なぜ重い木造の家具調なのか？ 不必要であるのに宣伝の巧みさでシェアを伸ばしてきた。当初の "便座高" の数字は便座にフタをした状態で床からフタまでの高さを表示していた。 曰く 43 Cm 40 Cm 37 Cm 34 Cm そして"ポータブルの上に座ってテレビも見られます"、という宣伝であった。誰がこんな事を真に受けるのか？ 実際の便座までは、フタの 5 Cm を差し引くと、 38 Cm <= 最高でも!?? 35 Cm 32 Cm 29 Cm いかにディーラーが無知でも、ケアマネが無知でも実権を握ろうとも、家族がだまされようとも、経験を積んだ療法士は「下駄を履かす」とノタマっている。 私も、家具調購入希望者には、ディーラーに頼んで底に補高を加える改造を頼んだ。42~3 Cm が妥当であった。 片麻痺の通所者が体調崩し通われなくなり、一時トイレ歩行不能となりポータブルのお世話になった。
頼み込んで訪問させてもらい、ポータブルをチェック。重い家具調はベッドそばにはセットされておらず、高さは目測(指で図る)で 約 32 Cm ！ この担当ご利用者は、寝たきり(起き上がりポータブルも不能)で、床ずれを作り、入院の後ほどなく亡くなってしまわれた。 低い、重い家具調という、疑問視し、療法士仲間にも訴え、悩んできた実物によって「死人が出た」のである。これほどの反証はない。
以前、ハートビル法で身障トイレ規格について 便座高 42 〜 45 Cm と、漏れ聞いているが、日本人用に良く研究された規格と思われる。
ADA (Americans with Disabilities Act 障害を持つアメリカ人の法律) 法では公共施設で様々標準規格も提示され、Equal Employment Commission (雇用機会均等委員会)編のハンドブックなどにきちんと表示され情報もオープンであるが、こちらは体格も違い 43 〜 48 となっている。実際にほとんどの公共施設でトイレに車椅子トイレも併設され便座高は 約 45,6 Cm をよく見かける。 短足胴長の日本人には高すぎるとおっしゃるが、立ち上がりにくい事が問題になる事多いので、高すぎる事はあまり問題ないであろう。
繰り返すが、一時使用ですぐセットできる事が重要なポータブルは、便座高規格は同じ、重すぎる事は非常に、非常に疑問。 現在は、便座高規格もやや改善されたか、床から便座まで 45 Cm 42 Cm 39 Cm 36 Cm と、カタログでチェックできた。しかし、 私は 40 Cm 以下の便座高は不必要。と20世紀から言い張ってきた。
実際に個室の便座に 36 Cm が採用されていて(予算をケチったのだろう)困ったのは、 機能的にはオムツが外れそうなのに「トイレで立ち上がりに困るからもう少しオムツにしてて」と懇願され、遅らせた経験からである。便座高計ったらそれであった。
ToTo の研究なるものは、予算の上下を格付けするためのものか？便座高研究の妥当性はあるのか？
我が家のウォシュレット(TM)便座高は 39 Cm 膝関節症の母、身長 150 Cm 短足胴長で(下腿長は短い)あったが体力弱った時に立ち上がりにくいと訴えた。これでは、基本の便座高低くて、手すりが必要になる。家屋改造費は出る。便座を高くする改造は高額につく。これほどの破格を買わされるのが日本の消費者である。
Integrated medicine is described in terms of methodology. I agree integration in general discussion, because so far I accumulated neuro-physiological knowledge but it's common sense now among therapists that we should integrate with other fields as well as neuro-psychology.
People easily misunderstand integrated medicine as it is methodology and is easily connected with money worship. We can't justify 'iatrogenesis,' too much overprotective medicine or nursing care. In terms concrete discussion I would object in detail.
There are no almighty remedy, so targeting any method is foolish. As a mean of problem solving a method lies. A mean of integrated medicine can not be the purpose.
