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090714長講義

在宅とは、世界的には医療ではなく介護

施設の中にお年寄りをいれるのではなく、
地域の中にお年寄りが住めるようにするほうが経済的にいい
かつての介護は、技術がなかったから1年で死んでいただろう。今は介護負担が大きい

・高齢者ケアで重要なこと
リハビリ
切れ目のないケア
生活圏でのサービス

今後介護がでてくる
とくようのような施設では財政的に破たんする。


地域を守る
 地域ケア 福祉

小規模ケアをつくることで残された力を引き出す
学生が結構来る
 みんな高い評価を出す が、仲間にはなってくれない

「ここの地域をまもりつつ、世界と比較し、長寿社会を研究し、医者よりも看護、看護よりも介護、にとりくんでいく」「佐久病院だけで頑張らずほかに頼っていく」「都市の論理の制度に反論していく」

リサーチ
 日本トップの在宅医療

なじみの関係


質問
・老老介護、独居老人の安心はなにがあればいい?
在宅死で医療費あがるのなら、どうして在宅死にしたい?
・高齢者、社会は家で死にたい?
・ボランティアは?

・教育とは? 具体的には?

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