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{"sheet":"患者様用","index":0,"n_rows":50,"n_cols":11,"rows_kept":50,"cut":false,"hidden":false,"merged":[[0,10,0,11],[47,7,47,9],[48,7,48,9],[12,1,12,2],[13,1,13,2],[1,1,1,2],[14,3,14,4],[46,7,46,9],[38,1,39,4],[12,3,12,4]]}
[null,null,null,null,null,"　　　ひろしま脳卒中地域連携パス　　",null,null,null,null,"Ver.2-3（2017.10.）"]
[null,null,null,"様","あなたの病名は","　□脳梗塞・　□脳出血　・　□くも膜下出血　・　□その他の脳卒中"]
["病期",null,"　　　　　　　急性期",null,null,null,null,"　 回復期",null,null,"生活期"]
["場所",null,"　　急性期病院",null,null,null,"　　リハビリテーション・回復期病院",null,null,null,"　　自宅または施設での家庭医"]
["日数","入院",null,null,"退院日(14〜60日)","転院日","30日","60日","90日","退院日"," 以降"]
["日付"]
["達成目標"," 1.神経症状が安定している。　2.離床・リハビリが開始できる。",null,null,null," 1.自宅退院あるいは施設入所の準備ができる。　",null,null,null,null," 1.在宅で生活できる。2.神経機能を維持できる。"]
[null," 3.食事・栄養が開始できる。",null,null,null," 2.リハビリの効果が期待できる。",null,null,null,null," 3.再発しないよう受診継続する。"]
["検査","○脳卒中の原因を診断するため、",null,null,null,"○必要に応じて、採血などの検査があります。",null,null,null,null,"○定期的に危険因子の"]
[null,"　採血や心電図、　レントゲン、超音波",null,null,null,null,null,null,null,null,"　評価(血圧測定・血液検査など)　"]
[null,"　CT、MRI などの検査があります。",null,null,null,null,null,null,null,null,"　をします。"]
["治療・薬剤","○点滴や薬による治療を行います。",null,null,"再発の恐れがあります。","○脳卒中再発予防の薬による治療を継続します。",null,null,null,null,"○薬は継続して服用しましょう。"]
[null,"○緊急手術が必要となる",null,"再発予防の薬も処方されます。",null,"（高血圧、糖尿病、脂質異常症、心房細動、心臓病）"]
[null,"　ことがあります。",null,"　　　　　　　",null,"○術後管理あります。",null,"☆服薬指導があります。"]
["リハビリ","○リハビリを開始します。",null,"○症状安定した時点で、回復期コースを考えます。",null,"○リハビリを継続します。",null,"☆自宅での生活方法を指導します。"]
[null,null,null,"以下の3つのコースに分けられます。",null,"○自宅を想定したリハビリを",null,"☆(必要時)家屋評価があります。"]
[null,"あなたには",null,null,null,"　行います。"]
[null,"□理学療法士",null,"□軽症：自宅生活まで可能",null,null,null,null,null,null,"○社会生活・家庭生活へ復帰"]
[null,"□作業療法士",null,null,null,null,null,null,"　　　　　　 "]
[null,"□言語聴覚士",null,null,"　　　退院",null,null,null,"　　"]
[]
[null,"が担当します。"]
[null,null,null,null,null,null,"　退院"]
[null,null,null,"□中等度：積極リハビリ開始",null,"継続して積極的なリハビリ",null,null,null,null,"○自宅への生活"]
[null,null,null,null,null,null,null,null,null,null,"○(必要時)通所リハビリ等があります。"]
[]
[]
[]
[]
[null,null,null,null,null,"リハビリ病院でリハビリ再評価はされます。",null,null,"退院"]
[null,null,null,"□重症：治療優先・ベッドサイドリハビリ",null,null,"リハビリ開始"]
[null,null,null,null,null,null,null,null,null,null,"○施設での生活期リハビリ・長期療養となります。"]
[null,null,null,null,null,"　　　　　　　　　　　　　　　　　　"]
[]
[]
[null,null,null,null,null,"　　　　　",null,"　　　　　　　",null,"退院"]
[]
["食事","○状態に応じて食事がとれます。",null,null,null,"○自分でまたは介助で食事がとれます。"]
[null,"○状態によって鼻から管を入れて\n　栄養をとることもあります。　　☆栄養指導があります。",null,null,null,null,null,"☆栄養指導があります。",null,null,"☆栄養指導があります。"]
[null,null,null,null,null,"○嚥下訓練",null,null,null,null,"○食事運動療法の指導もあります。"]
["清潔","○状態に応じて身体を清潔に保ちます。"]
[null,"○入浴できない場合は看護師が身体を拭きます。",null,null,null,"○介助ままたは自分でお風呂やシャワーが入れるようにします。"]
[null,"○介助でシャワーが入れるようにします。"]
["排泄","○ベッド上で過ごす間は",null,"○状態に応じてベッド脇や",null,"○状態に応じてベッド脇や"]
[null,"　ベッド上で排泄します。",null,"　トイレで排泄できます。",null,"　トイレで排泄ができるようにします。"]
[]
["説明・指導","☆医師から病気と入院中の",null,null,"　☆転院の準備に","☆医師から入院中の治療計画",null,"        ☆退院後の生活について説明があります。",null,null,"☆今後の治療についてかかりつけ医から"]
[null,"　治療計画について説明があります。",null,null,"  　ついて説明が","　について説明があります。",null,"        ☆ケアマネージャーと必要なサービスを",null,null,"　説明があります。"]
[null,"☆看護師から入院生活について説明があります。",null,null,"　　あります。","☆介護保険の説明があります。",null,"          相談します。",null,null,"☆ケアマネージャーと必要なサービスを相談します。"]
[null,"＊この計画はめやすであり、病状によって変更になることもあります。"]

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[null,"ひろしま脳卒中地域連携パス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発症前情報",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver.2-3（2017.10.）"]
[null,null,"基本情報",null,null,null,null,null,"（入院3日以内に必要な退院困難な要因を有する患者の抽出時に記入してください）"]
[null,"患 者 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"性別",null,null,null,null,"男",null,null,null,"女"]
[]
[null,"生年月日",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,null,null,"月",null,null,null,null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歳"]
[]
[null,"患者住所",null,null,null,null,null,"〒"]
[]
[]
