doctor, dentist, nurse, pharmacist, registered dietitian, etc. visits a home of a user who has difficulty visit hospital, and manage medical care and provide guidance.

Management and guidance for in-home medical carePreventive long-term care management and guidance for in-home medical care

Short-term admission for daily life long-term care or recuperation (short stay)Short-term admission for daily life preventive long-term care or recuperationA user is admitted to a welfare facility or medical institution for a short period and receives support for daily life, functional training, etc.

Long-stay at a servicefacility

Facilities providing long-term careto the elderly

(intensive care home for the elderly)

Sanatorium medicalfacilities for the elderlyrequiring long-term case(sanatorium ward, etc.)

Long-term carehealth facilities

Leave of absence for nursing care

Services available underlong-term

care insurance

Leave of absencefor nursing care


The objective of Support for the Employment of Research Assistants (short-term) is to enhance the overall research capability of Kyushu University (“the University”) by taking full advantage of the diversity of human resources. This is achieved by developing an environment where researchers at the University can devote themselves to their research without facing delays or interruptions in their research when they attend meetings to make contributions to society or go through life events such as giving birth, raising children, or caring for aging parents.

Objective

EligibilityThe University’s female faculty members or research fellows. (those who engage in research for at least 20 hours a week)◆For further details, contact the Scientific Research Promotion Division.

This program helps researchers cover the expenses of hiring research assistants who work under their supervision to directly assist with their research work. The program is mainly designed for female researchers who are recognized as having difficulty securing research time.

◆Family care leave benefits

◆Support for the Employment of Research Assistants (short-term)

Contact information Department Human Resources Sections

●Cases where benefits are not payable・If an insured person starts family care leave on or after the day his/her family member reaches 65 years of age, the allowance is not payable, as a person becomes a “continuously insured elderly person” after he/she reaches 65 years of age.・If, at the time of start of family care leave, the person is expected to leave the University after the expiration of family care leave period, the allowance is not payable. In addition, if a person is employed for a fixed term, it is required that, at the time of start of family care leave, the person has been continuously employed by the University (and insured by the employment insurance) at least one year, and is expected to continue to be employed by the University more than 93 days from the starting day of family care leave.

①Leave must be taken to provide care for 2 weeks or more to a family member who requires constant care (walking, using a restroom, meals and other activities that are necessary accommodations for daily life) due to injury, illness or physical or mental disability.②Leave must be actually taken by an insured person of the employment insurance after he/she applies to his/her employer for the leave clearly indicating the first day and the last day of the period of leave.

The insured of employment insurance who is on a family care leave to provide nursing care to a family member under the condition of need for long-term care and whose basic wage payment days in a month were 11 days or more for at least 12 months in 2 years immediately prior to the day the family care leave started

◆Family care leave may not start during maternity leave. If family care leave for a different family member, maternity leave or child care leave starts during family care leave period, the original family care leave ends on the day prior to the starting day of such new leave, and family care leave benefits are not payable for the days after such day.

The allowance will be paid for family care leave which satisfies both 1 and 2 below, during the period of family care leave (up to 3 months from the starting day of family care leave), provided that the allowance is paid only once for family care leave to provide care to the same eligible family member for the same condition of need for long-term care.

The family care leave period is divided into one month periods staring from the starting day of family care leave (if the ending day of family care leave occurs during such one month, the period up to the ending day of family care leave), and the amount of benefits is calculated for each period, and the total amount for the entire periods is paid by lump sum.

The amount paid for each payment period is generally the monthly wage of the month during which the leave started x 67%.◆There is a limit to the amount of the allowance.

Eligiblepersons

Payments

Amountpaid

Eligiblefamily

care leave

Links for further information

Allow

ance paid under employm

ent insuranceSupport program

within the U

niversity

Contact listHave contact information ready to prepare for the future.

●HospitalName of hospital:　　　　　　　　　　　

Address:　　　　　　　　　　　

Tel:　　　　　　　　　　

Memo:

●Community general support centerName of organization:　　　　　　　　　　　

Address:　　　　　　　　　　　

Tel:　　　　　　　　　　

Memo:

●Care managerName of organization:

Address:　　　　　　　　　　　

Tel:　　　　　　　　　　

Memo:

●Municipal consultation deskName of organization:

Address:　　　　　　　　　　　

Tel:　　　　　　　　　　

Memo:

Contact informationResearch Support Section, Research Planning Division, Research and Industrial Collaboration Promotion DepartmentTEL: 092-802-2327

For those who wish to know

more about nursingcare support

Other support programs

Other support program

s

Information on nursing care is available from the following links or QR codes.

Ministry of Health, Labour and Welfarehttp://www.mhlw.go.jp/english/

Long-Term Care, Health and Welfare Services for the Elderly (Ministry of Health, Labour and Welfare)http://www.mhlw.go.jp/english/policy/care-welfare/care-welfare-elderly/index.html

Fukuoka Cityhttp://www.city.fukuoka.lg.jp/english/index.html

Kasuga Cityhttp://www.city.kasuga.fukuoka.jp/

Onojo Cityhttp://www.city.onojo.fukuoka.jp/

Itoshima Cityhttps://www.city.itoshima.lg.jp/

Health Care (Fukuoka City International Foundation)http://www.rainbowfia.or.jp/en/living/03.html

Fukuoka Prefecture Daily Life Informationhttp://www.pref.fukuoka.lg.jp/somu/multilingual/english/living.html

Information on hospitals and pharmacies in Fukuoka Prefecture with foreign language speaking staff (Fukuoka prefecture Medical Center)http://www.fmc.fukuoka.med.or.jp/qq/qq40gnforisr.asp

Medical Interpretation Service (Fukuoka Asian Medical Support Center)http://asian-msc.jp/translation_en.htm

MEMO