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介護支援専門員の介護保険NEWS

増えるデイサービスの延長 宿泊や早朝、土日もOK

■送迎も対応/利用料の確認忘れずに

 働きながら家族を介護する人たちにとって、午後4時に終わってしまうデイサービスは使い勝手が悪いものだ。しかし最近は、就業時間に合わせて、夜間や早朝まで要介護者を預かってくれるデイサービスが増えつつある。急な残業にも対応してくれる場合もあり、好評だ。

記事本文の続き 「みなさん、夕食の時間ですよ」。午後6時。東京都青梅市にある河辺デイサービスセンターで、宿泊予定の80~90代の高齢者4人が食卓を囲んだ。

 同センターでは平成18年4月から、働く家族の帰宅時間に合わせて延長・宿泊サービスを実施している。デイが終わるのは通常のデイと同様に夕方4時ごろだが、家族の希望があれば、午後7時まで引き続き高齢者を預かっている。夕食は1食600円。家族の帰宅時間に合わせて送迎したり、そのまま泊まったりすることも可能だ。

 沢崎豊センター長は「夕方4時で終わりでは、『仕事が続けられないので何とかしてほしい』という要望が家族から寄せられ、土日にデイを開き、延長や宿泊、早朝対応も始めた。共働きや夜勤勤務がある家族から喜ばれ、毎日5、6人が利用している。急な残業にも柔軟に対応している」と話す。

 料金体系も無理がない。午後6時までの延長では、デイの基本料金(要介護度に応じて約690~1150円)に加えて約50円かかるだけ。午後7時までだと、基本料金プラス約100円。宿泊は1泊1500円だ。

 長時間、高齢者が施設に滞在すれば疲れないか心配になる。しかし、沢崎センター長は「懸念しすぎることはない」という。「『家に帰りたい』という高齢者も時々いるが、テレビを見たり、読書をしたり、時にはベッドで横になり、くつろいでもらっている」(沢崎センター長)。

 こうしたデイの延長サービスが増えているとはいえ、実情は午後3時半~4時に終わるデイがまだ大半だ。情報は、ケアマネジャーや市区町村の介護保険課、地域包括支援センターが把握している。

 一方、10時間以上、デイに滞在する場合は介護報酬が適用されないので、事業所によっては1時間につき数千円かかってしまう場合がある。宿泊が1万円以上という施設もあり、利用料には注意が必要だ。

                   ◇

 □お得な「小規模多機能型居宅介護」

 ■何度通っても料金一律

 費用を抑えたい場合は、1カ月間、何度通っても、何時間滞在しても、基本料金が一律の「小規模多機能型居宅介護」を利用するのも手だ。

 川崎市の工藤裕加里さん(38)は、薬剤師として午前9時から午後8時まで働きながら、近くに住む若年認知症で要介護度5の母(62)を介護している。妹の息子(2)の子育ても手伝っているが、この生活が維持できているのは、近隣の小規模多機能型居宅介護「ひつじ雲」を利用していることが大きいという。

 5月、父(71)が介護の疲れから入院してしまったときには、母に土日も含めてほぼ毎日、ひつじ雲に通ってもらい乗り切ったという。毎日利用しても基本料金が3万円以内。食費を含めても5万円程度で済んだ。

 工藤さんは「食費がかさむときは『おにぎりを持ってきてもいいのよ』と配慮してくれ、いつも利用者の立場になって考えてくれる。また、長時間預けても母の居場所になっているので安心」とうれしそうだ。

 「ひつじ雲」を運営するNPO法人「楽」の柴田範子理事長によると、利用者のうち働く家庭の利用は3割程度。「大規模なデイでは参加者が帰っていくと、残されてしまった高齢者が寂しい気持ちになりがち。しかし、小規模だと職員がずっとそばにいられるので、寂しくはならないのでいいという声が寄せられている」と柴田理事長はいう。

 仕事をしながら介護もする家庭にとって理想的なサービスだが、厚生労働省によると、平成21年2月現在、全国に約1900カ所しかなく、利用したくても利用できない場合がある。ただ、市内であれば遠くても対応してくれるので、市区町村、地域包括支援センターやケアマネジャーに引き受けてくれる事業所を探してもらうと良い。

 一方、現在、デイやショートステイなど介護保険サービスを使っている人が、小規模多機能型居宅介護を利用したい場合、利用予定の小規模多機能型居宅介護に属するケアマネに変えなければならないことは覚えておきたい。