[null,"電話番号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"緊急連絡先"]
[]
[null,"キーパーソン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主たる介護者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"続柄"]
[]
[null,"家族構成",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活場所"]
[null,null,null,null,null,null,null,null,null,null,null,"■",null,null,null,null,"◎"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"□",null,null,null,null,"○"]
[null,"かかりつけ医",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ケアマネ"]
[]
[null,"診 断 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"発 症 日"]
[]
[null,"手 術 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手 術 日"]
[]
[]
[null,null,"保険情報",null,null,null,null,null,"（入院時点での保険情報です）"]
[null,"健康保険",null,null,null,null,null,null,null,"組合健保",null,null,null,null,null,null,null,"協会けんぽ",null,null,null,null,null,null,null,null,"国民健康保険",null,null,null,null,null,null,null,null,null,"後期高齢者",null,null,null,null,null,null,null,null,"その他",null,null,null,"(",null,null,null,null,null,null,null,")"]
[]
[null,"介護保険",null,null,null,null,null,null,null,"無",null,null,null,null,null,null,null,"未申請",null,null,null,null,null,null,null,null,"申請中"]
[]
[null,null,null,null,null,null,null,null,null,"有",null,null,null,null,null,null,null,"要支援1",null,null,null,null,null,null,null,null,"要支援2",null,null,null,null,null,null,null,"要介護1",null,null,null,null,null,null,null,"要介護2",null,null,null,null,null,null,null,"要介護3"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"要介護4",null,null,null,null,null,null,null,null,"要介護5",null,null,null,null,null,"有効期間",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,")"]
[]
[null,"障害者手帳",null,null,null,null,null,null,null,"無",null,null,null,null,null,"有",null,"種類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"級",null,"交付日",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,"）",null,null,null,null,null,null,"種類"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(発症前情報種類 <> \"\", BM35, \"\")","v":""},1]
[null,null,"発症前の状態",null,null,null,null,null,null,"（入院時評価の際に記入してください。黄色部分は看護必要度評価のB項目と同様です）"]
[null,"身長",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㎝",null,"体重",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㎏",null,"発症前ｍRS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BJ37&\"：全く症候がない\"","v":"0：全く症候がない"},0,null,"mRS"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BJ38&\"：症候はあっても明らかな障害はない\"","v":"1：症候はあっても明らかな障害はない"},1,null,{"$f":"IF(発症前情報発症前mRS <> \"\", BM38, \"\")","v":""},6]
[null,"家庭での役割",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"職業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BJ39&\"：軽度の障害\"","v":"2：軽度の障害"},2]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BJ40&\"：中等度の障害\"","v":"3：中等度の障害"},3]
[null,"認知症",null,null,null,null,null,null,null,"ない",null,null,"ある",null,null,"(",null,null,")",null,null,"不明",null,null,"診療･療養上\n指示が通じる",null,null,null,null,null,null,null,null,"はい",null,null,null,null,"いいえ",null,null,null,"危険行為",null,null,null,null,null,null,"ない",null,null,null,null,"ある",null,null,null,null,null,{"$f":"BJ41&\"：中等度から重度の障害\"","v":"4：中等度から重度の障害"},4]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"BJ42&\"：重度の障害\"","v":"5：重度の障害"},5]
[null,"寝返り",null,null,null,null,null,null,null,"できる",null,null,null,null,null,"何かにつかまればできる",null,null,null,null,null,null,null,null,null,null,null,null,"できない",null,null,null,null,"移乗",null,null,null,null,null,null,"介助なし",null,null,null,null,null,null,"一部介助",null,null,null,null,null,null,"全介助",null,null,null,null,null,{"$f":"BJ43&\"：死亡\"","v":"6：死亡"},6]
[]
[null,"口腔清潔",null,null,null,null,null,null,null,"介助なし",null,null,null,null,null,null,"介助あり",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事摂取",null,null,null,null,null,null,"介助なし",null,null,null,null,null,null,"一部介助",null,null,null,null,null,null,"全介助"]
[]
[null,"衣服の着脱",null,null,null,null,null,null,null,"介助なし",null,null,null,null,null,null,"一部介助",null,null,null,null,null,null,null,"全介助",null,null,null,null,null,null,null,null,"排泄",null,null,null,null,null,null,"介助なし",null,null,null,null,null,null,"一部介助",null,null,null,null,null,null,"全介助"]
