若年多発性神経鞘腫患者のQOLへの作業療法

概要

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Occupational therapy was used in an attempt to improve the quality of life (QOL) of a young male who had severe paralysis of the extremities associated with multiple neurilemoma and who also had personality problems since birth. The patient always wore an artificial ventilator. He had sensory disturbances as well (complete loss of hearing ability and visual acuity on the left side and partial loss of hearing ability and visual acuity on the right side). His activities of daily leving (ADLs) had been seriously limited, and he remained bed-ridden and completely dependent upon outside assistance for meeting the needs of daily life. Because of the pain of his trachetomized and tumor-affected areas and because of his cautious and rigid character, he tended to retreat into a "shell". His care at the ward created many problems. However, after an occupational therapist introduced a T.V. channel switcher to serve as an aid to communication with this patient, in an attempt to improve his QOL, the patient showed improvement in his social activity on the ward, and developed the ability to take relatively independent actions, without demanding much assistance from others. I will discuss what I have accomplished by applying occupational therapy for improving the QOL of a young patient who had previously required total assistance in ADL.
神戸大学の論文