@article{oai:n-seiryo.repo.nii.ac.jp:00001193, author = {内藤, 守 and Naito, Mamoru}, issue = {7}, journal = {新潟青陵大学紀要}, month = {Mar}, note = {application/pdf, Aging sometimes brings about a deterioration in eating and swallowing functions which in turn causes choking and suffocation. Such accidents are to be found not only in the home, but also in hospitals and care facilities for elderly people. Although many hospitals and care facilities have thought about countermeasures and employees do their best to prevent accidents, accidents still occur and some cases go to court. We investigated why accidents occur and what is expected of nurses (care facility employees) by looking at choking and suffocation cases which have gone to court. The results suggested, once again, that 1) since the swallowing function cannot actually be observed, assessment is difficult 2) in order to make a correct assessment, knowledge about swallowing and choking is vital and 3) common understanding among several members of staff is important in making an assessment, 高齢化により人の摂食・嚥下機能は徐々に低下し、それにより誤嚥・窒息事故が起こる。事故は家庭ばかりでなく病院・高齢者施設でもみられる。多くの病院・施設では様々な対応策が考えられ、各職員が事故防止に努めているが事故は起き、中には裁判になるケースもある。今回、誤嚥・窒息の裁判例を通して、なぜ事故が起きたのか、何が看護師(施設職員)に求められているかについて考察した。その結果、(1)嚥下機能は実際に目で観察できないため評価が難しいこと(2)評価には嚥下・誤嚥に関する知識が欠かせないこと(3)患者の嚥下について複数のスタッフ間の共通理解が重要であることが改めて示唆された。}, pages = {145--154}, title = {嚥下障害の評価に関する一考察 : 高齢者の誤嚥・窒息事故の裁判例を通して}, volume = {7}, year = {2007} }