[]
[null,"移動能力",null,null,null,null,null,"歩行",null,null,null,null,null,"できる",null,null,null,"（",null,null,null,"杖なし",null,null,null,null,null,"杖あり",null,null,null,null,null,"歩行器",null,null,null,"）",null,null,null,"手引き等の介助を要す",null,null,null,null,null,null,null,null,null,null,null,"できない"]
[]
[null,null,null,null,null,null,null,"車椅子",null,null,null,null,null,"自走",null,null,null,null,"介助"]
[]
[null,"飲酒",null,null,null,null,null,null,null,"無",null,null,null,"有",null,"（",null,null,null,"機会飲酒",null,null,null,null,null,"毎日",null,null,"）",null,"喫煙",null,null,null,null,null,null,"無",null,null,null,"有",null,"（",null,null,null,"機会喫煙",null,null,null,null,null,"毎日",null,null,"）"]
[]
[null,"感染症・\nアレルギー"]
[]
[null,"既往歴・\n基礎疾患"]
[]
[]
[null,null,null,"＊",null,"退院困難な要因とは、以下のものである。"]
[null,null,null,null,null,"ア 悪性腫瘍、認知症又は誤嚥性肺炎等の急性呼吸器感染症のいずれかであること"]
[null,null,null,null,null,"イ 緊急入院であること"]
[null,null,null,null,null,"ウ 要介護認定が未申請であること（特定疾病を有する40歳以上65歳未満の者及び65歳以上の者に限る。）"]
[null,null,null,null,null,"エ 入院前に比べADLが低下し、退院後の生活様式の再編が必要であること（必要と推測されること。）"]
[null,null,null,null,null,"オ 排泄に介助を要すること"]
[null,null,null,null,null,"カ 同居者の有無に関わらず、必要な介護を十分に提供できる状況にないこと"]
[null,null,null,null,null,"キ 退院後に医療処置（胃瘻等の経管栄養法を含む。）が必要なこと"]
[null,null,null,null,null,"ク 入退院を繰り返していること"]
[null,null,null,null,null,"ケ その他患者の状況から判断してアからクまでに準ずると認められる場合"]

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[null,"ひろしま脳卒中地域連携パス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"急性期",null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver.2-3（2017.10.）"]
[null,"急性期退院時に作成して連携先にお渡しください"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　　急性期　（施設名:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院支援加算1",null,null,null,null,null,null,null,"退院支援加算2",null,null,null,null,null,null,null,"無"]
[null,"　入院日 / 退院日",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　主治医 / 看護師",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　PT / OT / ST",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　MSW / ｹｱﾏﾈ-ｼﾞｬ-",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　地域包括支援センター",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　介護福祉士等",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　診 断　\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,null,"脳梗塞",null,null,null,"脳出血",null,null,null,"くも膜下出血",null,null,null,null,null,null,null,"手術",null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"褥瘡",null,"(",null,null,null,null,null,null,null,null,null,null,null,"）",null,"高血圧",null,null,null,null,null,"糖尿病",null,null,null,null,"脂質異常症",null,null,null,null,null,"心房細動"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　治療の継続　\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,null,"抗血小板薬",null,null,null,null,null,"抗凝固薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胃管管理",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,"胃ろう管理",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"気管切開管理",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）",null,null,"その他",null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　重症度と目標\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,"入院時：JCS",null,null,null,null,null,"（",null,null,"）","NIHSS",null,null,"（",null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"退院後の方向性",null,null,null,null,null,null,"（",null,"自宅退院",null,null,null,null,"回復期リハ",null,null,null,null,null,"施設",null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"予後に関する説明内容",null,null,null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目標"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ベッド上",null,null,null,"介助",null,null,null,"自走",null,null,null,"介助補助",null,null,null,"杖歩行",null,null,null,"独歩",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢","下肢","手指"]
