A case of cerebrovascular dementia in which designing a stepwise complex intervention using decision support tools led to improvement of BPSD and ADL

DOI
  • Miyauchi Takayuki
    Department of Rehabilitation, Faculty of Medical Sciences, Shonan University of Medical Science Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Doctoral Course
  • Sasaki Shotaro
    Department of Rehabilitation, St. Marianna University Yokohama Seibu Hospital
  • Sasaki Yoko
    Department of Rehabilitation, St. Marianna University Yokohama Seibu Hospital
  • Nemoto Shinji
    Department of Physical Therapy, School of Nursing & Rehabilitation Sciences, Showa University
  • Tanemura Rumi
    Department of Rehabilitation, Kansai Medical University

Bibliographic Information

Other Title
  • 意思決定支援ツールを用いて段階的かつ複合的介入を立案したことでBPSDとADLの改善に繋がった脳血管性認知症の事例

Description

<p>The patient had dementia with overlapping diseases and behavioral and psychological symptoms of dementia (BPSD), making it difficult to share her goals. In this study, occupations that respect the patient’s will were extracted using the Aid for Decision-making in Occupation Choice (ADOC) for patients with multiple diseases presenting with dementia. A complex intervention based on the extracted occupations was implemented in stages using music therapy, exercise training, and activities of daily living (ADL) practice. Music therapy was introduced first to stabilize psychiatric symptoms. As a result, BPSD were reduced, leading to active exercise training. The use of ADOC in dementia patients with BPSD facilitates the choice of occupations that can be made according to their own will, and psychiatric symptoms may have been stabilized early by incorporating these tasks into the occupational therapy program. Complex interventions should be introduced according to the mental and physical functional aspects of the patient.</p>

Journal

Details 詳細情報について

Report a problem

Back to top