快適な人生の実現に向けた施設入所のタイミングは?
少子高齢化や核家族化が進むにつれて、家族を取り巻く環境や価値観も大きく変わりつつあります。
一方で65歳以上の高齢者の人口は毎年増加傾向にあるため、高齢者同士の夫婦のみの世帯や独居世帯が増加傾向です。
住み慣れた自宅でいつまでも生活したいという思いがあっても、実際にはクリアしなければならない課題がたくさんあります。
QOL(クオリティーオブライフ ※1)の観点から「その人らしい生活」「心の満足度」という尺度で表すことがありますが、10人いれば10通りの人生観があるように、ひとりひとりの思いに寄り添った支援が求められます。
医療や福祉における判断基準だけではなく、本人や家族の思いを優先した適切な選択をしていくことが理想だと言えるでしょう。
では、どのようなタイミングで施設入所を検討すればよいのでしょうか。
家庭環境や状況に応じて、考えていきましょう。
目次
高齢者の独居の場合
生活において支障がない場合には在宅生活の維持が可能ですが、これまで当たり前にできていたことが出来なくなった場合や、物忘れが多くなってきた場合には注意が必要です。
加齢に伴った脳機能の低下は誰にでも起こりうることですが、高齢者本人が物忘れをしている自覚がない場合には認知機能の低下が考えられます。
約束や収納場所などの小さな物忘れであれば支障はありませんが、体験そのものを忘れてしまった場合には取り返しのつかない事態を招くことが予測されます。
もし、体調の変化や生活機能の低下など気になることが増えてきた場合には、高齢者世帯のある自治体の地域包括センターや相談機関に相談してみられることをおすすめします。
介護保険サービスの提案など、在宅生活の継続に関する適切なアドバイスを得られるでしょう。
介護保険は社会全体で高齢者介護を支えることを目的として2000年に誕生した制度です。
要支援や要介護度によって、訪問介護(ホームヘルプサービス)・通所介護(デイサービス)・短期入所生活介護(ショートステイ)の利用が可能となるので独居の場合は心強いサポートになるでしょう。
また、なかなか会いに行けない場合には近くに住んでいる親戚やご近所さんと良好な関係を築いておくことで早めの対応が可能となります。
現在、自治体や企業が独自で導入している高齢者見守りサービスもあるので、必要に応じて活用してみるのもいいでしょう。
高齢者同士の夫婦世帯の場合
日常生活において問題がない場合には在宅生活を送ることが可能ですが、年齢的にいつ何が起きてもおかしくありません。
普段から、近所づきあいや交友関係などのコミュニティーを意識しておくことで暮らしやすい環境づくりが実現するでしょう。
どちらかに健康や認知面などで問題が生じた場合には、介護保険の活用によって在宅生活の継続が可能になります。
できない部分はプロに頼ることで、介護者(介護する側)・被介護者(介護される側)双方にとって快適な在宅生活の維持が可能になります。
もしも、介護保険サービスを活用しても生活の継続が困難になってきた場合には施設入所を考えるタイミングなのかもしれません。
65歳以下の家族と同居の場合
家族や高齢者の健康状態や認知面で問題がない場合には、生活に支障が生じることはないでしょう。
要介護認定を受けた場合でも、介護サービスの活用によって日常生活の維持が可能となります。
しかし、健康や介護面で家族の負担が大きくなった場合には家族が介護休暇や介護離職をしなければならない状況になることもあります。
そうなった場合にどのような選択があるのか、地域包括センターなどの相談窓口に聞いておくと安心です。
まとめ
在宅での介護生活は24時間365日休みがない状態なので、1人で悩みを抱え込んでしまいがちです。
金銭面を含む介護全般の悩みや不安はなかなか人には相談しづらいことですが、蓄積されると取り返しがつかない状況に陥ってしまうこともあります。
介護者・被介護者双方のQOLの観点から見た場合には、もしかしたら施設入所は希望に添うものではないかもしれません。
しかし、「心の満足度」として考えた場合、長い目で見ると最適な選択なのかもしれません。
普段から「どのような生活を送っていきたいのか」「最期をどのようにして迎えたいのか」についてしっかりと話し合っておくことで、快適な生活のヒントが見つかるのではないでしょうか。
※1 QOLとは
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{Tôi đã rất hài lòng để tìm thấy trang này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thưởng thức từng một phần nó và tôi đã đánh dấu để xem thông tin mới trên blog của bạn.|Tôi có thể chỉ nói rằng thật nhẹ nhõm để khám phá một người mà thực sự hiểu họ là gì thảo luận trực tuyến. Bạn chắc chắn hiểu cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa phải đọc điều này và hiểu khía cạnh này câu chuyện của bạn. Tôi đã ngạc nhiên bạn không nổi tiếng hơn cho rằng bạn chắc chắn có món quà.|Xuất sắc bài viết. Tôi hoàn toàn yêu thích trang web này. Tiếp tục làm tốt!|Thật khó tìm những người có kinh nghiệm về điều này, nhưng bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên tham gia một cuộc thi dành cho một trang web trên web tuyệt vời nhất. Tôi sẽ Rất khuyến nghị trang web này!|Một hấp dẫn đáng giá bình luận. Tôi nghĩ rằng bạn nên viết thêm về vấn đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng điển hình mọi người không nói về những chủ đề như vậy. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất.|Xin chào! Tôi chỉ muốn cho bạn một rất to cho thông tin xuất sắc bạn có ở đây trên bài đăng này. Tôi đang trở lại trang web của bạn để biết thêm thông tin sớm nhất.|Khi tôi ban đầu bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ mỗi lần được thêm vào tôi nhận được bốn email cùng chính xác một bình luận. Có lẽ có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm ơn bạn.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Ý tôi là, Tôi biết điều đó là sự lựa chọn của tôi để đọc hết, nhưng tôi thực sự tin bạn sẽ có điều gì đó thú vị để nói. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thành thật cảm thấy trang web này cần nhiều hơn nữa sự chú ý.