[null,"  障害評価\n　（リハビリ）",null,null,null,null,null,null,null,null,null,null,null,"開始時：Br.stage",null,null,null,null,null,null,null,"上肢",null,"（",null,null,null,null,null,")","下肢",null,"（",null,null,null,null,null,")","手指",null,"（",null,null,null,null,null,")",null,null,null,null,{"$f":"IF(急性期BrStage上肢 <> \"\",SUBSTITUTE(急性期BrStage上肢, \"stage \", \"\") & \"U\",\"\")","v":""},{"$f":"IF(急性期BrStage下肢 <> \"\",SUBSTITUTE(急性期BrStage下肢, \"stage \", \"\") & \"L\",\"\")","v":""},{"$f":"IF(急性期BrStage手指 <> \"\",SUBSTITUTE(急性期BrStage手指, \"stage \", \"\") & \"F\",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時知覚障害",null,null,null,null,null,null,"（",null,null,null,null,null,null,null,"）",null,"退院時失調・不随意運動など",null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"言語障害",null,null,null,null,"構音障害",null,null,null,null,"失語",null,"（種類:",null,null,null,null,null,null,null,null,"）"]
[null,"　高次脳機能評価\n　（リハビリ）",null,null,null,null,null,null,null,null,null,null,null,"退院時HDS-R、MMSE",null,null,null,null,null,null,null,null,"失行",null,null,null,"失認",null,null,null,"具体的な障害内容："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション："]
[null,"　ADL評価\n  （しているADL）\n  （リハビリ）",null,null,null,null,null,null,null,null,null,null,null,null,"退院時FIM",null,null,null,null,"（",null,null,null,"/126）",null,null,"：","運動FIM",null,null,null,"（",null,null,"）",null,"認知FIM",null,null,null,"（",null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ADL動作上の留意点（急性期から直接生活期へ移行する場合は急性期が記載）："]
[]
[null,"　座位（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"車椅子　",null,null,null,null,"リクライニングなら可能",null,null,null,null,null,null,null,null,null,null,"できない"]
[null,"　立位（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"手すりがあれば自立",null,null,null,null,null,null,null,null,null,"一部介助",null,null,null,null,null,"できない"]
[null,"　食事（看護）",null,null,null,null,null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,"有","（",null,null,null,null,null,"）",null,"無",null,null,"退院時栄養経路（介助内容）",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,")"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事形態・治療食内容",null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"セッティングのみ",null,null,null,null,null,null,null,null,"全介助",null,null,null,"体重",null,null,"（",null,null,null,null,"kg）"]
[null,"　口腔ケア（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"義歯",null,null,"（",null,"無",null,null,"部分義歯",null,null,null,null,null,"総義歯",null,null,"）"]
[null,"　入浴（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"一般浴",null,null,null,"シャワー浴",null,null,null,null,null,"機械浴",null,null,null,"清拭(週",null,null,null,"回)"]
[null,"　更衣（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助"]
[null,"　コミュニケーション\n　(看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"簡単なことのみ",null,null,null,null,null,null,null,"できない",null,null,null,null,"意識障害",null,null,null,"（",null,null,"有",null,null,"無 ）"]
[]
[null,"　視力（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"見えにくい",null,null,null,null,null,null,"ほとんど見えない",null,null,null,null,null,null,null,null,null,"不明",null,null,null,"眼鏡",null,null,"（",null,"有",null,"無","）"]
[null,"　聴力（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"聞こえにくい",null,null,null,null,null,null,"ほとんど聞こえない",null,null,null,null,null,null,null,null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補聴器",null,null,"（",null,"有",null,"無","）",null,null,null,"部位",null,null,"（",null,"右",null,"左",null,"両方 ）"]
[null,"周辺症状(BPSD)(看護)　　　",null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,"多動",null,null,null,"徘徊",null,null,null,"介護拒否",null,null,null,null,"暴言",null,null,null,"暴行",null,null,null,"妄想",null,null,null,"見当識障害"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,"）"]
[null,"　夜間の状態（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"良眠",null,null,null,"不眠",null,null,null,"不穏",null,null,null,"眠剤の服用",null,null,null,null,"（",null,"有","（",null,null,null,null,"）",null,"無","）"]
[null,"　内服管理（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自己管理",null,null,null,null,"看護師管理",null,null,null,null,null,null,"内服介助",null,null,null,"（",null,"要",null,"不要",null,"）"]
