Approaches for Geriatric Group Care at an Acute Care Hospital Aimed at Providing Person-Centred Care : Introduction and Development of Dementia Care Mapping(DCM) Hiromi Yoshimura 1 , Mizue Suzuki 2 , Tomomi Takagi 3 , Naomi Egami 3 1Seirei Mikatahara General Hospital 2Hamamatsu University School of Medicine Faculty of Nursing 3Seirei Mikatahara General Hospital Keyword: 高齢者集団ケア , 急性期病院 , 認知症ケアマッピング , 看護介入 , Person-centred Care , geriatric group care , acute care hospital , dementia care mapping(DCM) , nursing intervention , person-centered care pp.713-722
Published Date 2013/12/15
DOI https://doi.org/10.11477/mf.1681100853
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 The purpose of this study is to determine the efficacy of Geriatric Group Care at an acute care hospital by utilizing Dementia Care Mapping(DCM).DCM was utilized three times, every three months, between October 2012 and June 2013 for patients who received Geriatric Group Care at a Pulmonary Medicine Unit in Hospital A. 12 elderly patients(9 males and 3 females),who received care based on DCM three times during this study period, were enrolled in this study. The average age of the study participants was 82.42(±7.92).They were hospitalized to receive medical treatment for a physical disease, such as pneumonia. The average Well and Ill-Being(WIB)value, which indicates the quality of life of the subjects, was slightly higher among females(1.57±1.06)as compared to males(1.41±0.93).With regards to Behavior category codes among males, Articulation(A : 25.38 ±15.84),Leisure(L : 21.96±32.62)and Physical(P : 13.2±11.80)showed higher scores. Among females, the order was L(35.31±10.68),A(32.02±13.79)and P(15.22±16.14).In terms of Personal Enhancer(PE),36 cases involved five needs which were observed, including “occupation” and “inclusion”. This showed that nursing practices that enhance personhood, which is important in person-centered care, was being provided. When WIB value was compared for one subject before and during reception of Geriatric Group Care, the value was increased from before(+0.2)to during receiving the care(+2.2).Based on this result, we’ve found that Geriatric Group Care at an acute care hospital could improve their quality of life by promoting relationships with others. It is suggested that the development of care for elderly patients or elderly people with cognitive impairment could be improved by considering PE in Geriatric Group Care hereafter.

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