Journal Article 在宅認知症者へのケアの課題 : 通所リハビリテーション利用者の事例分析を通じて

谷川,良博  ,  川越,雅弘

We conducted a case study involving dementia patients using services provided by H ambulatory rehabilitation center from the standpoint of an occupational therapist in order to identify challenges in dementia support services as a part of ambulatory rehabilitation. We selected 5 users who actually received occupational therapy for different types of dementia at H center, assessed their conditions, daily life, use of services, and their changes, and investigated challenges based on these cases. The disease types included Lewy body dementia (1 person) and Alzheimer’s dementia (3). A case o which did the family support was indicated. Correspondence by day care to its life situation was reported and a problem of the family support was considered. This case study identified 3 challenges in dementia care provided as day care: roles of rehabilitation professionals, communication/working with a care manager, and the importance of home visits in ambulatory rehabilitation

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