飲酒問題を抱えた高齢者への地域支援とは-保健の立場から医療・福祉との連携を考える-
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概要
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Objective: To comprehend the current status of workplaces where nursing-care workers provide care to older adults who have problems with alcohol, and the actual contribution of professionals in the nursing-care field who are affiliated with community health and welfare facilities; to consider how to promote more effective cooperation among nursing-care workers and each professional staff member.Methods: Group discussion interviews with care workers and individual interviews with each professional staff member were conducted. Coding and categorization of all statements in every interview were conducted for analyzing present difficulties in the nursing-care field.Results: Nursing-care workers frequently realized that it is both hard to assess the hazards and pathology of older adults who consume alcohol excessively, and to evaluate whether they should receive psychiatric attention or not. Even when a care worker found a definitive older alcoholic, the alcoholic was often overlooked if he or she posed no nuisance to the workers. Professional staff members were generally aware of the reality of the nursing-care workplace. They also realized the importance of care workers participating in and utilizing the community network consisting of professional staff members more actively.Conclusion: Although it is noted that older alcoholics are well treated by adequate therapeutic intervention, the present investigation proved that the existing therapeutic resources in the community are not utilized efficiently. To raise and expand the knowledge and skills for handling alcohol addiction, participation of care workers in community network conferences seemed to be effective, as well as the usual training workshops. Public health nurses are expected to play the role of coordinator based on a comprehensive assessment of the individual's situation and community resources in order to establish a community network for older adults who have problems with alcohol.
- 2011-10-00