ＭＤＳによる高齢者の医療・看護・介護の評価と向上　１　　診断の実情と痴呆における問題点

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タイトル別名
  • Evaluation and Improvement of Medical and Nursing Service and Caregiving for the Elderly using MDS. 1. Diagnosis and Some Problems in Dementias.
  • MDS ニ ヨル コウレイシャ ノ イリョウ カンゴ カイゴ ノ ヒョウカ ト コウジョウ 1 シンダン ノ ジツジョウ ト チホウ ニ オケル モンダイテン
  • Diagnosis and Some Problems in Dementias
  • 診断の実情と痴呆における問題点

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A Minimum Data Set (MDS) was recorded in two geriatric hospitals every 4 months for about 5 years. The initial records were available in a total of 1, 735 disabled elderly. In MDS, about 360 trigger items were recorded. A selection was made to determine whether there were problems of care in 18 areas of Resident Assessment Protocols. We analyzed errors and biases in selection of the diagnosis in the chapter E of MDS disclosing that; 1) they were almost satisfactorily made in diseases except dementias, 2) diagnosis of dementias was biased in several ways, paticularly Alzheimer's disease was overselected, and 3) preprinted diagnostic options in MDS were not suited with the Japanese practice and were insufficient for comprehensive medical/nursing service and caregiving.

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