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Shared decision-making and offered meaningful occupation using Aid for Decision-making in Occupation Choice (ADOC) of paper edition: A case study Ryo Okuma 1 , Yasuhide Nakayama 1 , Atsushi Ishikawa 1 , Masahiro Abo 2 1Department of Rehabilitation Medicine, Jikei-Daisan Hospital 2Department of Rehabilitation, Jikei University School of Medicine Keyword: ADOC , 意思決定 , 意味のある作業 , Decision-making , Meaningful occupation pp.645-653
Published Date 2016/12/15
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 The case describes language expression disability due to the dysarthria and motion paralysis caused by throat cancer and cerebral hemorrhage. We used the ADOC Paper edition for shared goal setting with the patient, and evaluated the subjective changes in Importance, Satisfaction and Performance level by Numerical Rating Scale (NRS). The evaluation was carried out in four phases (Early, middle, late, and at discharge). “Cooking” and “Exchanging with friends” were shown as meaningful activities regarding passive communication. It has become possible to focus the meaningful occupations associated with identity. Subsequently, the patient voluntarily participated more actively to get cooking ability and exchange information with friends. In addition, evaluation over time indicated process of changing importance, and became possible the intervention to understand the present condition of the case.


Copyright © 2016, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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