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 |