
ããããããããšèšãããŠå¹ãã§ããŸããŸã
ããããããããšåšã«èšãããŸãããã€ãïŒæéåã
ããããå«ããã¡ãã£ãããªãã
ãä»ã®å¯Ÿå¿ã¯ãŸããã£ãã®ããªãã
ãä»ããã§ãããããããããšèŠæ±ãå¶ããæ¹ãããã ãããããããšãã»ã»ã»ã
倧奜ããªåšãæ¯åã«å«ãããããªãæ°æã¡ã
ã¿ãªããã«ããããŸãããã
èšããããæ£çŽãå¿ã«æ¥ãŸãããã
仿¥ã¯ãããªããããããããšãã
ããŒããã¬ã€ã¯æ¡ä»¶ãšã®åãåãæ¹ã«ã€ããŠã
å¿ã軜ããªããããªæ¬ã«åºäŒããã®ã§
ã玹ä»ããŸãã
ã»ãããïŒããïŒãããããšèšãããããšããã人
ã»åã©ãã®èšåã«ã€ã©ã€ã©ããããå³åŸå·ŠåŸãããããŠããŸã人
ã»ããã€ãããšãçããããã®ãã©ã³ã¹ã«æ©ã人
ã¯ãã²ãæã«åã£ãŠã¿ãŠãã ããã
ããã§ã¯ãããŸãããïŒ
ããã€ããªãããã€ããšã¯
ãã€ãã¹ãã¬ã¹ãæããŠããŸãããïŒ
çŸä»£ã«ãããŠåè²ãŠã¯èª°ã«ãšã£ãŠãé£ããã
ããã¯ã
芪ã ããåè²ãŠãæ
ãããšãå€ãæä»£ã ãã
ã§ãã
æ žå®¶æå
è¿æä»ãåãã®åžèå
å
±åãäžåž¯ã®å¢å
æ
å ±éå€ã®ãæ£ãã芪ãåã»ã»ã»
åå ã¯æ§ã
ãããŸããã
ããããåè²ãŠã®äžã§ãç¹ã«èŠªãæ©ãŸããã®ã¯
ããã€ããã§ãã
é»è»ãã¹ãŒããŒã§ã®ã£ã³æ³£ããããã
ãã¹ãå°ãéèµ°ãããã»ã»ã»
ãããããšåšå²ãã
ããã€ããã§ããŠããªãããšæããããã
ãšæããŸãã
çŸä»£ã®èŠªã¯ãã€ã
ããããåšå²ã®èŠç·ã«
ããªããªããªããã°ãªããã
ããã€ãã¹ãã¬ã¹ãã¯
èª å®ãªäººã»ã©å€§ããã®ãããããŸããã
ã匷å¶åãã€ãããšãå ±æåãã€ãã
ã匷å¶åãã€ããã¯ãåã©ãã«èããäœå°ãäžãããããã«çããæããŠããŸããåã©ãã«å¯ŸããŠæç€ºçã§ãåœä»€ãããã¯çŠæ¢ãããããªããããã§ãã
ããã«å¯ŸããŠãå ±æåãã€ãããšã¯ãåã©ããã²ãšãã®äººæ Œãæã€ååšãšããŠå°éããªãããåã©ããšã®ãµããããäŒè©±ã倧äºã«ãã€ã€ã楜ããçµéšãåã©ããšå ±æããããšããããããã§ãã
第1éšãéèªç¥èœåãè²ãŠãããã€ããªãããã€ããšã¯ïŒããã
æç€ºãåœä»€ãçŠæ¢ã§
åã©ããã³ã³ãããŒã«ããå
ã«åŸ
ã£ãŠããã®ã¯ã
ææ¬²ã®ãªãåã©ã
èªåã§èããããšããªãåã©ã
èªå·±è¯å®æã®äœãåã©ã
芪ã®é¡è²ã䌺ãåã©ã
ã¹ãã¬ã¹ãèªåãã匱ããã®ã«ã¶ã€ããåã©ã
âŠ
äžæ¹ã§ããå
±æåãã€ããã«èŠããã
å
±æãèŠå®ããéžæãä¿ãæç«ãŠã¯ã
åã©ãèªèº«ãèªåã§æ°æã¡ãã³ã³ãããŒã«
ããããšã«ã€ãªãããŸãã
ãŸããåã©ãã®è²ã¡ã®åºç€ãšãªã
ã¢ã¿ããã¡ã³ãïŒïŒç¢ºããªå®å¿æãšãã®äžã§åœ¢æãããæ
ç·çãªçµã»ä¿¡é Œé¢ä¿ïŒ
ã圢æããããšã«ãªãã
