[Discharge planning in which a discharge planning nurse was involved in the choice of nutrition management for an elderly person with dementia].
A discharge planning nurse at an acute care hospital conducted discharge planning for an elderly person with dementia who is in his/her 90s and his/her family. The nurse was involved in the choice of nutrition management method and was able to support the family's decision-making. The family had high expectations for oral ingestion, and there was disparity between those expectations and the actual state of the disease, in which aspiration occurred frequently. The nurse respected the family's wishes, but also helped the family to correctly understand the state of the disease and to make satisfactory choices about future daily life. In order to guarantee safety, the discharge planning nurse held a conference with people related to homecare, such as the home-visiting physician, the home-visiting nurse, and the care manager. As a result of the conference, that family was able to feel satisfied with and choose gastrostomy as the nutrition method. The current situation was better understood because information was shared with the community, and the confidence in the community was strengthened by giving consideration to the family's burden. It was reconfirmed that the cooperation of local staff members is useful in discharge planning.
Yuko
Y
Tanaka
Yoko
Y
Ohori
Akiyoshi
A
Seshimo
D000369:Aged, 80 and over; D003704:Dementia / Q000451:nursing*; D006801:Humans; D008297:Male; D009732:Nursing Care; D018529:Nutritional Support; D010348:Patient Care Team; D010351:Patient Discharge