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 |