## Requirements

**Requirements**  

**Functional Requirements**  
1. **Home Nursing Quality and Operational Efficiency**  
   - Clarify the responsibilities of managers and review requirements to ensure the quality of home nursing services while enabling efficient operation of home nursing stations [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272].  
   - Review criteria for nursing assistant systems and promote collaboration among nursing staff to minimize physical restraints [KB-05c4460e-0933-40a9-962c-fc2be422e060].  

2. **Abuse Prevention and Physical Restraint Prohibition**  
   - Mandate the establishment of systems for abuse prevention in home nursing and prohibit physical restraints as a principle [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272].  
   - Strengthen measures to minimize physical restraints in medical institutions, requiring organizational systems to reduce their use [KB-08876a43-c1e4-4b7f-8517-0cd67e273533].  

3. **24-Hour Response Systems**  
   - Revise the evaluation system for 24-hour response systems in home nursing stations to reduce nursing workload and improve coordination mechanisms [KB-06db46ba-7647-483b-9f38-f7fa62a24d77].  

4. **Medication Management**  
   - Provide medication packaging and guidance for patients taking multiple medications, with point calculations based on the number of administration days [KB-07f1aee1-1797-47ce-a5e9-b2462436b453].  
   - Ensure pharmaceutical management and guidance for patients receiving high-risk medications, with point additions for confirmed dosage changes or adverse effects [KB-08289384-33b4-4060-8531-77d29c0895ef].  

5. **Pain Management and Palliative Care**  
   - Evaluate the quality of cancer care and palliative care, including specialized treatments like radiation therapy and nerve blocks [KB-66969593-ac17-45cd-a41d-f335a2406225].  
   - Strengthen guidance for opioid use in palliative care, requiring confirmation of medication status, storage, and adverse effects [KB-08876a43-c1e4-4b7f-8517-0cd67e273533].  

6. **Home Nursing Support**  
   - Review criteria for frequent home visits to better align with patient conditions and clarify managerial responsibilities [KB-17ac1ec0-b2d4-4910-9884-a2e46ea25ce0].  
   - Revise evaluation systems for home nursing management care to enhance functionality and address diverse user needs [KB-ae822bb5-db0a-4310-9d78-651887df1be2].  

7. **Medication Safety and Information Sharing**  
   - Add points for pharmaceutical management guidance when duplicate medication is identified, requiring written proposals to prescribers [KB-50d4fc2a-962d-4820-a105-6ba75b15cf4c].  
   - Ensure information sharing between dental and pharmaceutical institutions for patients with special needs, including those with disabilities [KB-04d2151dc-fa29-4352-91ee-fd6151d0b86c].  

**Business Requirements**  
1. **Pharmaceutical Management**  
   - Add points for specific pharmaceutical management guidance when high-risk medications are dispensed, requiring confirmation of usage status and adverse effects [KB-08289384-33b4-4060-8531-77d29c0895ef].  
   - Revise criteria for medication management guidance for patients with chronic conditions, including those requiring long-term prescriptions [KB-20775cd7-be3a-4a41-a8e2-53ac409c2538].  

2. **Dental Care and Oral Health**  
   - Review criteria for oral function management and periodontal disease prevention, including evaluations for diabetic patients [KB-eebfa16b-b49a-4568-9b3d-d34515d668d9].  
   - Establish new evaluations for oral function management in elderly patients and those with severe caries [KB-07f1aee1-1797-47ce-a5e9-b2462436b453].  

**Constraints**  
1. **Prohibition of Physical Restraints**  
   - Physical restraints are prohibited as a principle, with exceptions only for specific cases requiring organizational systems to minimize their use [KB-01a2d77c-a20a-47e5-ae19-16ab2c89e272].  

2. **Medication Safety**  
   - Certain pharmaceutical management guidance cannot be calculated if specific conditions are met, such as when patients refuse to present medical records [KB-31de50ce-f3df-4fb0-a0bd-6a1ce5795463].  

**GAP: Missing data for Requirements**  
- Specific details on the implementation of 24-hour response systems and coordination mechanisms are not fully detailed in the provided context.  
- Further clarification is needed on the criteria for evaluating "frequent home visits" and "home nursing management care."  

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*Note: All translations of non-English terms are provided with legends where necessary (e.g., "身体的拘束" → "physical restraints").*