| Research Abstract |
We hope to develop the method of house adaptation in order to support self-care of daily living for the handicapped elderly at home or to decrease care load or them. As the house is adapted for the elderly left hospital, we had better consider a care plan corresponded with not only the elderly's activities of daily living but also handicapped kind, the degree of handicapped and necessity of aid, the habit of action and so on. So, I analysed to grasp the relationship between a kind of an obstacle and a disease, the process making a care plan and treatment point of house adaptation throughout the following 67 cases of the elderly left M Hospital, who are Right or Left Hemiplegia and Lowering Function of the Legs. Then, I followed up the cases of simple adaptation to evaluate the satus-qou of ADL after 4 or 5 years. In addition to these, I surveyed 363 persons over 40 years old to grasp the room and place of feeling dangerous and an accident in two storied house.
(1) About 80% of cases of house adaptation are either Hemiplegia or Lowering Function of the Legs such as articular rheumatism. The occupational therapist considers more important condition of a helper and a house than ADL of himself as planning a house adaptation. Almost of simple adaptation are handrail, bathing stool, P-bar, portable leaving toilet, slope and so on.
(2) Main treatment of lavatory adaptation are Western-style toilet putting on Japanese-style one or handrails, which are almost horizontal handrail. Handrails for Hemiplegia taking in and out a bathtub are installed in both sides wall of a door. A bathing stool put on floor such as they take bathtub from a side of health. In case of Lowering Function of Legs, handrails are continuously installed to take in and out a bathtub.
Above of all, the method of simple adaptation is verified good effect on status-quo of ADL by following up survey, but we must discuss the problem of how to send a helper to them.
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