\u3010\u6587\u732e\u540d\u3011
\n\u8a8d\u77e5\u75c7\u306e\u4ecb\u8b77\u306e\u305f\u3081\u306b\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u5927\u5207\u306a\u3053\u3068\u3000\u30d1\u30fc\u30bd\u30f3\u30bb\u30f3\u30bf\u30fc\u30c9\u30b1\u30a2\u5165\u9580\u3000\u30c8\u30e0\u30fb\u30ad\u30c3\u30c8\u30a6\u30c3\u30c9,\u30ad\u30e3\u30b9\u30ea\u30fc\u30f3\u30fb\u30d7\u30ec\u30c7\u30a3\u30f3\u8457\u3000\u9ad8\u6a4b\u8aa0\u4e00\u76e3\u8a33\u3000\u5bfa\u7530\u771f\u7406\u5b50\u8a33\u3000\u7b52\u4e95\u66f8\u623f\u3000\u3088\u308a\u3000p69-90<\/p>\n
\u3010\u8981\u7d04\u3011
\n\uff08\u304a\u3055\u3089\u3044\uff09\u30d1\u30fc\u30bd\u30f3\u30bb\u30f3\u30bf\u30fc\u30c9\u30b1\u30a2\u3068\u306f\uff1f
\n\u304a\u304a\u3082\u3068\u306f\u3001\u30a4\u30ae\u30ea\u30b9\u306e\u5fc3\u7406\u5b66\u8005\u306eT. \u30ad\u30c3\u30c8\u30a6\u30c3\u30c9\u304c\u63d0\u5531\u3002
\n\u25cf\u30d1\u30fc\u30bd\u30f3\u30bb\u30f3\u30bf\u30fc\u30c9\u30b1\u30a2\u306e\u30b3\u30f3\u30dd\u30fc\u30cd\u30f3\u30c8
\n\u2022\u4eba\u9593\u6027\u304c\u5931\u308f\u308c\u305f\u306e\u3067\u306f\u306a\u304f\u3066\u3001\u898b\u3048\u306a\u304f\u306a\u3063\u3066\u3044\u308b\u3060\u3051\u3068\u307f\u306a\u3059\u3002
\n\u2022\u5168\u3066\u306e\u30b1\u30a2\u306e\u5834\u9762\u3067\u3001\u305d\u306e\u4eba\u306e\u4eba\u9593\u3089\u3057\u3044\u5074\u9762\u3092\u91cd\u8996\u3059\u308b\u3002
\n\u2022\u74b0\u5883\u3084\u30b1\u30a2\u3092\u500b\u5225\u5316\u3057\u305f\u3082\u306e\u3068\u3059\u308b
\n\u2022\u610f\u5fd7\u6c7a\u5b9a\u306e\u5171\u6709(Shared-decision making)\u3092\u63d0\u6848\u3059\u308b
\n\u2022\u8a8d\u77e5\u75c7\u306e\u65b9\u306e\u884c\u52d5\u3092\u3001\u305d\u306e\u65b9\u306e\u8996\u70b9\u306b\u305f\u3063\u3066\u89e3\u91c8\u3059\u308b
\n\u2022\u30b1\u30a2\u306e\u30eb\u30fc\u30c1\u30f3\u30bf\u30b9\u30af(\u6e05\u62ed\u306a\u3069)\u3068\u540c\u7b49\u306b\u3001\u8a8d\u77e5\u75c7\u306e\u65b9\u3068\u306e\u95a2\u4fc2\u6027\u306b\u91cd\u304d\u3092\u7f6e\u304f\u3002<\/p>\n
\uff08\u3053\u306e\u66f8\u7c4d\u306b\u3064\u3044\u3066\uff09
\nT.\u30ad\u30c3\u30c8\u30a6\u30c3\u30c9\u304c\u81ea\u3089\u304c\u4ecb\u8b77\u8005\u30fb\u5bb6\u65cf\u5411\u3051\u306b\u66f8\u3044\u305f\u3001\u8a8d\u77e5\u75c7\u60a3\u8005\u3068\u306e\u63a5\u3057\u65b9\u306e\u8a33\u672c\u3002
\n\u4e0a\u8a18\u306e\u539f\u5247\u304b\u3089\u59cb\u307e\u3063\u3066\u3001\u65e5\u5e38\u306e\u63a5\u3057\u65b9\u3001\u30b5\u30dd\u30fc\u30c8\u3001\u751f\u304d\u304c\u3044\u3001\u85ac\u3068\u306e\u4ed8\u304d\u5408\u3044\u65b9\u3001\u4eba\u6a29\u3084\u30b0\u30ea\u30fc\u30d5\u307e\u3067\u7db2\u7f85\u3057\u3066\u63a5\u3057\u65b9\u306b\u3064\u3044\u3066\u5177\u4f53\u7684\u306a\u3053\u3068\u304b\u3089\u5fc3\u69cb\u3048\u306e\u3088\u3046\u306a\u3068\u3053\u308d\u307e\u3067\u8a18\u3057\u3066\u3042\u308b\u3002
