2025 年 21 巻 1 号 p. 112-116
Introduction: Interventions using meaningful activities based on a client's interests and roles improve the behavioral and psychological symptoms of dementia (BPSD). However, as dementia progresses, it becomes increasingly difficult to identify meaningful activities. In this study, we report the effectiveness of activity-based practices using the Assessment of Quality of Activities (A-QOA) in a client with severe dementia.
Case Presentation: A woman in her 80s (Mrs. A) with Alzheimer's disease was diagnosed with severe dementia. After being admitted to the hospital, she spent a lot of time doing nothing and showed BPSD such as aggression and resistance to care, which made it difficult for the ward staff (the staff) to care for her. Therefore, we used the A-QOA to identify meaningful activities and appropriate care for her. We found two activities that could be engaged in as “roles” and five “care innovations”. Over the course of a week, Mrs. A performed her “role”, and the staff could implement care. Consequently, she became more active in her “role”, her interactions with others increased, and her BPSD improved.
Conclusions: Mrs. A's situation improved as a result of the provision of personalised activities and care tailored to her needs. Mrs. A's case showed that the A-QOA is useful for identifying meaningful activities for clients with severe dementia and implementing care accordingly. This case also highlights the importance of identifying meaningful activities and strengthening connections to support clients with severe dementia.
