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ID 116071
Title Alternative
Decision-making Support in Medical Care and Welfare for Peoples with Higher Brain Dysfunction
Author
Kitamura, Mio Inatsugi Hospital
Igaue, Mai Matsuyama Rehabilitation Hospital
Kido, Yasuhide Matsuyama Rehabilitation Hospital
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
Content Type
Journal Article
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
ISSN
13484818
18806554
NCID
AA1182424X
Publisher
日本高次脳機能障害学会
Volume
41
Issue
2
Start Page
172
End Page
177
Published Date
2021-06-30
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
jpn
TextVersion
Publisher
departments
Oral Sciences