Purpose: This case report aimed to provide basic data to improve instrumental activities of daily living and quality of care for elderly with dementia. Methods: A total of ten sessions were organized and operated once a week for 16 elderly with dementia. Data analysis was conducted through observational evaluation of participation, concentration, and satisfaction, and pre and post test for each individual. In-depth interviews were performed at the end of each session. Results: Participants were 16.0% in their 70s, 68.7% in their 80s, and 6.3% in their 90s. Their average instrumental activities daily living (I-ADL) score was 20.12±4.93. Post test scores increased in 78% of the elderly. Participation, concentration, and satisfaction were the highest in the 8th session, which was operated under the theme of ‘A good day to go to the hospital,’ and the lowest participation, concentration, and satisfaction were in the 5th session, which was operated under the theme of ‘A good day to go out.’ Conclusion: In the case of elderly with mild or early dementia, performance of instrumental activities of daily living can be improved through repetitive learning. Thus, there is a need to continuously provide such program as a regular program for elderly people in the early stages of dementia.

서 론
    1. 연구의 필요성
    2. 연구의 목적
연구방법
    1. 연구대상
    2. 질 향상 프로그램 개발 및 구성
    3. 질향상 프로그램 적용
연구결과
    1. 대상자의 일반적 특성
    2. 질향상 프로그램의 효과 탐색
논 의
결론 및 제언
참고문헌

• 김화순(인하대학교 간호학과 교수) | Kim Hwasoon (Department of Nursing, Inha University, Professor) Corresponding author