\n\u305d\u306e\u4e2d\u304b\u3089\u3001\u4eca\u56de\u306f\u7b2c7\u7ae0\u300e\u5f98\u5f8a\u3084\u304a\u3082\u3089\u3057\u3001\u653b\u6483…\u8a8d\u77e5\u75c7\u306e\u300c\u56f0\u3063\u305f\uff01\u300d\u306b\u3069\u3046\u5bfe\u5fdc\u3059\u308c\u3070\u3044\u3044\u306e\uff1f\u300f\u3092\u7d39\u4ecb\u3057\u307e\u3059\u3002\u3053\u306e\u7ae0\u306f\u3001\u3044\u308f\u3086\u308b\u8a8d\u77e5\u75c7\u306e\u554f\u984c\u884c\u52d5(BPSD\uff1bBehavioral and Psychological Symptoms of Dementia)\u300d\u306b\u3064\u3044\u3066\u7dcf\u8ad6\u3068\u3001\u3088\u304f\u3042\u308b\u3082\u306e7\u3064(\u5f98\u5f8a\u3001\u5931\u7981\u3001\u653b\u6483\u3001\u7269\u3092\u96a0\u3059\u3001\u540c\u3058\u3053\u3068\u3092\u7e70\u308a\u8fd4\u3059\u30fb\u53eb\u3076\u3001\u6027\u7684\u884c\u52d5\u3001\u5984\u60f3\u30fb\u5e7b\u899a)\u306b\u3064\u3044\u3066\u500b\u5225\u306b\u53d6\u308a\u4e0a\u3052\u3066\u3044\u307e\u3059\u3002<\/p>\n
\uff08\u57fa\u672c\u7684\u306a\u8003\u3048\u65b9\uff09
\n\u25cf\u8a8d\u77e5\u6a5f\u80fd\u304c\u8870\u3048\u3066\u304f\u308b\u3068\u3001\u5468\u308a\u306e\u4e16\u754c\u306f\u4ee5\u524d\u3088\u308a\u3082\u304a\u305d\u308d\u3057\u3044\u5834\u6240\u306e\u3088\u3046\u306b\u601d\u3048\u308b\u3002\u5468\u308a\u306e\u4eba\u304c\u3060\u308c\u306a\u306e\u304b\u308f\u304b\u3089\u306a\u304f\u306a\u3063\u3066\u3044\u304f\u3002\u6df7\u4e71\u306f\u4e0d\u5b89\u3092\u751f\u307f\u3001\u3055\u3089\u306b\u3053\u306e\u5e74\u9f62\u5c64\u306b\u7279\u6709\u306e\u75c5\u6c17\u3084\u969c\u5bb3\u306e\u591a\u3055\u304c\u52a0\u308f\u3063\u3066\u3001\u751f\u6d3b\u306e\u4e2d\u3067\u306e\u3042\u3089\u3086\u308b\u554f\u984c\u306b\u3088\u3063\u3066\u3001\u3046\u3061\u306e\u3081\u3055\u308c\u3066\u3057\u307e\u3046\u3002\u55aa\u5931\u3084\u969c\u5bb3\u3092\u62b1\u3048\u3066\u3044\u308b\u5f7c\u3089\u304c\u3046\u307e\u304f\u3044\u304b\u306a\u3044\u3068\u3044\u3046\u3053\u3068\u306b\u5171\u611f\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\u3042\u308b\u3002
\n\u25cf\u554f\u984c\u884c\u52d5\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u306e\u306f\u300c\u5f7c\u3089\u300d\u3067\u3042\u308b\u304c\u3001\u5b9f\u969b\u306b\u306f\u79c1\u305f\u3061\u306e\u601d\u3044\u3084\u308a\u3084\u512a\u3057\u3055\u3001\u6ce8\u610f\u304c\u8db3\u308a\u306a\u3044\u305f\u3081\u306b\u3001\u300c\u308f\u305f\u3057\u305f\u3061\u300d\u3082\u554f\u984c\u306e\u4e00\u90e8\u3067\u3042\u308b\u3053\u3068\u304c\u5f80\u3005\u306b\u3057\u3066\u3042\u308b\u3002
\n\u25cf\u624b\u3063\u53d6\u308a\u65e9\u3044\u89e3\u6c7a\u7b56\u3092\u53d6\u308d\u3046\u3068\u3059\u308b\u4ee3\u308f\u308a\u306b\u3001\u4ee5\u4e0b\u306e5\u3064\u3092\u8003\u3048\u308b\u3053\u3068\u304c\u6709\u7528\u3067\u3042\u308b\u3002
