Involvement of initial-phase intensive support team members for dealing with dementia and decision-making

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  • 認知症初期集中支援チーム員による当事者の認知症への対処に関する意思決定に向けたかかわり
  • ニンチショウ ショキ シュウチュウ シエン チームイン ニ ヨル トウジシャ ノ ニンチショウ エ ノ タイショ ニ カンスル イシ ケッテイ ニ ムケタ カカワリ

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Abstract

<p>  This study aimed to identify the involvement of Initial-Phase Intensive Support Team (IPIST) for dementia in decision-making of people with dementia and their family members. The research team conducted semi-structured interviews with four members of IPIST of two municipalities. Interviews covered issues such as the points to which members paid particular attention when conducting interviews with people with dementia and members’ response and feelings in case of discrepancy between people with dementia and their family. The verbatim records of the interviews were subsequently analyzed inductively. The participants in this study stated that rapid diagnosis and response were required during initial-phase intensive support, and that a deliberate division of roles was established between team members. Their experience indicated the importance of such actions as [building a relationship carefully over time with reasonable suspicion of skepticism], [relationship to coordinate the thoughts of both patients and their families], [activities intended for early diagnosis and support], [introduction of services centering on the thoughts of the patients], and [support in the challenges associated with awareness of dementia and measures taken]. Thus, they faced a dilemma between respectful interactions with people with dementia and IPIST regulations.</p>

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