Actual condition of refusal of consultation in people with dementia and how to deal with it

• Published in: Neurosurgery for Cognitive Disorder Vol. 1; no. 1; pp. 15 - 20
• Main Author: Ikota, Toshio
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Neurosurgery for Dementia 26.02.2021; 一般社団法人 日本脳神経外科認知症学会
• Subjects: lack of insight; Refusal of consultation; social cognition impairment
• ISSN: 2436-0937
• DOI: 10.50838/jsndnscd.1.1_15

[Purpose] We examined the actual situation of refusal of consultation in dementia and how to deal withit.[Subjects and methods] We clinically examined the pathophysiology and outcomes of 11 refusal cases experienced in the past 5 years.[Results] At our hospital, about 1.8% of people with dementia refused to see doctor.It was thought that a certain number of people with dementia would be refused consultation. Through consultation activities such as home visits, we succeeded in receiving medical examinations in 5 cases.In 5 cases, we adopted home-visit medical care.[Conclusion] Refusal to see a doctor is an important issue in dementia care, it is important to deal with it early.