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BPSD初期対応ガイドライン

出版社：	ライフ・サイエンス
著者：	服部英幸(編) 精神症状・行動異常(BPSD)を示す認知症患者の初期対応の指針作成研究班(著者)
発行日：	2012-05-18
分野：	臨床医学：内科 > 膠原病/リウマチ
ISBN：	9784898014172
電子書籍版：	2012-05-18 （第1版第2刷）

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介護施設や一般病院で認知症に伴う、予期しない精神症状・行動異常（BPSD）の出現に対して、どのように考え、どのように対処するかについて常に悩み続けている、医師、看護師、介護スタッフに役立つ、現場ですぐに使える初期症状対応について簡潔にまとめた。

目次

BPSD初期対応ガイドライン

―目次―

1．BPSD初期対応の意義について

2．BPSD初期対応の現状と問題点

3．BPSDの症状別初期対応
　A. 過活動状態…いわゆる「興奮」
　B. 低活動場外…いわゆる「うつ」
　C. 身体合併障害がある

4．専門治療と地域連携

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

1. BPSD初期対応の意義について

P.1 掲載の参考文献

1) 服部英幸 : 身体疾患を有する認知症BPSD患者の治療における地域連携構築に関する研究. 平成20年度長寿医療研究委託事業「認知症, 運動器疾患等の長寿 (老年) 医療に係るネットワーク等社会基盤構築に関する研究. 20指-1」分担研究報告書, 2010.

2) 鵜飼克行 : 精神科病床のない総合病院におけるBPSDの把握と介入法の開発-精神科の立場から-. 平成22年度長寿医療研究開発費「精神症状・行動異常 (BPSD) を示す認知症患者の初期対応の指針作成に関する研究. 22-6」分担研究報告書, 2011.

3) 長屋政博 : 介護施設おけるBPSDの実態把握と介入法の開発-介護施設の立場から-. 平成22年度長寿医療研究開発費「精神症状・行動異常 (BPSD) を示す認知症患者の初期対応の指針作成に関する研究. 22-6」分担研究報告書, 2011.

4) 淵野勝弘 : 老人性認知症疾患センターの果たしてきた役割. 老年精神医学雑誌 19 : 22-28, 2008.

5) 服部英幸 : 精神症状・行動異常 (BPSD) を示す認知症患者の初期対応の指針作成に関する研究. 平成22年度長寿医療研究開発費 22-6. 総括研究報告書, 2011.

P.2 掲載の参考文献

6) 三根浩一郎 : 介護老人保健施設におけるBPSDへの対応と課題老年精神医学雑誌 18 : 1318-1324, 2007.

7) 松本光央, 谷向知, 塩田一雄 : 精神科病院におけるBPSDへの対応と課題老年精神医学雑誌 18 : 1333-1339, 2007.

8) http://www.mhlw.go.jp/stf/shingi/2r9852000001kmqo-att/2r9852000001kmvv.pdf

2. BPSD初期対応の現状と問題点

P.8 掲載の参考文献

1) 中島健二 : 介護老人保健施設利用者の認知症比率とそのサブタイプ-京都市の一施設のデータ解析から-. 日本老年医学会雑誌 46 : 364-365, 2009.

2) 西村浩 : BPSDの概念と対応-治療上の問題点-. 老年精神医学雑誌 20 (Suppl 3) : 87-94, 2009.

3) 認知症介護研究・研修センター東京センター, 大府センター, 仙台センター編 : 認知症の人のためのケアマネジメントセンター方式の使い方・活かし方. 中央法規出版, 東京, 2011.

P.12 掲載の参考文献

1) 三根浩一郎 : 介護老人保健施設におけるBPSDへの対応と課題老年精神医学雑誌 18 : 1318-1324, 2007.

2) 寮隆吉 : 認証患者の周辺症状に対する薬物治療-介護老人保健施設での試み-. 京都医学会雑誌 56 : 57-62, 2009.

3) トム・キットウッド, キャスリーン・ブレンディン : 認知症の介護のために知っておきたい大切なこと (高橋誠一, 寺田真理子訳), 筒井書房, 東京, 2005.

4) スー・ベンソン編 : 介護職のための実践! パーソンセンタードケア (高橋誠一, 寺田真理子訳), 筒井書房, 東京, 2007.

P.16 掲載の参考文献

1) 内海久美子, 白坂知彦 : 総合病院におけるBPSDへの対応と課題. 老年精神医学雑誌 18 : 1325-1332, 2007.

2) 山下真理子, 小林敏子, 藤本直規ほか : 一般病院における認知症高齢者のBPSDとその対応-一般病院における現状と課題-. 老年精神医学雑誌 17 : 75-85, 2006.

3) 現代精神医学事典 (加藤敏, 神庭重信, 中谷陽二ほか編). 弘文堂, 東京, 2011.

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P.21 掲載の参考文献

1) 西山みどり : 急性期病院における認知症高齢者の現状と課題看護学雑誌 74 : 25-29, 2010.

2) 萩野悦子 : 睡眠障害. 生活機能からみた老年看護過程+病態・生活機能関連図 (山田律子, 井出訓編集), pp. 382-392, 医学書院, 東京, 2011.

3) 酒井郁子, 諏訪さゆり, 飯田貴映子ほか : 高齢者が生活リズムを整えるためのケア. 高齢者の生活機能再獲得のためのケアプロトコール (中島紀恵子, 石垣和子監修), pp. 28-69, 日本看護協会出版, 東京, 2010.

P.24 掲載の参考文献

1) 身体拘束の定義. (昭和六十三年厚生省令百二十九号).

2) 指定介護老人福祉施設の人員, 設備及び運営に関する基準. (平成十一年厚生省令第三十九号).

3) 精神保健福祉法第37条第1項の規定に基づく厚生大臣が定める処遇の基準. 昭和63年4月8日厚生省告示第130号. 最終改正平成12年3月28日厚生省告示第97号.

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5) 厚生労働省身体拘束ゼロ作戦推進会議 : 身体拘束ゼロへの手引き. 2001.

3. BPSDの症状別初期対応

P.28 掲載の参考文献

1) 山下功一, 天野直二 : BPSDとその対応. 認知症テキストブック (日本認知症学会編), pp. 70-72, 中外医学社, 東京, 2008.

2) 河村満, 新井平伊, 永田久美子監ll多 : アルツハイマー病臨床・ケアハンドブック. p. 24, 医薬情報センター, 東京, 2002.

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4. 専門治療と地域連携

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