Kaigo Fukushishi 介護福祉士

Exam 37 · 第37回 · 認知症の理解 (Understanding Dementia)

Question 48 問48

Ｂさん（87歳さい，男性だんせい）は，一人暮ひとりぐらしである。玄関前げんかんまえで，脱水だっすいで倒たおれているところを発見はっけんされ，救急搬送きゅうきゅうはんそうされた。入院中にゅういんちゅう，認知症にんちしょう（dementia）の疑うたがいがある行動こうどうが見みられた。Ｂさんは，「自宅じたくで暮くらしたい」と強つよく希望きぼうしていた。退院後たいいんご，Ｂさんは外出がいしゅつして自宅じたくに戻もどれなくなることがあった。近所きんじょの人ひとたちが，Ｂさんの生活せいかつを心配しんぱいして，地域包括支援ちいきほうかつしえんセンターに相談そうだんした結果けっか，認知症初期集中支援にんちしょうしょきしゅうちゅうしえんチームが編成へんせいされた。次つぎの記述きじゅつのうち，Ｂさんに対たいして認知症初期集中支援にんちしょうしょきしゅうちゅうしえんチームが行おこなう支援しえんとして，最もっとも適切てきせつなものを1つ選えらびなさい。

  1. 金銭管理きんせんかんりを行おこなう。
  2. 支援方針しえんほうしんを検討けんとうする。
  3. 居宅きょたくサービス計画書けいかくしょを作成さくせいする。
  4. 介護保険かいごほけんサービスを契約けいやくする。
  5. 法定後見ほうていこうけんを行おこなう。

Translation

Mr. B (87 years old, male) lives alone. He was found collapsed in front of his door, because of dehydration, and taken to hospital by ambulance. While in hospital, he showed behavior that suggested possible dementia (認知症). Mr. B strongly wanted to 'live at home.' After leaving hospital, there were times when Mr. B went out and could not find his way back home. His neighbors worried about his life and talked to the Community General Support Center (地域包括支援センター). As a result, an Initial-Phase Intensive Support Team for Dementia (認知症初期集中支援チーム) was formed. Which of the following is the most suitable support for this team to give to Mr. B?

  1. Manage his money.
  2. Discuss the support policy (支援方針).
  3. Create the home care service plan (居宅サービス計画書).
  4. Sign the contract for long-term care insurance services.
  5. Carry out statutory guardianship (法定後見).
Show answer and explanation

Answer: 2

Why 2 is correct

The Initial-Phase Intensive Support Team for Dementia (認知症初期集中支援チーム) visits Mr. B's home, checks how he is doing, and discusses the support policy (支援方針) at a team meeting to decide how to support him going forward. After that, they connect him to medical and long-term care services, and hand him over to the professional in charge, in about 6 months.

Why 1 is wrong

Managing money is not the team's job. If needed, they connect the person to the Daily Life Self-Support Project or the adult guardianship system.

Why 3 is wrong

The home care service plan (居宅サービス計画書), also called the care plan (ケアプラン), is made by a care manager (介護支援専門員／ケアマネジャー).

Why 4 is wrong

The contract for long-term care insurance services is made between Mr. B himself and the service provider. The team's role is to help with applications and connect him to services.

Why 5 is wrong

Statutory guardianship (法定後見) is carried out by a guardian chosen by the family court. It is not something the team does.

Key point

The Initial-Phase Intensive Support Team for Dementia (認知症初期集中支援チーム) visits, decides on support, and connects to services.

Key terms

認知症初期集中支援チームにんちしょうしょきしゅうちゅうしえんチーム
A team that visits the home of a person suspected of having dementia (認知症), and gives intensive support for about 6 months to connect them to medical and long-term care services.
地域包括支援センターちいきほうかつしえんセンター
Community General Support Center: a municipal contact point that takes consultations from older people and connects them to the support they need.
居宅サービス計画書きょたくサービスけいかくしょ
Home care service plan, commonly called the care plan (ケアプラン): a written plan that shows which long-term care services will be used and when.
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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.

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