Support from care managers to elderly people with moderate level dementia living alone whose family lives in the same neighborhood

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  • 家族が近隣に居住しているひとり暮らし中程度認知症高齢者への介護支援専門員の支援

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This research intended to investigate support from care managers to elderly people with dementia living alone. Qualitative and descriptive research methods were used, with those care managers who provide care for the elderly people as the research participants. The results showed that care managers dealt with elderly people by "supporting subjects who are putting forth efforts" in order to respect the lifestyle and individuality of the subject. Meanwhile, maintaining the safety of the elderly person and the neighborhood is important. Therefore, care managers also dealt with "maintaining the safety of the elderly person and the neighborhood" when it is determined that the subject's judgment abilities worsen due to dementia and they cannot maintain safety for their life and lifestyle by themselves. These categories had a mutually balanced relationship. Living alone becomes difficult even when the relative importance is inclined to one category, when providing support to enable the elderly person with dementia to live alone. In addition, care managers worked to introduce support involving "requesting help from the family when it seems that it is difficult for the subject to take care of themselves on their own" and "exceeding the limits of living alone by expanding the support network" which includes other professions, neighbors, etc. in order to achieve this mutual balance. Care managers also dealt with having the subject allow the support through "making considerations so the subject accepts support" when introducing this support. As the above suggests, support from care managers to elderly people with dementia living alone increases the possibility of these elderly people to continue living alone while maintaining their own abilities.

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