Trends in Multifactor Intervention Research Focused on Fall Prevention for Elderly Patients with Dementia and Issues in the Nursing Research Mizue Suzuki 1 , Ayako Soyano 2 , Mami Yasuda 3 , Masao Kanamori 4 , Akira Honma 5,6 , Yoshiteru Mutoh 7 1Faculty of Nursing,Hamamatsu University School of medicine 2Saku University,School of Nursing 3Mie Prefectural Collage of Nursing 4Biwako Seikei Sport College 5Dementia Care Research and Training Tokyo Center 6Former Tokyo Metropolitan Institute of Gerontology 7Graduate School of Education,The University of Tokyo Keyword: 転倒予防 , 認知症高齢者 , BPSD , 介護保険施設 , fall prevention , elderly with dementia , long-term care facilities pp.261-279
Published Date 2009/8/15
DOI https://doi.org/10.11477/mf.1681100373
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 As the population ages,the number of patients suffering dementia in Japan is expected to grow,to 2.41 million by 2011 and a peak of 3.55 million in 2036. Dementia impairs the intellectual assets that the patient has accumulated over a lifetime and damages their ability to communicate information. Elderly patients with dementia are vulnerable to repeated falls due to the specific symptoms of dementia,spatial agnosia accompanying this condition,apraxia and other nervous disorders,difficulty walking,and impaired balance. As a result,they often end up bedridden. Dementia is thus a major factor thwarting the ability of the elderly to “live even better lives” in their senior years. This is a major issue for a super-aging society like Japan,where the prolonged long-term care burden,medical expenses,and long-term care insurance fees are growing. The Long-Term Care Insurance Law prohibits long-term care facilities from using body restrains,but about 40% of such facilities are reported to use them anyway due to their fear of complaints,lawsuits,and claims for damages related to falling accidents. With regard to the falling accidents suffered by elderly patients with dementia as the subject of medical or long-term care litigation,preventing falls among the elderly with dementia is an issue that urgently needs to be addressed in the geriatric nursing. A fall prevention multi-factor intervention for the elderly with dementia was conducted in this study in order to analyze this research method and clarify problems in nursing intervention research. The present findings demonstrate the need to implement a general,standardized nursing intervention for fall prevention among the elderly with behavioral and psychological symptoms of dementia.

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