Exam 36 · 第36回 · 認知症の理解 (Understanding Dementia)
Question 48 問48
Ａさん（80歳，男性，要介護1）は，認知症（dementia）で，妻の介護を受けながら二人で暮らしている。「夫は昼夜逆転がある。在宅介護を続けたいが，私が体調を崩し数日間の入院が必要になった」と言う妻に提案する，Ａさんへの介護サービスとして，最も適切なものを1つ選びなさい。
- 認知症対応型通所介護（認知症対応型デイサービス）
- 短期入所生活介護（ショートステイ）
- 認知症対応型共同生活介護（認知症高齢者グループホーム）
- 特定施設入居者生活介護
- 介護老人福祉施設
Translation
Mr. A (80 years old, male, care level 1) has dementia and lives with his wife, who cares for him. His wife says, "My husband has his days and nights reversed. I want to keep caring for him at home, but my health has gotten worse and I need to be hospitalized for a few days." Among the following, choose the 1 option that is the most appropriate care service to propose to her for Mr. A.
- Day service for people with dementia (認知症対応型通所介護／認知症対応型デイサービス)
- Short-term residential care (short stay)
- Group home for people with dementia (認知症対応型共同生活介護／認知症高齢者グループホーム)
- Specified facility residential care
- Long-term care welfare facility for the elderly (介護老人福祉施設)
Show answer and explanation
Answer: 2
Why 2 is correct
Short-term residential care (short stay) is a service where a person stays at a facility for just a few days and receives care there. Mr. A can be looked after only for the days his wife, the caregiver, is in the hospital, and once she is discharged, care at home can continue as before — this fits the wife's wishes.
Why 1 is wrong
A day service for people with dementia is a service where a person attends a facility only during the day and returns home at night. This cannot cover the few days when his wife is hospitalized and no one is at home. Mr. A also has his days and nights reversed.
Why 3 is wrong
A group home for people with dementia is a place where a person moves in and lives permanently. It is not for using just a few days, and it does not match the wife's wish to continue home care.
Why 4 is wrong
Specified facility residential care is a service received after moving into somewhere like a fee-based elderly home. This would also mean moving Mr. A's home, so it is not suited to a short-term stay.
Why 5 is wrong
A long-term care welfare facility for the elderly (also called a special nursing home for the elderly) is for long-term admission, and in principle it is for people at care level 3 or above. Mr. A is at level 1, so this does not fit for that reason too.
Key point
Staying a few days to receive care is short-term residential care (短期入所生活介護, short stay).
Key terms
- 短期入所生活介護
- Short stay. A service where a person stays at a facility for a short period and receives care.
- 認知症対応型通所介護
- A service where a person with dementia attends a facility only during the day and receives care.
- 特定施設入居者生活介護
- A care service received by a person who has moved into somewhere like a fee-based elderly home.
- 介護老人福祉施設
- Long-term care welfare facility for the elderly, also called a special nursing home for the elderly. A facility for long-term admission, in principle for people at care level 3 or above.
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Exams 36–38, all 13 subjects, with furigana and an English explanation of every choice. The subject 「認知症の理解」 is free.