ãããå¿ãç€ŸäŒæ§ã®æé·ã«ãã€ãªãããŸãã
åã倧人ãå³ããæã蟌ãããšã
ããã€ãããšä¿¡ããŠãã人ã«ãšã£ãŠã¯ã
å
±æãèŠå®ããéžæãä¿ããšããããšã¯
ããã€ããŠããªããããã«èŠããŸãã
ãããã
åã©ãã®æ°æã¡ã«å
±æçã«ããããããšã®æ¹ã
å®ã¯å®å¿æãèªå·±è¯å®æãç€ŸäŒæ§ãè²ãŠãŠããã
çµæçã«
åã©ããèªåãã³ã³ãããŒã«ã§ããããã«ãªã
ã®ã§ãã
ãã¡ãã®æ¹ããã確å®ã§
åã©ãã«ãšã£ãŠããããã€ãããªã®ã§ãã
ãããïŒããïŒãããããšèšãããã
ãããïŒããïŒãããããšèšãããããšãžã®ãã¿ãã
ããããæããåã©ãããããããããªããŠ
èšãããŠããããããããããŸããã
ããŒããã¬ã€ã¯ã§ãã
æ³£ãã¡ããã
ã§ã¯ãããããªããšèšã£ã¡ããã¡ããš
æç€ºã§çºèšããªãããŸããïŒ
åœä»€ãçŠæ¢ã§
ãããïŒããïŒå€§å¥œãããšèšãããããšã
æ¬ç©ã®æãã¢ã¿ããã¡ã³ãã§ããããïŒ
ãããªããšã¯ãªãã§ãããã
ããã§ã¯ããããïŒããïŒãããããšèšãããŠã
ããŒããã¬ã€ã¯ããªããŠæžããã€ã³ãã»ããã
ãŸãšããŠãããŸãã
ããããããšèšããããšããããšã«ã€ããŠã®åæ
ãã®æ¬ã§ã¯ã
芪ã«ããããããšèšããã®ã¯å¹žããªåã©ãã§ãã
第2éšãéèªç¥èœåãè²ãŠãããã€ãã®ãªãããã€ãã®ã¬ã·ã
ããã€ããªãããã€ãâ¡ã人ãšã®ãããããç·šããã
ãšæžããŠãããŸãããïŒã©ãããããšïŒ
ããããããšãèšããåã¯ã
芪ãæããããªããšãèšã£ãŠã
å«ãããªã
ä»è¿ãããããããã§ããªã
èªåã®èº«ã«å±éºãåã°ãªã
責任ãåãå¿ èŠããªã
ãããããããïŒããïŒãããããšèšãã
ãšããããšã§ãã
確ãã«ã
ãããèšã£ãŠããŸã£ããæ¬åœã«å«ãããŠããŸã
ãšããèŠéãããã£ãŠãããã
èšããªãã§ãããã
ãŸã ãŸã åã©ãã¯
èŠéãããã€ããšãé£ããäžã«ã
ææ
ãé©åãªèšèã§è¡šçŸã§ãããããª
èªåœã圢æãããŠããŸããã
æ§ã
ãªã¿ã€ãã®äžå®ææ
ã
åã«åŠçããããªããªã£ãŠã
ãããïŒããïŒãããããšããèšèã
䜿ã£ãŠããã ãã§ãã
ããã«ã
èšãã«ããããšãèšããã®ã¯
èªå·±äž»åŒµãããåãè²ã£ãŠããŠãã蚌
ã§ããããŸãã
ãããããããã®ã¯ã
芪ãšã®é¢ããã«ããçšåºŠå®å¿æãæãã€ã€ã
èªåã®æ·±ãææ
ãäŒããããšè©Šã¿ãŠãã
ãšãè¡çºã®äŸ¡å€ãæãçŽãã
æé·ãæããããšã倧åãšããããšã§ãã
2æéåã®ããšã§ããåšã¯ã
ããããããããããªããç¥ãŒããªãã
ãšèšãæŸã¡ããœãã¡ãéããŠãããŸããã
å»ã£ãŠããèäžã«ã
ãããã¯å€§å¥œãã ãã©ãããš
ããœããšå£°ããããŸããã
ãããšãã°ã€ãæªãã£ãã®ãã
èšã£ãŠããŸã£ãããšã«ã¯è§Šããã«ã
ããã¡ããæã£ãŠããŠãœãã¡ã§éã³ã
çµå±ãªããããããã£ãŠ
