TOWARD THE REALIZATION OF LIVING WELL IN THE COMMUNITY UNTIL THE LAST MOMENT FROM THE EARLY DAYS OF DEMENTIA : THE FACTS HAS BEEN CREATED THROUGH 10 YEARS OF PRACTICES UTILIZING " THE CENTER METHOD" WHICH WAS DEVELOPED IN JAPAN

Tokyo Dementia Care Research and Training Center, Japan

Kumiko Nagata

【ねらい】人が認知症を発症後も、いつでも、どこでも 自分らしく暮らし続けるために

【Aim】 to keep living well anywhere, anytime, after becoming dementia

The Center Method

◆2004～

◆Created by interdisciplinary researcher and

a number of dementia care professionals

◆ Subsidized by the Ministry of Health, Labor

and Welfare

◆2004～

◆多分野の研究職と多数の認知症ケアの専門職が

共同して開発

◆ 厚生労働省の研究助成

センター方式

Features of The Center Method

A way to create well living together, talking about living and

powers, hopes of people living with dementia

①Focus on the person‘s original voice and voiceless voice

② Information and awareness are recorded on 16 sheets and

related persons share and communicate

③ Continuously support

センター方式の特徴

認知症とともに生きている人の暮らしと力、願いについて

話し合い、よりよい暮らしを一緒につくるための方法

①本人のありのままの声、声なき声を重視

②情報や気づきをシートに記録し関係者が共有・伝達。

③本人がよりよく暮らすことを継続的に支援

Main Sheets of The Center Method

My voice and

Appearance

My life history And

lifestyle habits

My 24-hour change

What I can And understand

My needs for better living and support

Continuing support by utilizing the center method along the course of people living

Long journey living with dementia

Early change

Living disorder

Duplicate living disorder

terminal

Home

Hospital

facility

Many care stakeholders support

creating better days together, utilizing the center method

Is it possible for people living with dementia to extend the possibility of living well?

Creating daily life with themselves: listening to the voice 本人と一緒に日々を創る：「声」を聴きながら

Team of home care services , group home, facility care services,

Team of home care services , group home, facility care services,

Results: 5 points of the possibility of living well with dementia

１．認知症のレベルによらず、本人は不安や苦悩、要望や希望等,豊かな思いを 声や多様なサインを通じて表している。

１．Whatever the level of dementia is, the person themselves expresses rich feeling sense and thoughts through voices and various signatures.

voices various signatures rich feeling sense

And thoughts

Anxiety, anguish, wish, desire, hope etc,

1st day 3rd day, 17th day

２．本人 が混乱したり、体調を崩した場合、生活に密着して本人の声 やサインを手掛かりにその要因を細やかに探り、要因を一つ一つ 取 り除くと、本人は安定や健やかさを取り戻す。

２．In the case where the person is confused or loses physical condition, when the concerned person closely contacts his / her life and explores the factor finely with his voice and signature as a clue and removes each factor one by one, he / And regain health.

３．本人がしたいことをかなえる時間を一緒につくると、本人は予想 以上の力を発揮し、活き活きと活動する場面や時間が増える。

３．When making a time to realize what she/he want to do, the person themselves exerts more power than expected and the scene and time to lively activate will increase.

4．在宅から施設・病院へ、あるいは施設・病院間に移る際、本人の

生活や願いに関する詳細な情報がバトンタッチされるとリロケーション

ダメージを防ぐことができ、本人が自分 なりの生活を継続できる。

Home

Hospital Facility/

４.Relocation damage can be prevented and the person themselves can continue their own life, baton touching detailed information on his or her life and wishes

５ .

５．会話や意思決定が困難な段階や終末期に、それまで蓄積した 本人の詳細情報をもとに本人が何を望むかをチームで話し合い 共に時間を過ごすと、本人が安らかに自分らしい姿で生ききるこ とができる。

In the stage where it is difficult for a person to do conversation

or decision making, the person is peaceful, able to live like

himself/herself by spending time and talking with each other on

the team on what he / she wishes based on his / her detailed

information accumulated until that time.

５ . When there is detailed information of the person accumulated up to the stage where conversation or decision making is difficult or at the end of the term, it is possible to think and support what the user wants to live better in the team supporting the principal .

５．会話や意思決定が困難な段階や終末期に、それまで蓄積した

本人の詳細情報があると、本人を支えるチームで本人がよりよく

生ききるために何を望むかを共に考え支援することができる。

Long journey living with dementia

Early change

Living disorder

Duplicate living disorder

terminal

Home

Hospital

facility

People can live well with dementia anytime, anywhere！

Listen carefully to the voice and signature that the person expresses so hard, create a good time,a good day together in the community.

本人が懸命に表している声やサインに耳を澄ませ、 いいひと時、いい一日を、地域を舞台に共に創る。

Local government officer

promoters ＋leaders

Professionals + Supporters

＊Hope ＊Challenging

＊Together with ＊Investigate possibility

Towards each and every person to live well with dementia anytime, anywhere. 一人ひとり、すべての人が、いつでも、どこでも、認知症とともに よりよく生きていけるように

People with Dementia to continue living well utilizing ｔhe Center Method