介護老人保健施設に長期入所して最期までその人らしく生活できた一事例

Assisting a woman achieve self-actualization at a long-term geriatric health services facility prior to passing away: A case study

要旨：本論は，家族の希望により約7年間長期入所し当施設で最期を迎えた事例に対し，洗濯を通して死去される前まで事例らしく生活を送れるよう援助できた実践の報告である．A氏は衣類の整理にこだわりがあった．そこで，A氏が在宅生活で行っていた洗濯が，役割のある作業になる可能性があるのではないかと考え，導入した．洗濯は，開始してから体調不良時以外，拒否することは一度もなかった．またA氏は家族に自己の存在をアピールするようになり，日々の生活の一部として定着した．また役割をもつことにより，自分が自分らしくいられる礎となった．そして洗濯を最期まで継続して行え，A氏らしく過ごすことができた．

　The following case study describes the process of a woman gaining self-actualization prior to passing away. The subject was moved to the author's geriatric facility and remained about 7 years. Since the author was aware that laundry was a chore the subject felt strongly about, the woman achieved self-actualization through being put in charge of her own laundry at the facility. The subject was happy to do laundry except when she didn't feel well. Doing laundry became a part of her life, and as a result she became to assert herself more to her family. In conclusion, because she was assigned a task of doing laundry, she was able to self-actualize until she died.