[null,"　排泄（看護）",null,null,null,null,null,null,null,null,null,null,null,"尿意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）",null,"便意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"トイレ",null,null,null,"Ｐトイレ",null,null,null,null,"紙パンツ",null,null,null,null,"オムツ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"留置カテーテル（　fr　最終交換日）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ストーマ",null,null,null,null,"自立",null,null,null,"介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"最終排便日",null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,"　移動（看護）",null,null,null,null,null,null,null,null,null,null,null,"退院時",null,null,"：","歩行",null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"手引き",null,null,null,"杖",null,null,"歩行器"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車椅子",null,null,null,null,"自走",null,null,null,"全介助",null,null,null,"ストレッチャー",null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,"）"]
[null,"　日常生活機能評価\n　合計点",null,null,null,null,null,null,null,null,null,null,"退院時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,"/19）"]
[null,"　主治医自由記載欄"]
[]
[]
[]
[null,"　リハビリ自由記載欄"]
[]
[]
[]
[null,"　看護自由記載欄"]
[]
[]
[]
[null,"　備考"]

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[null,"ひろしま脳卒中地域連携パス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回復期",null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver.2-3（2017.10.）"]
[null,"回復期退院時に作成して急性期と生活期の連携先にお渡しください"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　　回復期　（施設名:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院支援加算1",null,null,null,null,null,null,null,"退院支援加算2",null,null,null,null,null,null,null,"無"]
[null,"　入院日 / 退院日",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　主治医 / 看護師",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　PT / OT / ST",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　MSW / ｹｱﾏﾈ-ｼﾞｬ-",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　地域包括支援センター",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　介護福祉士等",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　診 断　\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,"脳卒中の重症度変化",null,null,null,null,null,null,null,null,null,"有",null,"無",null,null,"褥瘡",null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,"高血圧"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,null,null,null,"脂質異常症",null,null,null,null,null,"心房細動",null,null,null,null,"その他合併症（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　治療の継続　\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,null,"抗血小板薬",null,null,null,null,null,"抗凝固薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胃管管理",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,"胃ろう管理",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"気管切開管理（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）",null,"その他",null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　重症度と目標\n　（主治医）",null,null,null,null,null,null,null,null,null,null,null,"入院時：JCS",null,null,null,null,null,"（",null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"本人の望む生活",null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の望む生活",null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"本人のリハ希望",null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"家族のリハ希望",null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"リハからみたゴール",null,null,null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（急性期から自宅退院の場合は急性期が記載）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目標"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ベッド上",null,null,null,"介助",null,null,null,"自走",null,null,null,"介助補助",null,null,null,"杖歩行",null,null,null,"独歩",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"上肢","下肢","手指"]
