A Study of Residual Ability by which Reality is Recognized by the Elderly with Moderate to Severe Dementia

  • Takayama Shigeko
    Department of Clinical Nursing, School of Nursing, Fukui Medical University
  • Mizutani Nobuko
    Department of Gerontological Nursing, Graduate School of Nursing, College of Nursing Art and Science, Hyogo

Bibliographic Information

Other Title
  • 中等度・重度痴呆症高齢者に残された現実認識の力についての研究
  • 中等度・重度痴呆症高齢者に残された現実認識の力についての研究--看護者との対話から
  • チュウトウド ジュウド チホウショウ コウレイシャ ニ ノコサレタ ゲンジツ ニンシキ ノ チカラ ニ ツイテ ノ ケンキュウ カンゴシャ ト ノ タイワ カラ
  • -From a Conversation with a Nurse-
  • -看護者との対話から-

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Description

This study was conducted to evaluate residual ability by which reality is recognized by the elderly with moderate to severe dementia. The authors held conversations with 5 patients with Alzheimer's disease aged 65 years or older while giving them care. We then analyzed their remarks by a qualitative and inductive approach.<BR>The moderately or severely demented elderly subjects were confident in expressing their feelings and emotions to others, which was suggested by the behavior “laughing in embarrassment”, “excusing and glossing over”, and “making decisions by themselves”, and showed residual ability in approaching others in an attempt to establish a relationship, which was suggested by the behavior“ laughing loud and long”, “asking the same questions repeatedly”, “showing consideration and concern”, “insisting by altering the tone”, and“initiating actions”. The core concept of this residual ability is their recognition of others, which was observed in the interaction of the demented elderly with others.<BR>The description of the residual ability revealed by this study may serve as a guide for caregivers to note residual ability in the elderly and assist them in maintaining it.

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