自立した入浴に向けて

• Published in: The Journal of Showa Hospital Vol. 3; no. 2; pp. 165 - 169
• Main Authors: 野崎 幸徳, 鬼塚 志乃, 藤岡 文恵
• Format: Journal Article
• Language: Japanese
• Published: 医療法人茜会 昭和病院 2007; Akane Medical Corporation, Showa Hospital
• Subjects: Balance; Violent fall prevention; バランス; 転倒予防
• ISSN: 1880-1528; 1880-151X
• DOI: 10.11163/akanekai.3.165

Our day service team succeeded in aged customers to be more healthy with daily walking exercises. A man of 78 years old who had anxiety about an independent walk with a weak muscular strength at lower limbs, and his care degree was 1. He expected an independent bathing, but he could not take a bath without all assistance. At first we begun to communicate with him and tried not to feel anxiety to walk. For the next, we assisted his walk by dividing 15m distances from his bed to bathroom in 3 parts to take each rest by stop-ping 5m. In a dressing room, he took off a coat by himself and pants by assistance of a staff. We talked with him and relaxed him during taking a bath. A way back, as same as going, too. As a result of repeated assis-tances, he got possible to take a bath by partial assistance. The Barthel index increased about "Bathing" and "Grooming", and total value improved from 10 to 20. 入浴介助を必要としている利用者に対して、自立入浴を目標とした、入浴介助を行った。対象は、下肢の筋力低下により単独歩行に不安を持つ、78歳の男性、介護度は１である。まずコミュニケーションを十分に取り、歩行時の不安を和らげる事から始め、風呂場までの約15mを、5m間隔で休憩しながら歩行介助する。衣服の着脱は、自立動作で上着を脱ぎ、ズボンは職員の介助で脱ぐ。入浴時は声掛け等のコミュニケーションを取り、リラックスして頂き、帰りも同じく歩行介助を行う。これらを続けた結果、全介助だった入浴が、部分介助で十分行えるようになった。また、バーサルインデックス評価値が、「入浴」と「整容」で自立度がアップし、合計点数も10から20に増加した。