ID | 116071 |
Title Alternative | Decision-making Support in Medical Care and Welfare for Peoples with Higher Brain Dysfunction
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Author |
Shirayama, Yasuhiko
The University of Tokushima
Tokushima University Educator and Researcher Directory
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Kitamura, Mio
Inatsugi Hospital
Igaue, Mai
Matsuyama Rehabilitation Hospital
Kido, Yasuhide
Matsuyama Rehabilitation Hospital
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Keywords | 高次脳機能障害
意思決定支援
合意形成
医療同意能力
質問
higher brain dysfunction
decision-making support
consensus building
medical consent ability
question
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Content Type |
Journal Article
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Description | 脳損傷により高次脳機能障害を呈した場合,認知能力とともに,意思決定能力も低下すると考えられている。意思決定能力とは,自分の意思を伝えることができること,関連する情報を理解していること,選択した理由に合理性があることとされており,医療同意能力や判断能力を包含する。しかし,意思決定能力を定量・客観的に測定する指標は未だなく,意思決定支援の定式化には及んでいない。したがって,多職種による合意形成や,質問方法の工夫といった支援者側のスキルが求められることになる。
本稿では,高次脳機能障害者の医療と福祉における意思決定支援に関して,それぞれの立場におけるポイントを概説し,これまで行ってきた研究の一部を紹介する。 |
Description Alternative | Higher brain dysfunction due to brain injury is thought to reduce cognitive ability as well as decision-making ability. Decision-making ability is defined as being able to convey oneʼs intentions, understanding relevant information, and having a rational reason for selection, and includes medical consent ability and judgment ability. However, there is no index for quantitatively and objectively measuring decision-making ability, and it has not reached the formulation of decision-making. Supporter skills such as consensus building by multiple occupations and devising questioning methods will be required.
This paper outlines the points in each position regarding decision-making support of medical and welfare for peoples with higher brain dysfunction, and introduces some of the research conducted so far. |
Journal Title |
Higher Brain Function Research
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ISSN | 13484818
18806554
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NCID | AA1182424X
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Publisher | 日本高次脳機能障害学会
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Volume | 41
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Issue | 2
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Start Page | 172
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End Page | 177
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Published Date | 2021-06-30
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EDB ID | |
DOI (Published Version) | |
URL ( Publisher's Version ) | |
FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
Oral Sciences
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