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NEWS】12年度介護報酬改定の基本的視点を提示- 厚労省が介護給付費分科会に【介護支援専門員 NEWS】介護施設の総量規制「堅持を」- 政令市などの担当課長が要望 【介護支援専門員 NEWS】限度額超過者の8割超がサービス2種類以下- 介護給付費分科会 【介護支援専門員 NEWS】地域包括支援センター職員数、大幅に増加 【介護支援専門員 NEWS】ユニット型個室の居住費助成を拡充- 横浜市が10月から【介護支援専門員 NEWS】ユニット型個室の居住費助成を拡充- 横浜市が10月から 【介護支援専門員 NEWS】24時間訪問介護、エリア担当見送りで調整- 検討会最終報告で 【介護支援専門員 NEWS】国保収納率、2年連続で過去最低を更新 【介護支援専門員 NEWS】介護未経験者雇用の助成金廃止で経過措置- 厚労省が周知 【介護支援専門員 NEWS】「GHと小規模多機能の一元化を」 【介護支援専門員 NEWS】ケアマネ業務せず不正請求、指定取り消しへ- 神奈川県 【中医協】医療費の伸び率は3.9% 【介護支援専門員 NEWS】安心生活創造事業で論点を整理- 厚労省検討会 【介護支援専門員 NEWS】医療・福祉の就業者、増加幅が全産業で最大- 労働力調査 共通番号制度、導入は15年1月から- 政府・実務検討会 医療・福祉の就業者、増加幅が全産業で最大- 労働力調査 新たな高齢者医療制度、「13年3月施行」を強調-細川厚労相【介護支援専門員 NEWS】歯を失うと認知症になりやすい- リスク1.9倍、厚労省研究班が調査 【介護支援専門員 NEWS】高齢者住宅の供給割合を3-5%に- 住生活基本計画案 【介護支援専門員 NEWS】アルツハイマー型認知症治療薬「メマリー錠」販売承認取得【介護支援専門員 NEWS】要介護認定の有効期間、上限延長でパブコメ募集―厚労省【介護支援専門員 NEWS】24時間巡回型、公募式は民間参入制限だ【介護支援専門員 NEWS】ケアマネは「介護保険サービス以外にも注目を」【介護支援専門員 NEWS】次期改定での介護報酬アップ「有効な財源確保策を示せず厳しい」 【介護支援専門員 NEWS】厚労省、法改正で重大労働法規違反は指定取消に!【介護支援専門員 NEWS】介護福祉士国試、実務経験者に「450時間研修」義務化へ【介護支援専門員 NEWS】24時間巡回介護で国「協力を」、都は「疑問」―在宅協セミナー【介護支援専門員 NEWS】複合型事業所、「当面は小規模多機能と訪問看護で」【介護支援専門員 NEWS】やさしい手が法改正で生活援助切り捨てを示唆【介護支援専門員 NEWS】 「抜き打ち検査」「夜間サービスの質の確保」を提言【介護支援専門員 NEWS】国保などの保険医療費、高知がトップ【介護支援専門員 NEWS】虚血性心疾患治療の現状と将来展望――民間調査【介護支援専門員 NEWS】「消費税25%払ってもお年寄りが安心できる制度に」―ワタミ渡邉会長【介護支援専門員 NEWS】「抜き打ち調査」で質の確保を―特養を良くする会が細川厚労相に提言 【介護支援専門員 NEWS】与謝野担当相、社会保障費は「無理に削れない」【介護支援専門員 NEWS】医療行為も対応する「緊急ショートステイ事業」開始――杉並区【介護支援専門員 NEWS】介護従事者の半数以上「要介護認定は必要だが簡素化を」-淑徳大・結城准教授ら【介護支援専門員 NEWS】厚生労働省、介護福祉士・社会福祉士の受験料改定で意見募集【介護支援専門員 NEWS】病院の病床数、1年間で8600床減-10月末概数【介護支援専門員】アルツハイマー治療薬は2,900億市場に――民間調査【介護支援専門員】アルツハイマー治療薬は2,900億市場に――民間調査【介護支援専門員 NEWS】「潜在ヘルパー」有資格者の79%【介護支援専門員 NEWS】サービス提供責任者の責務に介護報酬を―ホームヘルパー協会が要望書【介護支援専門員 NEWS】「高齢者向け食品・飲料購入のきっかけはケアマネジャー」電通調査結果【介護支援専門員 NEWS】厚生労働省、介護給付費実態調査月10月分を公表【介護支援専門員 NEWS】介護業界売上トップ10!2000億超の企業は?