臨牀透析 Vol.32 No.10(3)


特集名 高齢者の腹膜透析―assisted PDの現実と可能性
題名 高齢者医療と在宅医療
発刊年月 2016年 09月
著者 三浦 久幸 国立長寿医療研究センター在宅連携医療部
【 要旨 】 今後,国内での後期高齢者の増加により,認知症,骨粗鬆症,糖尿病などの慢性疾患やADLの低下をきたす疾患を併せもつ人が増えてくるため,「治し支える医療」の需要が増している.とりわけ今後は糖尿病および認知症を併せもつ人の増加により,自宅で腹膜透析(PD)を行う必要があるが,認知機能低下により家族や訪問看護などの助けが必要となる人が増えてくることが予想される.地域包括ケアシステム構築における地域実践では,認知症など,高齢者のニーズに応じて多職種が協力してともに解決することができる人材や医療・介護サービスが必要とされている.このような社会の流れにおいて,assisted PDはさらに重要な位置づけになると考えられる.
Theme PD for elderly patients -- current status of "assisted PD" and its future perspective in Japan
Title Medical care and home care for elderly patients
Author Hisayuki Miura Department of Home Care Coordinators, National Center for Geriatrics and Gerontology
[ Summary ] Due to the projected increase in the number of extremely old citizens in this country, the number of people who have chronic diseases causing decreased ADL such as dementia or osteoporosis will increase. Thus, medical care for both cures and support is needed. The pressing needs placed on Japan's medical care delivery system, as the population ages, have brought attention to the need for in-home care. It is expected that the number of individuals with dementia requiring help from families or visiting nurses will increase due to the increased number of people having both diabetes and dementia. By constructing an integrated community care system, talented individuals and medical caregivers can solve a number of problems through multidisciplinary cooperation. Assisted PD will play an increasingly important role in health care for the elderly.
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