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Aujourd'hui, je n'assistais pas
à une projection d'images et de sons ; j'assistais
à l'action visible et instantanée qu'ils exerçaient
les uns sur les autres et à leur transformation. La
Pellicule Ensorcelée.
Robert Bresson Notes sur le cinématographe .
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「身体拘束廃止対策について」の勉強会が行われました。
当院では、どうしてもやむを得ない場合（傷などができてしまう、徘徊による転倒を防ぐなど）に限り、
患者様ご家族の同意のもと、
ミトンやつなぎ服などを使用しています。
今回の勉強会は、実際に患者様がどういう気持ちかを少しでも理解するため、
実際にミトンをはめて行いました。

実際にはめてみると、「暑い」「違和感がある」と言う感想が出ました。
こうした拘束は、いくらご家族への説明を行ってやっているとは言え、
無くしていきたいのが本音です。
でもそこには「本人の安全確保のため」「スタッフ不足で廃止は不可能」と言った
誤解を含んだ固定観念があり、
それが廃止への取り組みを阻害する原因にもなってしまっています。
身体拘束を廃止していくのは、なかなか簡単なことではありません。
今病棟では、センサーマットや衝撃吸収マットなどを使って
徘徊を察知するなどの取り組みを行っております。
また、徘徊することを禁止するのではなく、見守りや徘徊理由の把握、環境の整備など、
「危なくない徘徊」にしていくことも重要です。
また、職員が近くにいるときはミトンを極力外したり、少しでも時間を減らしたりする
努力も必要です。

今回の勉強会で、看護師・ケアワーカーを含め、病院が一丸となって
廃止に取り組んでいくことが大切だと学びました。
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