Suggestions from the care during end-of-life from Swedish single poor older adults

Abstract

本研究の目的は、スウェーデン高齢者の人生の最終段階の居住現状において支援に関わる援助職の見解から、日本の貧困単身高齢者の看取りへの示唆を得ることである。スウェーデンで医療と福祉に関わる人6名にインタビューを実施し意味解釈の分析を行った。結果としてスウェーデンの貧困、施設ケア、住宅ケアの現状知見が得られた。単身世帯の増加する日本で、高齢者の自己決定は尊重されつつも過度の在宅主義に偏ることなく人生の最終段階の居住地として、複数の選択肢があることが望ましい。また、施設ケアスタッフが経験する入居者の死は2.5人称の死であり、デスカンファレンスといったケアギバーのケアの必要性の認識が求められる。The purpose of this study was to obtain suggestions for the care of poor single older adults in Japan from the perspective of aid workers involved in the end-of-life support for older adult residents of Sweden. A total of six people involved in medical care and welfare in Sweden were interviewed. Furthermore, their semantic interpretations were analyzed. Insights into the current state of poverty and institutional and home care in Sweden were gained. In Japan, as the number of single-person households increase, it is desirable that there are multiple options for the final stage of life. IN addition, society should respect the self-determination of older adults and not be biased towards excessive home-based principles. Furthermore, the institutional care staff experienced the death of a person who was not a direct family member, however, had become close to the staff(coined a 2.5th person by the author). Hence, care for the caregiver, such as death conferences, is necessary.departmental bulletin pape