{Tôi cực kỳ hài lòng khám phá trang web tuyệt vời này. Tôi cần cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn đánh giá cao từng một chút nó và tôi cũng đã đã đánh dấu trang để xem những thứ mới trong trang web của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một người mà thực sự hiểu họ là gì đang nói về trực tuyến. Bạn thực sự biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần phải kiểm tra điều này và hiểu khía cạnh này câu chuyện của bạn. Tôi đã ngạc nhiên bạn không nổi tiếng hơn vì bạn chắc chắn có món quà.|Tốt bài viết trên blog. Tôi chắc chắn yêu thích trang web này. Tiếp tục làm tốt!|Thật khó đến những người có hiểu biết sâu rộng cho điều này, nhưng bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên tham gia một cuộc thi dành cho một trang web trên web hữu ích nhất. Tôi chắc chắn sẽ Rất khuyến nghị trang web này!|Một hấp dẫn đáng giá bình luận. Tôi tin rằng bạn nên xuất bản thêm về chủ đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng nói chung mọi người không nói về những chủ đề những điều này. Đến phần tiếp theo! Chúc mừng.|Xin chào! Tôi chỉ muốn đề nghị rất to cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi đang quay lại blog của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ bất cứ khi nào có bình luận được thêm vào tôi nhận được bốn email có cùng nội dung. Có lẽ có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm kích.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó sẽ không làm tôi thất vọng nhiều như bài này. Ý tôi là, Vâng, đó là sự lựa chọn của tôi để đọc hết, nhưng tôi thực sự nghĩ có lẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt phàn nàn về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi nghiêm túc tin rằng trang web này cần nhiều hơn nữa sự chú ý.
{Tôi khá hài lòng khám phá trang web tuyệt vời này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thực sự thích từng của nó và tôi cũng đã đã lưu vào mục ưa thích để xem những thứ mới trên trang web của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một cá nhân mà thực sự biết họ là gì đang nói về trên internet. Bạn chắc chắn biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa thực sự cần xem điều này và hiểu khía cạnh này câu chuyện của bạn. Thật ngạc nhiên bạn không nổi tiếng hơn vì bạn chắc chắn nhất có món quà.|Rất hay bài đăng. Tôi chắc chắn yêu thích trang web này. Tiếp tục làm tốt!|Thật khó tìm những người hiểu biết cho điều này, tuy nhiên, bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn cần là một phần của một cuộc thi dành cho một blog trên internet có chất lượng cao nhất. Tôi sẽ khuyến nghị trang web này!|Một cuộc thảo luận thú vị đáng giá bình luận. Không còn nghi ngờ gì nữa rằng bạn nên xuất bản thêm về vấn đề này, nó có thể không là một điều cấm kỵ chủ đề nhưng thường xuyên mọi người không nói về chủ đề những điều này. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất!|Xin chào! Tôi chỉ muốn đề nghị rất to cho thông tin xuất sắc bạn có ở đây trên bài đăng này. Tôi đang trở lại trang web của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu bình luận tôi có vẻ như đã nhấp vào hộp kiểm -Thông báo cho tôi khi có bình luận mới- và bây giờ bất cứ khi nào có bình luận được thêm vào tôi nhận được bốn email có cùng nội dung. Có lẽ có một phương pháp dễ dàng bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm ơn bạn.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó sẽ không thất bại nhiều như bài này. Ý tôi là, Vâng, đó là sự lựa chọn của tôi để đọc, dù sao thì tôi thực sự nghĩ bạn sẽ có điều gì đó thú vị để nói về. Tất cả những gì tôi nghe được là một loạt phàn nàn về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi hoàn toàn tin rằng trang web này cần nhiều hơn nữa sự chú ý.
