重度痴呆・左片麻痺のある症例に対する摂食訓練の経験—精神機能も向上した一例

Eating training for the patient with severe dementia and left hemiplegia : A case in which improved mental function occurred

要旨：重度痴呆・左片麻痺のある症例に対し，摂食訓練をケアプランに取り入れた．ケアプランの遂行にあたり，OTより口腔保清，嚥下体操，アイスマッサージを提案し，チームで内容を検討しながら進めていった．その結果，注意力散漫や左側無視などが改善し，食事において日内変動はあるが声かけで，一部から全量自力摂取が可能となった．また，単語レベルではあるが声かけに対する返答が聞かれるようになる，などの精神機能が向上した．

　We attempted eating training as one care plan for an elderly person with dementia and left hemiplegia. Various team staff members, including OTRs, generally perform the care plan. Indirect swallowing approaches, such as oral hygiene, swallowing exercise, ice massage and so on, were attempted by OTRs. As a result, inattention and hemineglect also improved, and the patient's oral intake was achieved with minimal assistance. Moreover, the recovery of mental function, such as communication, etc., was achieved as a result of these approaches.