title: [Carry over: practical experience of persons with severe motor and intellectual disabilities].
abstract: Tomo clinic is a special clinic for the handicapped. We have supported a day care center and a group home for persons with severe motor and intellectual disabilities (SMID) for over ten years. It seems that physical well-being declines dramatically in persons with SMID over 20-years old. We need special cooperation with the general hospital not only for the treatment of adult diseases including esophageal cancer, but also to backup the social activities of our clinic, because we support daily lives of persons with SMID and their families who want to live together in their own communities for as long as possible. The author reported the daily medical care activities in the day care center and the group home.
authors.affiliation: Tomo Clinic for Handicapped, Yokohama, Kanagawa. k-shishikura@tomo-clinic-for-hc.net
authors.forename: Keiko
authors.initials: K
authors.lastname: Shishikura
mesh_terms: D000293:Adolescent; D000328:Adult; D003266:Continuity of Patient Care; D003631:Day Care, Medical; D019033:Delivery of Health Care, Integrated; D019988:Children with Disabilities / Q000534:rehabilitation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D016352:Group Homes; D006268:Health Facilities; D006764:Hospitals, Community; D006769:Hospitals, General; D006801:Humans; D007564:Japan; D008875:Middle Aged; D019989:Persons with Intellectual Disabilities / Q000534:rehabilitation; D011788:Quality of Life; D012720:Severity of Illness Index; D012944:Social Support