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June 22, 2005

介護とケアの違い

 自らのリフォームをケア・リフォームと定義している。介護リフォームともバリアフリーとも違うと、自負している。
 ケアと介護とどう違うのか。例えば、こんなケースを考えるとどうか。

 施設での介護はなかばマニュアル化しているものが多い。正午から昼食、その前に介助の必要な方をトイレに連れて行く。どのトイレを使ってどのように排泄するか、あらかじめ知っている。箸、フォーク、右利き、左利き、刻み食、ミキサー食、粥、常食と、一人ひとりの情報がインプットされている。介護には情報があり、解決のために考え出された技術がある。
 さてこれに対して、ケアとは感覚的なものである。気を配ること。声をかけながらスプーンに乗せた食物を口に運ぶ。きちんと嚥下を確かめて、次の一杯。これは、正しい介護技術である。
 良い介護者は、さらにケアが加わる。それは食べたい気持ちを察することであり、さまざまな方法を駆使して楽しみを与えることである。
 単純に食べること、排泄すること、眠ること、移動することを実現するのが介護であり、そこに深く個人の心情を受け止めより本質的な生を実現するのがケアである。ケアは介護を包括しながら、まったく違うレベルで自己を実現するやり方である。
 自分の目指すリフォームも、そこにある。巷で喧伝される顧客満足とも違うしものであるし、単純にテクニックとして終わるものではない。

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