Skills in Caring Dimentiated Persons' Main Obstacles in Creating Self-Decisive Life and Optimum Organization of Such Caring Skills

研究对象大致可分为两类：（1）失智症照护领域中支援当事人自主生活决策的专业技能的背景与内容;（2）不同类型专家的专业技能的最佳组织。方法论的目标是找到护理资源及其公平提供系统的规范推理和原则基础。该项目的第一年和第二年花在问题（1）上，分析护理工作的知识和技能构成，评估这种知识和技能作为福利的核心资源分配在票价中，（3）对这种分配性供给体系中的规范正义提出合理的假设。第三年也是最后一年的主题是（2），特别侧重于在护理过程中将治疗和护理职能无缝结合起来，并对这方面最先进的案例之一芬兰进行实地研究。 ...更多信息 本文的主要研究内容如下。（1）对老年痴呆症的临床类型学、医疗与非医疗的优化与选择、社会照护服务在照护过程中的领域与作用等方面的研究进行了调查与分析（总结报告第1章）。（2）规范性推理的逻辑构建是为了批判性地评估作为核心社会和制度资源的护理技能，以增强服务对象对其生活的自主管理，并为此类资源的公平和普遍分配提供系统的合理性辩护（第二章）。(3)Ad通过重新审视世界卫生组织章程中关于健康的积极术语，对“健康”的修订解释进行了呼吁，将健康视为个人活力的整体状态。基于对“健康”的重新诠释，报告第三章指出，预防性主动护理的新理念有助于痴呆症患者即使在第四阶段也能持续成功地生活。（4）在此基础上，第四<th>章对护理专家的知识和技能进行了假设性的分类，并论证了将隐性知识和人的感知功能纳入护理人力资源开发领域的必要性。（5）分析了不同类型的护理人员在护理过程中的技能和联系的内容（第5章），这项研究还没有完成，因为它留下了在以社区为基础的老年痴呆症护理综合一体化框架内建立网络的关键和当前正在发展的问题。少

The research targets are roughly categorized in two fold : (1)the contexts and contents of the expertise skills for supporting clients' autonomous decision of life in the area of dementiated persons' care, and (2)an optimum organization of such skills of different type of experts. Methodological target has been on finding a normative reasoning and principle base of the care resources and its fair provision system.First and second years of the project were spent on the issue(1), to analyze knowledge and skill composition of the care work, to evaluate such knowledge and skill as a core resource of welfare to be distributed in fare, and (3)to create some reasonable hypothesis of the normative justice in such distributive provision system. The third and final year was on the issue(2), with special focus on a seamless integration of the cure and care functions in the caring process with performing a field study on one of the most advanced case in this : Finland.Achievements of the three yea … More rs research are briefly as follows.(1)Survey and analysis is done on the researches of clinical typologies of dementia, of the optimization and choices between medicare and non-medicare, and the area and role for social care service within the care process (Ch.1 of the final report).(2)Normative reasoning is logically constructed for the critical assessment on the care skills as a core social and institutional resource for enhancing clients' autonomous management of their life, and also for the justification of impartial and universal distributive provision system of such resources (Ch.2).(3)Ad vocation is made on the revised interpretation of ‘health', by revisiting to the positive terminology on what is the health in the WHO constitution, as a holistic state of liveliness of individual. Bases on this re-interpretation of ‘health', the chapter three of the report points that new idea of preventive-proactive care is useful for the ever lasting successful running of life even at the forth stage of dementia process.(4)Having this positive terminology of health on the base, the 4^<th> chapter of the report goes to hypothetically categorize knowledge and skill of the care expert and to argue the necessity to bring the functions of the tacit knowledge and human sensory into the field of care human resource development.(5)Analysis is made on the contents of the skills and linkages in between different types of care workers in the process of care (Ch.5).The research is not yet completed in the sense that it lefts the crucial and currently moving issue of the networking within the framework of community-based comprehensive integration of the care for dementiated older persons. Less