Abstract
In recent years, substantial education / treatment is required for patients with severe motor and intellectual disabilities, medical care dependent group (hereinafter, referred to as “SMID-MCDG”) who need intensive medical care. For many of them, it is difficult to observe their response to the provided care. Therefore, it has been an issue to find the way to evaluate their response and to provide the practical care based on the response. In this study, the patients’ response to the cares provided by care givers was assessed in patients with SMID-MCDG. After making preliminary observations on the patients’ response to the stimuli, we gave them the name-call stimulation and the combined stimulation. For the response to these stimuli, their heart rate reactions responses and video images of their conditions were analyzed and discussed. As a result, high response rate was observed with the name-call stimulation in two patients; one of them showed the long-term effect in the response rate to the stimuli. The analyses on the video images enabled us to study on their small movements which are likely to be overlooked in daily care activities. Based on these findings, it was suggested that evaluations would be possible on patients with SMID-MCDG, with whom it is difficult to observe their response, by combining physiological indexes and video image analyses.