\n\u2460\u305d\u308c\u306f\u672c\u5f53\u306b\u554f\u984c\u306a\u306e\u304b\uff1f\u3069\u308c\u304f\u3089\u3044\u306e\u983b\u5ea6\u3067\u8d77\u304d\u3066\u3044\u308b\u304b\uff1f
\n\u2461\u3069\u3046\u3057\u3066\u305d\u308c\u304c\u554f\u984c\u306a\u306e\u304b\uff1f
\n\u2462\u3060\u308c\u306b\u3068\u3063\u3066\u554f\u984c\u306a\u306e\u304b\uff1f\u79c1\u305f\u3061\u4ecb\u8b77\u8005\u304c\u5909\u5316\u3084\u9069\u5fdc\u3001\u53d7\u3051\u5165\u308c\u3092\u62d2\u3080\u3053\u3068\u3067\u554f\u984c\u306b\u3057\u305f\u306e\u3067\u306f\u306a\u3044\u304b\uff1f
\n\u2463\u300c\u554f\u984c\u884c\u52d5\u3092\u300d\u3059\u308b\u4eba\u306f\u3001\u308f\u305f\u3057\u305f\u3061\u306b\u4f55\u304b\u3092\u4f1d\u3048\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u306e\u3067\u306f\u306a\u3044\u304b\uff1f
\n\u2464\u3069\u3046\u3059\u308c\u3070\u3001\u305d\u306e\u4eba\u306e\u751f\u6d3b\u306e\u8cea\u3092\u9ad8\u3081\u308b\u3088\u3046\u306a\u65b9\u6cd5\u3067\u3053\u306e\u554f\u984c\u3092\u89e3\u6c7a\u3067\u304d\u308b\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n
\uff08\u5404\u8ad6\uff09
\n\u5168\u822c\u7684\u306b\u3001\u554f\u984c\u884c\u52d5\u306e\u88cf\u306b\u3042\u308b\u305d\u306e\u4eba\u306e\u4e0d\u5b89\u304c\u4f55\u304b\u3092\u304f\u307f\u53d6\u308a\u3001\u305d\u306e\u4eba\u304c\u672c\u5f53\u306f\u5fc5\u8981\u3068\u3057\u3066\u3044\u308b\u3082\u306e\u3001\u3092\u8003\u3048\u308b\u3088\u3046\u306b\u4fc3\u3059\u5185\u5bb9\u304c\u8a18\u3055\u308c\u3066\u3044\u307e\u3059\u3002(\u300c\u5f98\u5f8a\u300d\u306e\u90e8\u5206\u306e\u5185\u5bb9\u3092\u4f8b\u306b\u6319\u3052\u3066\u307f\u307e\u3059\u3002)
\n\u25cf\u5f98\u5f8a\u306f\u3001\u4e0d\u5b89\u3092\u611f\u3058\u305f\u4eba\u304c\u3001\u306a\u3058\u307f\u306e\u5834\u6240\u3084\u611b\u3059\u308b\u4eba\u3092\u63a2\u3057\u305f\u308a\u3001\u4ef2\u9593\u3084\u5b89\u5fc3\u3092\u6c42\u3081\u3066\u3044\u308b\u305f\u3081\u8d77\u3053\u3059\u884c\u52d5\u304b\u3082\u3057\u308c\u306a\u3044
\n\u25cf\u6d3b\u6c17\u3084\u5341\u5206\u306a\u523a\u6fc0\u304c\u306a\u304f\u3066\u3001\u5358\u306b\u751f\u304d\u3066\u3044\u308b\u3053\u3068\u3092\u5b9f\u611f\u3057\u305f\u3044\u3060\u3051\u304b\u3082\u3057\u308c\u306a\u3044\u3002
\n\u25cf\u591c\u306b\u5897\u3048\u308b\u306e\u306f\u3001\u5149\u3084\u97f3\u304c\u306a\u304f\u306a\u308a\u3001\u4eba\u3082\u3044\u306a\u304f\u306a\u308a\u3001\u611f\u899a\u306b\u8a34\u3048\u308b\u3082\u306e\u304c\u5c11\u306a\u3044\u304b\u3089\u3067\u3001\u4ef2\u9593\u3068\u4e00\u7dd2\u306b\u3044\u3066\u5b89\u5fc3\u3059\u308b\u4eba\u306f\u591c\u306b\u306a\u308b\u3068\u4e0d\u5b89\u306b\u306a\u3063\u3066\u304f\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002