――帝国データバンク【介護支援専門員 NEWS】健康状態の悪化や、退職の割合に介護が影響【介護支援専門員 NEWS】厚労省の社会保障検討本部が発足【介護支援専門員 NEWS】「どこでもMY病院」など情報化促進に15億円-経産省11年度予算案【介護支援専門員 NEWS】世界80カ国で承認の2型糖尿病治療剤「パイエッタ」発売【介護支援専門員 NEWS】29兆円のうち、介護2兆2,037億円――平成23年度予算案【介護支援専門員 NEWS】「地域医療支援センター」に意見が集中―社保審医療部会【介護支援専門員 NEWS】サービス付き高齢者住宅、24時間介護との組み合わせで【介護支援専門員 NEWS】サービス付き高齢者住宅の促進に325億円―国交省11年度予算案【介護支援専門員 NEWS】一部ユニット型施設、省令改正で廃止へ【介護支援専門員 NEWS】来年度の平均保険料率9.5%に引き上げへ-補助率の据え置き受け入れ【介護支援専門員 NEWS】認知症の要介護認定について【介護支援専門員 NEWS】「ケアプラン有料化」見送り!厚労相が改正6要点を表明!【介護支援専門員 NEWS】新規アルツハイマー病治療薬などの承認を了承―薬事分科会【介護支援専門員 NEWS】来年度予算案を閣議決定、厚労省分は約29兆円【介護支援専門員 NEWS】横浜の市民団体、配食サービス時の認知症見守りハンドブック発行【介護支援専門員 NEWS】「福祉士研修の大幅削減はバナナの叩き売り」――検討会レポ2【介護支援専門員 NEWS】民主政調、介護保険改革の提言を決定―細川厚労相に提出【介護支援専門員 NEWS】ケアマネ対象の医療研修など「10年後の東京」を策定――東京都【介護支援専門員 NEWS】交付金の影響でケアマネも1.1万円昇給【介護支援専門員 NEWS】新高齢者医療制度、国保のあり方など地方と協議へ―厚労省方針【介護支援専門員 NEWS】他国に比べて高コスト体質の日本の介護保険【介護支援専門員 NEWS】「重症」の医療区分1の患者が急増―医療療養病床【介護支援専門員 NEWS】「利用者負担導入反対決議文」を厚労省に提出――日本介護支援員協会【介護支援専門員 NEWS】マクドナルドが高齢者宅へ宅配開始、創業40年で初!【介護支援専門員 NEWS】介護職の医行為、2012年実施へ【介護支援専門員 NEWS】ケアマネ試験、合格率は過去最低の20.51%【介護支援専門員 NEWS】「介護保険制度改正ができないなら、政権担当能力はない」【介護支援専門員 NEWS】障がい者改革会議、現状認識に関係省庁と隔たり【介護支援専門員 NEWS】介護職員の医行為の範囲など示した中間まとめを了承―厚労省検討会【介護支援専門員 NEWS】介護療養廃止「3年延期」などの提言を大筋了承―民主・厚労部門会議【介護支援専門員 NEWS】成年後見制度の改善求め厚労相らに提言―日本社会福祉士会【介護支援専門員 NEWS】600万人の高齢「買い物弱者」支援マニュアル―経産省が公表 【介護支援専門員 NEWS】「介護なんでも110番」電話殺到で対応は約3%【介護支援専門員 NEWS】シルバーマークは「時代的役割終えた」?―省内仕分けで議論【介護支援専門員 NEWS】「男女雑魚寝」「2年連泊」、お泊まりデイの実態調査を―共産都議団【介護支援専門員 NEWS】平成22年 介護保険部会の取りまとめ【介護支援専門員 NEWS】精神障害者への訪問支援で大幅なコストダウンも―民主PTがヒアリング【介護支援専門員 NEWS】首都圏の介護事業者団体「地域係数見直しを」―細川厚労相に要望書【介護支援専門員 NEWS】24時間巡回型に1.5億、医行為研修2.8億円計上――第2次補正予算案【介護支援専門員 NEWS】介護療養型医療施設は「医療・介護の連携にベストな施設」【介護支援専門員 NEWS】高いレベルの介護福祉士、職能団体が認定―厚労省案【介護支援専門員 NEWS】都が介護事業所の指定取り消しへ、1億5千万円超の返還求める【介護支援専門員 NEWS】特養も有料老人ホームも高専賃も「高齢者住宅」―類型簡素化を ケアプラン有料化は未決着、賛否両論併記で国会提出!――社保審レポ【介護福祉士 NEWS】24時間訪問介護やお泊まりデイは区市町村が指定を―都が提言【介護支援専門員 NEWS】介護職員交付金、報酬への組み入れに疑問も―民主・介護WT【介護支援専門員 NEWS】介護保険、4割強が税負担を容認―内閣府調査【介護支援専門員 NEWS】新規アルツハイマー治療薬2品目の承認を了承―医薬品第一部会【介護支援専門員 NEWS】高専賃での居宅介護支援、集中減算に批判―高齢者集合住宅研究大会【介護支援専門員 NEWS】認知症患者の見守りネット、稼働の自治体は1割未満【介護支援専門員 NEWS】定額訪問介護、「報酬28万―30万円必要」―ジャパンケア・対馬会長【介護支援専門員 