ã¹ãã³ã·ãããåããªããçµµæ¬ãèªãããšã«ãªããŸããã
çµæçã«æºãæ·±ããããšããªãã
åšãæ°æã¡ãã³ã³ãããŒã«ããããšã«
æåããŸããã
ãããããã£ãã
äžçªãããªãã®ã¯èšèéãã«åãåãããš
èšèéãã«åãåãã
ããã®åã¯ç§ãããããªãã ããš
芪ãèªãé¢ããŠããŸã£ããã
ããŒãããŒã«å¯Ÿå¿ãäžžæãããŠããŸãã®ã
äžçªãããããŸããã
ãããåè²ãŠã«ç©æ¥µçã ãš
ããã®ç掻ã®QOLãäžããäžã«ã
åã©ãã®ã³ãã¥ãã±ãŒã·ã§ã³èœåã
ç€ŸäŒæ§ã®çºéã«ããã圱é¿ããããŸãã
ãŸããå®¶æã®äžã®ããã®ååšæãäžããã
ä¿¡é ŒåºŠãå¢ããŸãã
ãã¡ãããããã«éãã
ããã®ææ
ãéèŠãªã®ã¯èšããŸã§ããããŸããã
ãæ©å«åãã«èµ°ãããããææ
¢ããããã®ã
ãããè²·ã£ãŠãããããªããšãããã°ã
ãããšã®å¯Ÿç«ã¯é¿ããããŸããã
ãŸãã
éã»ãã®ã§ææ
ãåãããããª
衚é¢çãªå¯Ÿå¿ã§ã¯ã
ãã£ãšé«ããã®ã§ææ
ãæž¬ãã«æ¥ããã
æ¡ä»¶ä»ãã®ææ
ãæ£åœåããŠããŸã£ãããš
ãã¡ãªãããå€ããªããŸãã
衚é¢çãª
倧人ã®ã³ã³ãããŒã«ã«ãã解決ã§ã¯ãªãã
å
±æãèŠå®ãã軞ã«
åã©ãã®èªå·±ã³ã³ãããŒã«ãä¿ããªãã
åã©ããšå
±ã«è§£æ±ºãç®æãããšã
ããã€ããªãããã€ãã«ã€ãªãããŸãã
çµæçã«èŠªåã®ä¿¡é Œé¢ä¿ã
åã©ãã®èªå·±è¯å®æã®åºç€ã®å®å¿æã
è²ãŠãããšãã§ããã®ã§ãã
ãŸãšãïŒãããïŒããïŒããããã«æ·±å»ã«ãªãããå ±æãèŠå®ãã軞ã«éèªç¥èœåãè²ãŠãã
以äžãããŒããã¬ã€ã¯æ¡ä»¶ã®äžã«ã
åã©ãã®æé·ãçºéãå£éèŠãããšãã§ãã
ããšã«ã€ããŠæžããŸããã
ãã®æ¬ã«ã¯ã
ãããããããã®ãããª
äœæ°ãªãæ¥åžžã®äžã®å°ããäžå®ã«ã€ããŠ
äžã€äžã€è§£èª¬ããããŸãã
åãã1ãã¡ãã£ãšãšããã»ã©åããªãã®ã§ã
ãæã«åããããããšæããŸãã
衚çŽããã¡ã®åšãšæ¯åã«ãã£ãããªã®ããã€ã³ãã§ãç¬
ãç§ãåãçµãå
·äœã¢ã¯ã·ã§ã³ã
èšãã«ããããšãèšããé¢ä¿æ§ãã€ãããŠãã蚌æ ãšããŠãèªåãã»ãã
èªåœã衚çŸåãæªçããã®è¡šçŸã§ãããšåæãã
ããããããããšèšãããããããã¯å€§å¥œãã ãã©ãããšè¿ã
æåŸãŸã§ãèªã¿ããã ãããããšãããããŸããïŒ
ãã®èšäºãå°ãã§ããããã£ããã圹ã«ç«ã£ãããšããæ¹ã¯ããã¹ãããããã©ããŒããããŠãã ãããšãšãŠãããããã§ãïŒ
ãŸããã³ã¡ã³ããæ¬åœã«ãããããã§ããããªãã®ã³ã¡ã³ãããç§ãæ°ä»ããåŸãŠããŸã次ã®åŠã³ã«ã€ãªããŠãããŸãã
次åã¯å€§ãã¹ãã»ã©ãŒãã±ãŒããåããªãéè¡å°å¹Žãã¡ããèªãã§èããããšããŸãšããããšæããŸãã
é¢é£èšäºã¯ãã¡ã