不充分な障害受容のため身体機能が一時的に低下した一症例

概要

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This is a clinical case report on a 70-year-old female who had poor acceptance of disability. She was referred to an occupational therapist for the treatment of Lacunar stroke in which damages involved the region of the right parietal branches of the middle cerebral artery. It was reported that motor dysfunction and failure of psychological function were ameliorated after the performance of endarterectomy of the right internal carotid artery. In addition to the occupational therapy in the hospital, local welfare services have been given her for the rehabilitation. However, her clinical picture was inferior, and equivocal symptoms increased when she reached the end of the therapy program. Her separation anxiety was caused by the poor acceptance of disability. We extended the duration of the therapy to enhance the acceptance level of the patient. As a result, the frequency of visiting the medical rehabilitation services was reduced. There were the alleviation of the patient's separation anxiety. We suggest the followings : 1) Despite the slight motor dys- function, patient could show poor acceptance of disability along with separation anxiety, and 2) It is necessary for patients with similar symptoms to receive empaphy for adequate period of time to accept their disability.
神戸大学の論文