施設利用特性から見た高齢者施設のエンド・オブ・ライフケアに関する研究

抄録

This paper is focused on the environmental influence on the end of life in the institution for old people. The purpose of the study is to make clear that the institution support all aspects of older people's lives in the end of life such as sustain social and independent living escape from hospital model spaces and medical care. The study investigated the unit type nursing home and Long-term Ward which are thought as an end of life care place in Japan, grasped the process and the actual situation such as use forms of many space related to the life care.
The result showed that each institution is considered of value as the end of life care place from the viewpoint of attaching weight to a private room, unit type, and care for life. The paper made clear that the old people could sustain the existing life by the staff and an improved environment in the end of life period because the staff and family supported them in view point of the dweller not the patient. In addition, it confirm that there is no need of common space such as a family room or mortuary by the filled up private room.