ある女性高齢障害者に対しての人生観を考慮した作業療法

Occupational therapy for the disabled elderly woman considering her view of life

要旨：本論は，作業療法で獲得された技能を実際の生活場面では用いることのなかった女性高齢障害者についての症例研究である．獲得された技能を用いないということは，症例のニーズが反映されていないと考え，生活歴・現在の生活観などの調査を行い，全体像の再構成を行った．同時に価値観・興味にもとづく作業活動の提供と重要な意味付けを持っていた家族への環境調整をはかった．その結果，作業活動への意欲と環境が相互に作用し，生活への充実感とともに生活全般の活動性が向上した．

　このように，対象者中心の作業療法には，人生観や生活歴などの調査と柔軟な対応が必要であると考えられた．

　The case study aims to describe a disabled elderly woman who did not use her skills obtained by occupational therapy in a hospital. The reason was assumed that the therapist did not take the patient's needs into consideration in the practice of occupational therapy. Therefore, history taking on the patient's value and interest was conducted as well as environmental adjustment with the patient's family.

　As a result of the reconstruction of the patient's overall treatment scheme, the improvement was noted on the patient's life satisfaction and span of daily activities. Client-centered occupational therapy should include an investigation of the patient's life history, his views of his own life, and also important, the thrapist's flexible attitudes with regard to those needs.