{Tôi đã hạnh phúc hơn cả vui khám phá trang web này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn thích thú từng một phần nó và tôi cũng đã đánh dấu trang để xem điều mới trên trang web của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một người mà thực sự hiểu họ là gì thảo luận trên web. Bạn chắc chắn nhận ra cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa phải xem điều này và hiểu khía cạnh này của. Thật ngạc nhiên bạn không nổi tiếng hơn vì bạn chắc chắn nhất có món quà.|Xuất sắc bài viết. Tôi hoàn toàn đánh giá cao trang web này. Cảm ơn!|Thật khó tìm những người có học thức trong chủ đề cụ thể này, nhưng bạn có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn nên tham gia một cuộc thi dành cho một trang web trên internet tốt nhất. Tôi sẽ khuyến nghị trang web này!|Một động lực đáng giá bình luận. Tôi tin rằng bạn nên viết thêm về vấn đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng nói chung mọi người không thảo luận vấn đề như vậy. Đến phần tiếp theo! Chúc mọi điều tốt đẹp nhất!|Xin chào! Tôi chỉ muốn cho bạn một rất to cho thông tin xuất sắc bạn có ở đây trên bài đăng này. Tôi đang quay lại trang web của bạn để biết thêm thông tin sớm nhất.|Khi tôi ban đầu bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ bất cứ khi nào có bình luận được thêm vào tôi nhận được bốn email có cùng nội dung. Có lẽ có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Kudos.|Lần sau nữa Tôi đọc một blog, Tôi hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Rốt cuộc, Tôi biết điều đó là sự lựa chọn của tôi để đọc hết, dù sao thì tôi thực sự nghĩ bạn sẽ có điều gì đó hữu ích để nói. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi hoàn toàn tin trang web tuyệt vời này cần nhiều hơn nữa sự chú ý.
{Tôi đã rất hài lòng khám phá trang web này. Tôi muốn cảm ơn bạn {vì đã|dành thời gian cho|chỉ vì điều này|vì điều này|cho bài đọc tuyệt vời này!! Tôi chắc chắn đánh giá cao từng một chút nó và tôi đã lưu làm mục ưa thích để xem điều mới trên trang web của bạn.|Tôi có thể chỉ nói rằng thật thoải mái để khám phá một người mà thực sự biết họ là gì đang nói về trực tuyến. Bạn chắc chắn biết cách đưa một rắc rối ra ánh sáng và làm cho nó trở nên quan trọng. Nhiều người hơn nữa cần phải xem điều này và hiểu khía cạnh này của. Thật ngạc nhiên bạn không nổi tiếng hơn cho rằng bạn chắc chắn nhất có món quà.|Rất hay bài viết trên blog. Tôi hoàn toàn yêu thích trang web này. Tiếp tục viết!|Thật khó đến những người có hiểu biết sâu rộng về điều này, tuy nhiên, bạn nghe có vẻ bạn biết mình đang nói gì! Cảm ơn|Bạn cần tham gia một cuộc thi dành cho một trang web trên web có chất lượng cao nhất. Tôi chắc chắn sẽ Rất khuyến nghị trang web này!|Một hấp dẫn đáng giá bình luận. Tôi nghĩ rằng bạn nên xuất bản thêm về vấn đề này, nó có thể không là một điều cấm kỵ vấn đề nhưng điển hình mọi người không nói về vấn đề những điều này. Đến phần tiếp theo! Trân trọng!|Chào buổi sáng! Tôi chỉ muốn cho bạn một rất cho thông tin xuất sắc bạn có ngay tại đây trên bài đăng này. Tôi sẽ là trở lại trang web của bạn để biết thêm thông tin sớm nhất.|Sau khi tôi ban đầu để lại bình luận tôi có vẻ như đã nhấp hộp kiểm -Thông báo cho tôi khi có bình luận mới- và từ bây giờ mỗi lần được thêm vào tôi nhận được 4 email cùng chính xác một bình luận. Có một cách bạn có thể xóa tôi khỏi dịch vụ đó không? Cảm ơn rất nhiều.|Lần sau Tôi đọc một blog, Tôi hy vọng rằng nó không làm tôi thất vọng nhiều như bài này. Ý tôi là, Vâng, đó là sự lựa chọn của tôi để đọc, nhưng tôi thực sự nghĩ bạn sẽ có điều gì đó hữu ích để nói về. Tất cả những gì tôi nghe được là một loạt tiếng rên rỉ về điều gì đó mà bạn có thể sửa nếu bạn không quá bận tìm kiếm sự chú ý.|Đúng với bài viết này, tôi thực sự cảm thấy trang web tuyệt vời này cần nhiều hơn nữa sự chú ý.
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