Difficult for us, including the eating swallowing team, to find reasons for appetite decreased and not eating

Food intake decreases under the influence of oral medicine

It is necessary to watch calorie intake

It is necessary to think about the meaning of food intake and calorie intake

Difficulty of adjustment of medicine

The patient is re-hospitalized for being unable to do self-management

It is difficult for a patient to manage medication by themselves and therefore the nurses cannot leave it to them

Psychotropic drugs used from hospitalization exerts an influence on the patient’s life

Psychotropic drugs for stable hospitalization life influences the patient’s life after ADL and discharge

Psychotropic drugs influences rehabilitation

Roommates are also influenced by the unrest state of the patient

Worried for prescription

When psychotropic drugs is prescribed, pharmacists may hesitate but there are not places where they can share it

Dilemma regarding ethical problems such as suppression

Dilemma occurs for setting a limit to the patient’s behaviors

Use mitten or sensor mat for being unable to respond to the symptoms of the dementia patient

Limit dementia patients’ behaviors for their safety

Cannot provide the cares that I want because of restriction in the duties time

Sedative is used to suppress the symptom but the nurses feel dilemma

The nurses’ duties are divergent and dilemma occurs for ADL maintenance

Rehabilitation specialists’ involvement is short, which causes dilemma for prevention of dementia progress

Negative things occur for activities to be performed by each job title or multi-job titles

Disincentive of multi-professional cooperation

The dependence on specialist prevents cooperation

Knowledge of local and home care is short due to the dependence on specialists for discharge

Nurses feel that the dependence on specialized job titles is the disincentive for cooperation