The Japanese Journal of Clinical Dialysis Vol.32 No.8(2-7)

Theme Cognitive impairment and dialysis therapy
Title Social support for the dementia dialysis patient
Publish Date 2016/07
Author Hisako Fujihara Medical Social Worker, Nagasaki Kidney Hospital
Author Megumi Hayashida Medical Social Worker, Nagasaki Kidney Hospital
Author Takashi Harada Nagasaki Kidney Hospital
Author Satoshi Funakoshi Nagasaki Kidney Hospital
[ Summary ] Social support, or community resources, for patients with impaired cognitive function (PICF) primarily consist of two major components;the informal resources and the formal resources. The difference between these resources are due to the former providing greater flexibility, lower treatment specialty and lower availability, while the latter provides greater availability but is more uniform. Generally, informal resources are suitable for the management of PICF. It is important to assess and coordinate the characteristics of these resources, and the care-managers using regional public services. One of the problematic issues for PICF treatment is the support available for those without a key care giver. "The guardian service for adults" system has been established, but is not functioning well at the present time.
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