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March 10, 2006

認知症の自立支援とは・・・

 世田谷区介護サービスネットワークの研修会で、和田行男さんの「認知症の自立支援に向けて」の講演会に参加。話を聞いてきた。

IMG_0002和田さん

 和田行男さんのことは、今回はじめて知ったが都内発のグループホームを東京都足立区に立ち上げて、施設長として認知症高齢者のケアにあたる。著書として「大逆転の痴呆ケア」中央法規出版がある。

 誰も望んで認知症になったわけではない。ガンや糖尿病と同じ、認知症は疾患の一つであり、私たち誰もが将来罹患する可能性がある。金持ちも、社長も、プロスポーツ選手も、一人の人間として認知症になる可能性はほぼ等しくある。
 「誰もなりたくてなった訳じゃないよなー」という理解から、講演は始まる。

 認知症の問題行動と言われている症状についても、わかりやすく原因を説明する。健常者と同じ理由で、行動が発生するだけである。

 たとえば、帰宅願望があって徘徊するなどという言い方をするが、誰もが目的や意味を求め自宅を出る。学校へ行く、散歩をする、買い物をする・・・。目的が果たされれば、家へと戻るだけである。
 認知症の高齢者の場合、その目的や意味の理解を継続することができない。ある目的をもってデイサービスへ行こうと車に乗ったとたん、あるいは到着して、その目的を忘れてします。目的がなくなれば、私たちと同じように家へと帰るだけである。したがって、これは自然な行動であり、帰宅願望などと区別して呼ぶ行動ではない。

 というように、話は進む。

 自分が人間の尊厳として理解していたことが、現場の取り組みとして理解することができた。

 介護の専門職の関わり方、専門職としてしなければいけないこと。

 その人の持つ能力を生かして、自立した日常生活を支援することの大切さを理解した。

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Posted by: 和田行男 | April 03, 2006 at 08:41 PM

グループホームで介護職をしている者です。僕も大逆転の痴呆ケアを読んで、ちょうど一年前くらいに和田さんの講演を聞きにいきました。改めて、自らの仕事を見つめなおすことの多い内容で、職場のみんなにも色々と話せました。

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