Writing represents the power of wisdom. Therefore, it is not only the rhetoric but also one’s action, thought, and humanity as a whole. Today, when we visit a big library or bookstore, I wonder how many books I could and deserve to read among many. Further, I have to ask whether a book can affect our age effectively. Is the writing so important now? Can an individual effectively change others by writing? I often feel no confidence in my writing. Therefore, I would follow the history first.
To begin with, let us study Hippocrates of Cos in ancient Greece. Hippocrates is said to have divided medicine from religion, and many medical records and treatises are attributed to him. His contribution and influence in the field of health science is overwhelming, so he is called the Father of Medicine. Despite the pioneering era, he analyzed the cause, used some assumption to apply for diseases, and wrote clinical records of those days. In addition, his most important contribution has been the establishment of ethical code, the Hippocratic Oath. Physicians and health professionals are privileged to treat patients. They are even permitted to use a knife for surgery. Then their moral and ethics have to be authoritative and strict. Now, when medical students graduate, they recite the Oath and vow their ethical conduct. Here is the power of writing lasting for 2,500 years. Many classical scriptures and writings are such things that have kept inspiring people, and thus changed our history indirectly and directly some time.
Next, I would mention Commonsense by Thomas Paine. Although he wrote it not so long after he settled into America from Britain, it inspired and ignited people’s courage to stand against the British colonization. Reprinting after reprinting, the publication reached an amazing number though it is fairly short. Because of the passionate contents, timing before American Independence and epoch-making position, it still has historical significance among documents around the beginning of the United States history. Here is another example of the power of writing which changed history.
Thirdly, also Uncle Tom’s Cabin by Harriet B. Stowe cannot be overlooked. Writers do not write novels for a practical purpose, but they write because they want to. However, her novel had a very practical impact on eliciting people’s concern against slavery, and thus contributed in releasing many “Toms.” Of course we have to mention the Civil War and the influence of leaders such as Pr. Abraham Lincoln who contributed, too. From a citizen’s point of view, her story’s power must have been strong on contemporaries because they could not have succeeded in releasing the “Toms” without citizen’s agreement. Further, her novel functioned well to enhance people’s knowledge and sympathy for them.
Today, in a rapidly accelerating changing society, each individual might find himself/herself too nameless and powerless to influence world at all. In addition, younger generations increasingly don’t care for politics and civilization, so nonvoters might have high percentage in countries. Now, however, the info-highway has connected almost every human activity and knowledge to form a tremendous cyberspace. Email exchanges have progressed written communication more than before and enabled what we can call direct democracy. An individual can communicate with any VIPs if he/she wishes. Therefore, the power of writing can be said more important, although we have a huge amount of garbage information appearing and disappearing one after another. The pen is mightier than the sword. This is the time to appreciate the old proverb.
Rehab. is Being Misunderstood (originally posted on 12月7日<火>16時52分, 2004.)
<I>"Rehabiri"</I> is used by people, mass media, as well as therapists in Japan just to express functional traing though the word rehabilitation has wider usage, which is the author's dilemma a great deal. Made-in-Japan English tends to adopt four rhythm katakana sounds like "paso-con," "gene-con," or "masu-comi."
Jean of Ark was rehabilitated and aknowledged as angel after she had been executed by fire. This philosophy of complete recovery of human rights later combined with physical medicine, not chemical one, to express in medical rehabilitation field, which also has recovery from alcoholics, drug addicts, homelesses, and/or preventive field such as reproductive health.
In case of Ludvich van Beethoven, deafness did not recovered but increased, which was mortal for a musician. Accompanying family troubles, he wrote his final message suggesting to commit suicide, but he rushed into the period creating his major masterworks right after that.
He rather hesitated to join ordinary society, loved enjoying Viena nature. He <I>didn't participated in</I> society, but participated in the world of music creation and is called a great Saint.
livedoor
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