Rinsho Shinkeigaku (Clinical Neurology)

The 44th Annual Meeting of the Japanese Society of Neurology

Symposium 1-4: Change of dementia care management after implementation of long term care insurance

Hidetoshi Endo

Chubu National Hospital

Dementia health care management has changed completely since implementation of long term care insurance in Japan. Physicians made diagnosis of Alzheimer's disease and collaborated with care manager. Then people with dementia can have care services like short-stay, day services and also institutional care, if they want. Long term care insurance can help or substitute health insurance in old age. But still many old people or families want to stay longer in institutions. Now government support preventive care including dementia. We studied reminiscence therapy on cognitive function for dementia for 2 months. Cognitive function was improved after months compared to control group. The results showed stimulation by old goods, therapists or collaborators is useful for dementia. Reminiscence is one of good activities for dementia at every care services.

(CLINICA NEUROL, 43: 788|790, 2003)
key words: long term care insurance, certification of care need grade, dementia management, preventive care, reminiscence therapy

(Received: 16-May-03)