目 录Ⅰ 关于介护新手进修培训１ 介护新手进修培训的特征 ··················································２２ 听课方法 ································································４
３ 进修流程 ································································６

Ⅱ 基础知识篇(应对自学问题)
目的与方法 ································································８１护理上维护其尊严・自立支援··············································10(1)支撑人权与尊严的护理 ·················································10(2)面向自立的护理 ·······················································20２

护理的基本方针·························································26(1)在护理上确保安全及风险管理 ···········································26(2)护理工作的安全 ·······················································32

３护理·福利服务的理解与医疗协作·········································36(1)介护保险制度 ·························································36(2)与医疗协作以及康复指导 ···············································52(3)障碍者综合支援制度以及其他制度 ·······································58４护理上的沟通技术·······················································66(1)护理上的沟通 ·························································66(2)护理上的集体沟通 ·····················································72

５理解老化·······························································80(1)由老化引起的护理上的沟通 ·············································80(2)高龄者与健康 ·························································82

６理解认知症(痴呆症)·····················································96(1)由认知症引起的身心变化与日常生活 ·····································96(2)从医学观点来看的认知症的基础与健康管理 ······························104７理解障碍(残疾)························································112(1)对障碍的基本理解 ····················································112(2)关于障碍的医学性知识 ················································116

i

もくじ目

次

かい ご しょくいんしょにんしゃけんしゅう

Ⅰ 介護 職 員 初任者 研 修 についてか い ご しょくいんしょにんしゃけんしゅう

とくちょう

１ 介護 職 員 初任者 研 修 の 特 徴 ·············································３
じゅこうほうほう

２ 受講方法 ································································ ５
けんしゅう

なが３ 研 修 の流れ ····························································· ７
きそ ち しきへん

もんだいたいおうⅡ 基礎知識編(レポート問題対応 )もくてきほうほう

目的と方法 ································································ ９
１

かい ご

そんげん

ほじ

じ りつ し えん

介護における尊厳の保持・自立支援 ······································11
じ ん けん

そん げんささ

かい ご

じ りつむ

かい ご

(1)人権と尊厳を支える介護 ···············································11(2)自立に向けた介護 ····················································· 21２

かい ご

き ほん

介護の基本 ···························································· 27
かい ご

あん ぜん

かく ほ

(1)介護における安全の確保とリスクマネジメント ··························· 27
かい ご しょくあん ぜん(2)介護職の安全 ························································· 33
３

かい ご

ふく しり かい

い りょう

れんけい

介護・福祉サービスの理解と医 療 との連携 ······························· 37
かいご ほけん せいど(1)介護保険制度 ························································· 37
いりょう

れんけい

(2)医療との連携とリハビリテーション ·····································53
しょう

し ゃ そ う ご う し えん せい どおよた せい ど(3)障 がい者総合支援制度 及び その他制度 ·································59
４

かいご

ぎ じゅつ

介護におけるコミュニケーション技 術 ···································67
かいご(1)介護におけるコミュニケーション ·······································67
かい ご(2)介護におけるチーム・コミュニケーション ······························· 73
５

ろう かり かい老化の理解 ···························································· 81
ろう かともな

へん か(1)老化に 伴 うこころとからだの変化 ······································81
こうれいしゃけんこうにん ち しょうり かい(2)高齢者と健康 ························································· 83
６認知 症 の理解 ························································· 97にん ち しょうともな

へんかにちじょうせいかつ(1)認知 症 に 伴 うこころとからだの変化と日常生活 ·························· 97
い りょう て き そ く め んにん ち しょう

きそけんこう か ん り(2)医 療 的側面からみた認知 症 の基礎と健康管理 ···························· 105
７

しょうがい

り かい

障 害の理解 ·························································· 113
しょうがい

き

そ て き り かい(1)障 害の基礎的理解 ···················································· 113
しょうがい

い が く てきち しき(2)障 害についての医学的な知識 ··········································117ii

８人的身心结构··························································132(1)有关护理的心理结构的基础知识 ········································132(2)有关护理的身体结构的基础知识 ········································140

９

生活技术······························································148(1)生活与家务 ··························································148(2)完善舒适的居住环境与护理 ············································156(3)临终关怀 ····························································164

Ⅲ 来想象一下护理现场Ａ 介护保险的用户都是一些什么人? ··········································166
Ｂ 护理的场景是怎样的呢? ··················································169

１ 吃饭 ··························································· 169
２ 洗澡 ··························································· 172
３ 排泄 ··························································· 175
４ 步行 ··························································· 177
５ 移坐到轮椅上·坐轮椅移动 ······································· 180
６ 打扮整齐 ······················································· 182
７ 换衣服 ························································· 185
８ 发话 ··························································· 187
Ⅳ 如何应对集体工作
１ 自我认知游戏 ·························································193
２ 感知危险 ······························································196
３ 营造安眠环境 ·························································198
４ “眼力见儿”很重要 ···················································200
５ 有关幸福的对话 ·······················································202
６ 有效利用 ICF 模式 ·····················································204iii

し８く

こころとからだの仕組み ··············································· 133かい ごかんき

そ てき ち し き

かい ご

かんき

そ てき ち し き(1)介護に関するこころのしくみの基礎的知識 ······························ 133(2)介護に関するからだのしくみの基礎的知識 ······························ 141
せいかつ し えん ぎ じゅつ

９

生活支援技 術 ························································ 149
せい かつ

かじ

かい て きき ょ じゅうかんきょう(1)生活と家事 ·························································· 149
せい び

かい ご

(2)快適な居 住 環 境 の整備と介護 ·········································157(3)ターミナルケア ······················································ 165
かい ご

げん ばそうぞう

かい ご ほ けん

り ようしゃⅢ 介護の現場を想像してみましょう
ひと

Ａ 介護保険の利用者ってどんな人たち？ ······································166
かい ごば めんＢ 介護の場面は
１２３４５６

よう す

どんな様子? ··············································· 169

しょく じ

食事 ·································································169にゅう よ く

入 浴 ·································································172

はい せつ

排泄 ·································································175
ほ こう

歩行 ·································································177
くるま い

す

い じょう

くるま いすい どう

車 椅子への移 乗 ・車 椅子での移動 ·······································180

せい よ う整容 ·································································182
きが７着替え ······························································· 185

８

声かけ ······························································· 187

こえ

Ⅳ グループワークへの対応
じ

こ かく ち１ 自己覚知ゲーム ························································· 193
き けん よち２ 危険予知 ······························································· 196
あん みんかんきょう

３ 安眠環 境 づくり ························································ 198
きだい じ

４ 「気づき」が大事 ······················································· 200
こうふく

５ 幸福についてのディスカッション ·········································202
アイシーエフかつ よ う６ ＩＣＦモデルの活用 ····················································· 204

iv