Core category

Category

Code

Wards for community-based care becoming complicated

Treatment of both the main illness and dementia is needed

Treatment of the main disease can hardly progress in a dementia patient

Diagnosis and treatment of dementia to be performed by a physician remain unclear

Lack in information on the patient’s dementia before hospitalization

Dementia patient case harder than expected

Thirty percent of hospitalized patients show dangerous behaviors, and do not understand instructions and therefore their social hospitalization is increasing

Home return is difficult in the case of 60-day hospitalization

Difficulty in returning home

Being unable to be discharged worsen the dementia as an another hurdle to be cleared

Respite and social hospitalization are seen because of the priority given to treatment, and the ratio of dementia patients rises

Difficulty in dementia care

Dementia patients who are confused

The patient themselves cannot be aware of dementia of them

The patient cannot accept themselves becoming unable to understand and become unable to make decisions themselves

Stress by being unable to have place where the patient is discharged to

Diagnosis for dementia classification is difficult, and the patient becomes irritable after around 30 days

Family who cannot understand dementia

Difficulty that the patient’s family feel

Family of a dementia patient does not want to come to the hospital and it is difficult for them to return to their daily life

Family of elderly or a dementia patient cannot accept them

The family believes that the patient will be recovered

The patient’s family does not recognize initial symptoms and minor symptoms as as those of dementia

Family believes dementia is transient even though they do not look at the patient being conscious about it

Family cannot recognize correctly if the mark, color or company of the medicine are different

The patient’s family cannot understand dementia without an opportunity

Family can understand dementia only after the patient is hospitalized

Difficulty of discharge support

Control such as suppression, medicine and diet is not performed well

Suppression, medicine, diet and ADL influence where the patient is discharged to

Conditions of a dementia patient vary even in one week

While thinking that we must not let the patient leave, we need to think about their next place to live

The patient does not have money living alone, and there is not a network to support them in the local community

Resources for supporting the patient’s single life or their family after discharge are short

The patient lives alone and there are no guarantors and money while the number of facilities is insufficient

The local community needs to be interested in dementia patients and it is necessary for neighborhood residents to support them

I feel worried with the situation that the patient’s sleep hours in the daytime are long while results are demanded

Dementia patients do not often reach the goal of their rehabilitation

Activity of the dementia patient cannot be increased

Lack of required energy amount

The patient’s food intake decreases under the influence of cognitive function degradation and medicine

Information on the patient’s diet is insufficient since they are hospitalized

The patient’s eating function does not have problems, but their preference is unconfirmed and food intakes do not increase