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要旨:訪問型サービスC(以下,訪問C)は,介護予防・日常生活支援総合事業の介護予防・生活支援サービス事業の1つであり,ADL/IADL課題の改善を主目標に,3ヵ月程度の短期間で支援を終結させる点が特徴である.要支援2認定のA氏は,作業工程の多さや洗濯かごの運搬距離の長さから,洗濯物を干す動作に努力の増大と効率性の低下を認めた.A氏が少ない疲労で効率よく干すことを目的に,洗濯物干しハンガーの位置変更など,作業遂行に焦点を当てて環境設定や動作方法を中心に助言した.その結果,3回の助言でA氏の作業遂行能力や健康関連QOLが向上した.作業療法士が訪問Cを担うことにより,短期間でADL/IADLの改善につなげることができると示唆された.
The life support comprehensive service C including visited-type service C (hereinafter referred to as visit C) is a long-term care prevention and living support service project for nursing care prevention and living support comprehensive projects. Its focus is to improve ADL/IADL through comprehensive preventative care and daily living support over a period of 3 months. Mr. A, who was certified as Support 2, was struggling to hang up the laundry because of the large number of occupational processes and the laundry basket's carrying distance. We advised Mr. A to move the clothes hanger to more comfortably hang the laundry. We focused on the occupational performance and conducted environmental setting and practice exercises. As a result, three months after the initial assessment, he was able to dry the laundry comfortably, indicating a significant increase in motor and process skills of the AMPS and in Health Related Quality of Life. Thus, occupational therapy may be able to improve ADL/IADL in a short period of time by taking care of visit C.
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