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1 Core Ethics Vol. ALS ALS ALS ALS ALS b ALS ALS ALS ALS

2 Core Ethics Vol. ALS S S ALS W S W S

3 ALS S 未整理の荷物写真 アルバム等テレビストーブベッドテーブルティッシュケース 時計 薬類 筆記用具 灰皿 ライター フォーク ストロー /( 下部 ) ゴミ箱リクライニングベッドリモコン類クッション緊急通報ボタン電話機枕ティッシュケースサイドテーブル 広縁療養室療養室 洗面所台所 上部棚 浴室 物干場 浴槽椅子洗面台石けん 髭剃り 整髪料 歯ブラシ コップ等洗濯機棚 (DVD 等再生機 ) 郵便物調味料ウェットティッシュ書類 ( ケアプラン等 ) 冷蔵庫総合栄養缶物干し竿未整理の荷物 ゴミ類車椅子トイレ 電子レンジ 総合栄養缶 自動 ビニール手袋 軟膏 い 採尿器 ( テーブル下部 ) 貴重品 重要書類棚 ( 映画 LD) ポーチ ( 年金手帳等 ) 未整理の荷物 薬類布団 衣類等ポータブルトイレ未整理の荷物棚 ( 映画 DVD ビデオ等 ) 押入和室玄関 上部エアコン +370 土間 ±0 1M 3M 5M トイレ ちじく浣腸 バケツ ティッシュ段差解消機式台下足入れ S の主な滞在場所 S の就寝場所 S の食事場所 食事準備の移動経路 月火水木金土日主な日常生活上の活動 深夜 早朝 午前 午後 9:40~10:10 10:10~16:30 デイケア 10:00~11:30 12:00~13:00 訪問看護 11:00~12:00 訪問看護 12:30~14:00 11:30~13:00 11:00~12:00 訪問看護 8:30~9:00 9:00~16:30 デイケア 10:00~11:30 起床朝食テレビ観賞 昼食 買い物 夜間 夕食 就寝 深夜

4 Core Ethics Vol. W S W S DVD LD S S S S S S S S S S S S A S S

5 ALS S S

6 Core Ethics Vol. 月火水木金土日 深夜早朝 午前 午後 8:30~9:00 9:00~15:30 デイケア 15:30~16:00 10:00~11:30 12:00~13:00 訪問看護 15:00~16:00 8:30~9:00 9:00~15:30 デイケア 15:30~16:30 8:30~9:30 11:30~13:00 13:00~14:00 訪問看護 14:00~16:00 8:30~9:00 9:00~15:30 デイケア 15:30~16:00 8:30~9:00 9:00~15:30 デイケア 15:30~16:00 10:00~11:30 13:30~15:30 夜間 18:00~19:00 18:00~19:00 18:00~19:00 18:00~19:00 18:00~19:00 18:00~19:00 17:30~19:30 21:00~22:00 21:00~22:00 21:00~22:00 21:00~22:00 21:00~22:00 21:00~22:00 21:30~22:30 深夜 22:00~4:00 22:00~4:00 22:00~4:00 22:00~4:00 22:00~4:00 22:00~4:00 22:30~4:00 S S S S S S S S S S S S S A

7 ALS S S S S S S S S S S S S S S S S S S S S S S S S S

8 Core Ethics Vol. S S ALS ALS

9 ALS S ALS ALS S A S ALS ALS S W S S S

10 Core Ethics Vol. ALS - ALS - ALS - ALS a b ALS ALS ALS ALS - - ALS - ALS Core Ethics- ALS ALS. -

11 ALS A Case Study on the Living Environment of a Single ALS Patient YAMAMOTO Shinsuke Abstract: In relation to the support needed for single ALS patients who have no family, little research has been accumulated in the architectural field compared with the medical and welfare fields. This paper focuses on one patient, a year old man who had had ALS for years, recording the social services he received and amount of care he required and evaluating the conditions of his living space in order to clarify the dwelling and support needs of single ALS patients living at home. The following results were obtained. ( ) The patient s problems with his living environment were not related to the built space as much as an insufficient amount of care, because the symptoms of his progressive disease advanced faster than the social service system could respond. ( ) Because the patient always required caregivers, it was difficult for him to have private time and space, even when living at home. The paper concludes that architecture specialists are not always necessary for improving a patient s space. Instead, for improving a patient s living environment and privacy, it is more important that there is an adequate number of caregivers and familiar people to quickly adjust the patient s space when necessary. Keywords: Amyotrophic Lateral Sclerosis (ALS), living alone, caregivers, living environment, social support ALS ALS ALS ALS

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