行いたい作業を聞き取れる状態にない高齢者に対して，重視する経験とその人らしい関わり方に着目して関係作りを行った一例

Relationship building with an inexpressive elderly woman, through focussing on her valued experiences and unique way of relationship building: A case study

要旨：本報告の目的は，現状に絶望しベッドの中に塞ぎ込み，行いたい作業を聞き取れる状態にない高齢者が，自ら人との関係を大切にして過ごすまでに至った介入経過を振り返り，彼女に変化をもたらした要因を検討して報告することである．介入では，作業歴の面接で彼女が「人との関係」を重視することを捉え，過去と類似する経験ができるように相手の選択と共作業や日常生活場面の相互作用を促す環境設定を行い，彼女が重視する関係を段階的に作る支援をした．その結果，彼女の関係は重要他者との2者関係から，他の入院患者達との関係へと広がった．行いたい作業を聞き取れない場合でも，対象者にとって大切な経験を探り，作業に焦点を当てた支援が重要である．

　This report reviews the course of an intervention in which an elderly woman confined to bed in despair over her own health who was unable to express what she wanted to do regained independence and came to value her relationships with others. In light of the value she placed on “relationships with others,” as revealed in an interview on her occupational history, the intervention set up an environment that encouraged her to choose and interact with her peers in co-occupations and situations of daily life to afford her the chance for experiences similar to past ones, with the goal of supporting her in building relationships that she valued in a piecemeal fashion. As a result, her relationships have expanded from a two-way relationship with her significant other to include other inpatients. Even when a patient cannot express what they want to do, it is important to identify experiences they value and support them with a focus on occupations.