\n\u25cf\u6df7\u4e71\u304c\u539f\u56e0\u3067\u306f\u306a\u3044\u3053\u3068\u3082\u3042\u308b\u3002\u30c8\u30a4\u30ec\u306b\u884c\u304d\u305f\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u75db\u3080\u6240\u304c\u3042\u308b\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u670d\u304c\u6c5a\u308c\u3066\u6c17\u6301\u3061\u304c\u60aa\u3044\u306e\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u9000\u5c48\u306a\u3060\u3051\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u904b\u52d5\u4e0d\u8db3\u304c\u539f\u56e0\u306e\u3053\u3068\u3082\u3042\u308b\u3002<\/p>\n
\u25cf\u5f98\u5f8a\u3092\u3084\u3081\u3055\u305b\u308b\u305f\u3081\u306e\u93ae\u9759\u85ac\u306f\u3001\u5f98\u5f8a\u3059\u308b\u4eba\u3088\u308a\u6df7\u4e71\u3055\u305b\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002\u5b89\u5168\u306b\u5f98\u5f8a\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u65b9\u304c\u3044\u3044\u3002\u3082\u3063\u3068\u5f98\u5f8a\u8005\u3092\u5b89\u5fc3\u3055\u305b\u308b\u65b9\u6cd5\u306f\u3001\u4e00\u7dd2\u306b\u6b69\u3044\u3066\u307f\u308b\u3053\u3068\u3002\u8155\u3084\u624b\u3092\u3068\u3063\u305f\u308a\u3001\u8fd1\u304f\u306b\u4e00\u7dd2\u306b\u5c45\u308b\u3068\u3044\u3046\u30e1\u30c3\u30bb\u30fc\u30b8\u3092\u9001\u308a\u3001\u5b89\u5fc3\u3055\u305b\u308b\u3002
\n\u25cf\u6025\u306b\u5bb6\u5177\u306e\u5834\u6240\u3092\u5909\u3048\u305f\u308a\u3001\u591c\u306b\u7269\u306e\u4f4d\u7f6e\u3092\u5909\u3048\u308b\u3053\u3068\u306f\u907f\u3051\u308b\u3002\u5bdd\u5ba4\u306e\u660e\u304b\u308a\u3092\u3064\u3051\u308b
\n\u25cf\u4e00\u4eba\u3067\u5916\u3078\u51fa\u308b\u4eba\u306a\u3089\u3001\u72b6\u6cc1\u306b\u5fdc\u3058\u3066\u9375\u3092\u304b\u3051\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u99b4\u67d3\u307f\u306e\u306a\u3044\u30c9\u30a2\u306e\u4e0b\u306e\u90e8\u5206\u306b\u3064\u3051\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u8eab\u5206\u8a3c\u660e\u66f8\u306f\u6301\u305f\u305b\u308b\u3088\u3046\u306b\u3059\u308b\u3002<\/p>\n
\u25cf\u4e07\u304c\u4e00\u5f98\u5f8a\u3057\u3066\u3082\u3001\u30d1\u30cb\u30c3\u30af\u3092\u8d77\u3053\u3055\u305a\u3001\u8b66\u5bdf\u306e\u529b\u3092\u501f\u308a\u3066\u63a2\u3059\u306e\u3092\u624b\u4f1d\u3063\u3066\u3082\u3089\u3046\u3002
\n\u25cf\u518d\u767a\u3092\u3069\u3046\u3084\u308c\u3070\u9632\u3052\u308b\u304b\u8003\u3048\u308b\u3002\u5211\u52d9\u6240\u306e\u3088\u3046\u306b\u9589\u3058\u8fbc\u3081\u308b\u3088\u308a\u306f\u3001\u5c11\u3057\u306e\u30ea\u30b9\u30af\u3092\u5f15\u304d\u53d7\u3051\u308b\u65b9\u304c\u3088\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n
\u3010\u958b\u50ac\u65e5\u3011
\n\uff12\uff10\uff11\uff10\u5e74\uff11\uff12\u6708\uff11\uff15\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"
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