2013 Fiscal Year Final Research Report
The development of a tailored model to support self determination for terminal care and lifestyle in elderly with dementia
| Project/Area Number |
23500899
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
General human life sciences
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| Research Institution | Takarazuka University (2013)
University of KinDAI Himeji (2011-2012) |
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Principal Investigator |
HITOMI Hiroe 宝塚大学, 看護学部, 教授 (30259593)
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| Co-Investigator(Kenkyū-buntansha) |
NAKAMURA Yoko 園田学園女子大学, 健康科学部, 教授 (00341040)
HARADA Toshiko 宝塚大学, 看護学部, 准教授 (00469553)
NAKAHIRA Miwa 光華大学, 看護学部, 准教授 (90461970)
TANAKA Kumiko 愛媛大学, 看護学部, 講師 (00342296)
MIMURA Nadami 昭和大学, 保健医療学部, 准教授 (30382427)
SASAKI Junko 香川県立保健医療大学, 保健医療学部, 助教 (50533361)
KUYAMA Kaoru 宝塚大学, 看護学部, 准教授 (40413489)
ISHI Kaoru 関西福祉大学, 看護学部, 助手 (20711188)
TANIMUKAI Satoshi 愛媛大学, 看護学部, 教授 (90361336)
JINBO Daiki 昭和大学, 医学部, 講師 (60601317)
OKUDAIRA Naoko 近大姫路大学, 看護学部, 助手 (00584244)
FUJITA Atsuko 近大姫路大学, 看護学部, 助教 (30512660)
NIGARA Sachiko 近大姫路大学, 看護学部, 助教 (60552130)
SHINDOU Yukiko 園田学園女子大学, 健康科学部, 准教授 (90321306)
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| Research Collaborator |
UNE Hiroshi 福岡大学, 衛生学教室, 教授 (40122676)
TAKAHASHI Atsunobu 宝塚大学, 看護学部, 助教 (70723948)
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| Project Period (FY) |
2011 – 2013
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| Keywords | 認知症高齢者 / その人らしい看取り / テーラードモデル / 最期はここがいい / 意思決定を支援 / 代理意思決定に揺れる家族 / 生活を組み立てる / 生活の見守りと声かけ |
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| Research Abstract |
The purpose of this study was to explore the needs of the individualized end-of-life care for older people with dementia, who used the community based care system. Unstructured interviews were conducted with the older people, family members, nurses and formal caregivers. The interviews were analyzed using qualitative content analysis. The finding indicated that dying at home is the most common preference of older people. Integrating the preference of older people and family or informal caregivers is important if people are to remain at home to die. It is required multi-professional approach, including nurses and formal caregivers. End-of life care must be considered emotional and social contexts of both older people and their caregivers. The crucial points are; maintaining their daily lives, accessibility of preventive health care services, and maintaining connectedness to others as well as social services.
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