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5) 入院治療と施設介護の経験から(シンポジウム 「痴呆の病態と治療 : 分子生物学から地域医療までの統合」, 第545回新潟医学会)

フォーマット:
論文(リポジトリ)
責任表示:
本田, 建一 ; Honda, Kenichi
出版情報:
新潟医学会, 1999-10
掲載情報:
新潟医学会雑誌
ISSN:
0029-0440
巻:
113
通号:
10
開始ページ:
468
終了ページ:
471
バージョン:
publisher
概要:
The purpose of this paper is to present some observations from my experience managing a geriatric hospital and a health facility for the aged. The two problematic behaviors observed with the highest frequency during the night were wandering and delirium. Antidepressants were used more often than antipsychotic agents to treat these symptoms, despite the fact that the latter have in the past been selectively chosen for treatment. In addition, benzodiazepin sleep-inducers were also used in the treatment of these patients. However, drug therapy for problematic behavior was found to be largely ineffective. As the number of long-term hospitalized patients is increasing, the hospital is starting to be used almost as a health facility. According to the long-term care insurance to be introduced in 2000, the grade for care is determined based on the time needed to complete the care. Thus, there is a concern that even patients with severe dementia may be categorized as requiruing a lower grade for care if they are able to walk. A committee for the classification of patients should function effectively to properly categorize patients. In the management of a group home, a strict diagnosis of the degree of dementia is necessary before elderly patients can be admitted as residents. If this is not done, the home risks being used as a health facility and may as a result lose track of its original purpose, which is to be a place for the aged to go to live out the remainder of their lives in piece and dignity. 続きを見る
著者名:
URL:
http://hdl.handle.net/10191/46895

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