ブックタイトル教育医学 J.Educ.Health Sci.　第63巻　第3号　通巻 第289号

概要

教育医学 J.Educ.Health Sci.　第63巻　第3号　通巻 第289号

Current Situation of and Problems with Elderly Patients with Dementia Home Recuperation in JapanTable 2 Current situation of and problems with elderly patients with dementia home recuperationcodesubcategorycategoryConsultation with a physiciantogether withthe facility staffBecause a patient or his/her family sometimes does not sufficiently explain his/her condition, the facility staffshould attend consultation with a physician in order to obtain information on the patient.A patient or his/her family should understand the situation of ADL and BPSD in cooperation with the facility staff.For a patient’s family to understand BPSD in the facility, the family should attend consultation with a physician.In case of emergency, a patient should consult with a physician together with the facility staff.The facility sometimes insufficiently cooperates with facilities for the elderly other than facilities covered by longtermcare insurance.When a patient’s family also attends consultation with a physician, information on the patient may be obtainedfrom the family.Even if a patient’s family attends consultation with a physician, the family does not understand the patient’s condition.A hospital sometimes asks a resident’s family to attend consultation with a physician together with the resident.Consultation with a physician sometimes acts as a bridge between a patient and his/her family.Old patients who live alone or whose care is performed by the elderly often consult with a physician alone.A nurse obtains information on a patient’s clinical record and calls the patient’s home by phone when necessary.There is a patient who forgets that he/she has already consulted with a physician and gets consultation again andagain.There is a case in which a patient consults with a physician alone without any belongings, so the patient cannot beidentified.Ambulance transportation is a way of consultation.There is a case in which a patient changes his/her speech, so how to contact with the patient’s family is unknown.Because a nurse is in charge of an emergency patient for a long time, the nurse can easily obtain necessary informationon the patient.When a patient’s family cannot be contacted, the patient’s resident card is obtained in order to cope with the patient.After a patient consults with a physician, a nurse should talk to the patient and additionally explain the situationaccording to the patient’s degree of understanding.When a patient excessively worries about his/her minor injury or disease, a nurse should talk to him/her until he/she calms down.When a patient is not satisfied with a doctor’s explanation, the doctor should reexamine the patient and explain thesituation until the patient understands it.A nurse should detect a patient’s cognitive decline as soon as possible and make sure the patient obtains the necessarymedical treatment and nursing services.A nurse should confirm whether the answer to the question is correct.When a patient talks about the same thing again and again and repeats the same action, a nurse should questionwhether the patient has dementia.When a patient continuously mistakes the consultation day, the patient should undergo dementia tests.When waiting time for consultation is too long, a patient may complain and be anxious about the consultation.Therefore, consultation must be performed efficiently.When a doctor explains the condition of a patient to the patient and his/her family, they can recognize the necessityof hospitalization.A nurse should inform the doctor that the patient gas dementia before consultation.Some patients require a long time for consultation, but many do not.There is a person who does not have dementia but experience a decreased degree of understanding.This decrease sometimes makes the person mentally unstable.Due to the characteristics or mental health of a patient, the patient may become mentally unstable.When waiting time for consultation is too long, a patient who does not have dementia may complain about theconsultation.When waiting time for consultation is too long, a patient should be able to experience some change, such as enteringa treatment room.A negative event occurred when a patient was previously hospitalized.There are several reasons for not wanting to be hospitalized, such as taking care of a pet at home.A patient does not want to be hospitalized because the fee of a private room is too high or because other people maybe disturbed if the patient is in a large room.Information should be provided to inpatients’wards.An anxious patient with dementia should be introduced to MSW.A doctor should provide information for nurses.Various types of people directly consult with the room for medical treatment.Outpatient departments should cooperate with each other.A nurse should correspond to the BPSD together with clerical workers.Information should be provided by wards to outpatient departments.A nurse should cooperate with the department of pharmacy for a patient to take medicine.A nurse insufficiently cooperates with PT.A nurse should cooperate with medical practitioners.A nurse should continuously perform community involvement tasks such as exchange meetings.A nurse should cooperate with city employees.A nurse should cooperate with the people in a neighborhood.A nurse should cooperate with local welfare commissioners.A nurse should cooperate with care managers.A conference should be held by persons in different occupations.A nurse should support a patient toward leaving the hospital from the day of hospitalization.A nurse should continuously perform care for the residents of a facility.A nurse should cooperate with support at home.When a nurse supports a patient toward leaving the hospital from the early stage of hospitalization, the patient caneasily leave the hospital.Outpatient nursing should cooperate with visiting nursing.Consultation with a physiciantogether withthe familyConsultation with a physicianalonetransporta-AmbulancetionAdvocacy from nursesDetecting cognitive declineExamination by a doctorCorrespondence witha mentally unstablepatientHow to spend waitingtimeFinding reasons for notwanting to be hospitalizedCooperation in a hospitalCooperation with peoplein a communityCooperation for leavingthe hospitalThe role of an outpatientnurse accordingto the cognitivecapacity of apatientThe practice of seamlesscare throughmulti-occupationaldescription cooperationin the community? 244 ?