NEWS】介護保険制度の見直しに向けた素案を提出―厚労省【介護支援専門員 NEWS】第5期の介護保険料、1000円超アップの5200円―厚労省が試算【介護支援専門員 NEWS】障害者自立支援法改正案を可決―衆院厚労委【介護支援専門員 NEWS】「国保の都道府県単位化」に異論なし―民主・高齢者医療WT【介護支援専門員 NEWS】介護予防事業の再仕分け、前回同様「予算要求の縮減」【介護支援専門員 NEWS】「ケアプランの利用者負担は断固反対」――JCMA提言【介護支援専門員 NEWS】「介護職員の医行為は、医療・介護の新たな線引きを考える糸口」【介護支援専門員 NEWS】仕事に関する相談窓口、職場に「なし」が9割――ヘルパー満足度調査【介護支援専門員 NEWS】「介護政策、財源足りない」―小宮山厚労副大臣【介護支援専門員 NEWS】「地域医療支援センター」に意見が集中―社保審医療部会【介護支援専門員 NEWS】『VIPSですすめるパーソン・センタード・ケア』発行【介護支援専門員 NEWS】静岡で過去最大級の報酬不正受給―介護療養型医療施設の指定取り消しへ【介護支援専門員 NEWS】特養の運営「社福に限定を」約5割―施設長有志団体【介護支援専門員 NEWS】75歳以上の医療費負担、「税金の割合増で」が4割超【介護支援専門員 NEWS】全老健、老健の医療に関する意見書を発表【介護支援専門員 NEWS】【11月13日】ケアマネ独立開業セミナー 【介護支援専門員 NEWS】全老健、介護保険制度に対する意見書を発表【介護支援専門員 NEWS】通所サービスの見直しも―厚労省老人保健課長【介護支援専門員 NEWS】日本介護福祉士会が人員配置、処遇改善などの提言書を提出【介護支援専門員 NEWS】末期がんで福祉用具貸与、軽度者でも保険適用可能―厚労省が事務連絡【介護支援専門員 NEWS】区分支給限度基準額の運用見直しなどを提言―ホームヘルパー協議会【介護支援専門員 NEWS】ケアプラン作成「利用者負担」導入を提示――社会保障審議会【介護支援専門員 NEWS】介護福祉士資格の600時間研修案「現実的ではない」【介護支援専門員 NEWS】1万人超の障害関係者が「自立支援法の廃止を」【介護支援専門員 NEWS】介護職員養成13万円、救急搬送7,600円――埼玉県「行政の値札」【介護支援専門員 NEWS】 夜間訪問介護で16億円ムダ、端末機は倉庫保管でホコリかぶる【介護支援専門員 NEWS】ユニット型特養の約1割が赤字【介護支援専門員 NEWS】介護サービス費用額、6000億円超える―給付費実態調査・8月分【介護支援専門員 NEWS】 来年アリセプト以外の新薬認可【介護支援専門員 NEWS】介護福祉士の医行為追加研修と上級資格創設――厚労省会議 【介護支援専門員 NEWS】特養入所申し込み者、実際の待機は22.5%―厚労省 【介護支援専門員 NEWS】1万円増えた!ケアマネ月給26万3,754円――日本介護クラフトユニオン調査介護支援専門員のための介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS平成21年介護支援専門員実務研修受講試験 合格率介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS平成21年介護支援専門員実務研修受講試験 都道府県別 合格率介護支援専門員の介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員のための介護保険NEWS直通!!ケアマネジャーサポート事例介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員の介護保険NEWS介護支援専門員のためのNEWSケアマネジャーのための介護保険NEWSケアマネジャーのための介護保険NEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWSケアマネジャーのための介護保険NEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のためのNEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援介護支援専門員のための介護保険NEWSケアマネジャーのための介護保険NEWS介護支援専門員のための介護保険NEWS介護支援専門員のための介護保険NEWSケアマネージャーの介護保険NEWSケアマネージャーの介護保険NEWS