[null,"  障害評価\n　（リハビリ）",null,null,null,null,null,null,null,null,null,null,null,null,"入院時：Br.stage",null,null,null,null,null,null,null,"上肢",null,null,"（",null,null,null,null,"）","下肢",null,"（",null,null,null,null,"）","手指 ",null,null,"(",null,null,null,null,"）",null,null,null,null,{"$f":"IF(回復期BrStage上肢 <> \"\",SUBSTITUTE(回復期BrStage上肢, \"stage \", \"\") & \"U\",\"\")","v":""},{"$f":"IF(回復期BrStage下肢 <> \"\",SUBSTITUTE(回復期BrStage下肢, \"stage \", \"\") & \"L\",\"\")","v":""},{"$f":"IF(回復期BrStage手指 <> \"\",SUBSTITUTE(回復期BrStage手指, \"stage \", \"\") & \"F\",\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時知覚障害（",null,null,null,null,null,null,null,null,null,null,null,null,"）",null,"退院時失調・不随意運動など（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"言語障害",null,null,null,null,"構音障害",null,null,null,null,"失語",null,null,"（種類:",null,null,null,null,null,null,null,"）"]
[null,"　高次脳機能評価\n　（リハビリ）",null,null,null,null,null,null,null,null,null,null,null,"退院時HDS-R、MMSE",null,null,null,null,null,null,null,null,"失行",null,null,null,"失認",null,null,"具体的な障害内容："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コミュニケーション："]
[null,"　ADL評価\n   (しているADL)\n　（リハビリ）",null,null,null,null,null,null,null,null,null,null,null,null,"入院時FIM",null,null,null,null,"（",null,null,null,"/126）",null,null,"：","運動FIM",null,null,null,"（",null,null,"）",null,"認知FIM",null,null,null,"（",null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時FIM",null,null,null,null,"（",null,null,null,"/126）",null,null,"：","運動FIM",null,null,null,"（",null,null,"）",null,"認知FIM",null,null,null,"（",null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時障害高齢者の日常生活自立度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院時認知症高齢者の日常生活自立度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　座位（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"車椅子　",null,null,null,null,"リクライニングなら可能",null,null,null,null,null,null,null,null,null,null,"できない"]
[null,"　立位（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"手すりがあれば自立",null,null,null,null,null,null,null,null,null,"一部介助",null,null,null,null,null,"できない"]
[null,"　食事（看護）",null,null,null,null,null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,"有","（",null,null,null,null,null,"）",null,"無",null,null,"退院時栄養経路（介助内容）",null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事形態・治療食内容",null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"セッティングのみ",null,null,null,null,null,null,null,null,"全介助",null,null,null,"体重",null,null,"（",null,null,null,"kg）"]
[null,"　口腔ケア（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"義歯",null,null,"（",null,"無",null,null,"部分義歯",null,null,null,null,null,"総義歯",null,null,"）"]
[null,"　入浴（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"一般浴",null,null,null,"シャワー浴",null,null,null,null,null,"機械浴",null,null,null,"清拭(週",null,null,null,"回）"]
[null,"　更衣（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助"]
[null,"　コミュニケーション\n　(看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"簡単なことのみ",null,null,null,null,null,null,null,"できない",null,null,null,null,"意識障害",null,null,null,"（",null,null,"有",null,"（","無 ）"]
[]
[null,"　視力（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"見えにくい",null,null,null,null,null,null,"ほとんど見えない",null,null,null,null,null,null,null,null,null,"不明",null,null,null,"眼鏡",null,null,"（",null,"有",null,"無","）"]
[null,"　聴力（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"聞こえにくい",null,null,null,null,null,null,"ほとんど聞こえない",null,null,null,null,null,null,null,null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補聴器",null,null,"（",null,"有",null,"無","）",null,null,null,"部位",null,null,"（",null,"右",null,"左",null,"両方 ）"]
[null,"周辺症状(BPSD)(看護)　　　",null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,"多動",null,null,null,"徘徊",null,null,null,"介護拒否",null,null,null,null,"暴言",null,null,null,"暴行",null,null,null,"妄想",null,null,null,"見当識障害"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　夜間の状態（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"良眠",null,null,null,"不眠",null,null,null,"不穏",null,null,null,"眠剤の服用",null,null,null,null,"（",null,"有","（",null,null,null,null,"）",null,"無","）"]
[null,"　内服管理（看護）",null,null,null,null,null,null,null,null,null,null,null,null,"自己管理",null,null,null,null,"看護師管理",null,null,null,null,null,null,"内服介助",null,null,null,"（",null,"要",null,"不要）"]
[null,"　排泄（看護）",null,null,null,null,null,null,null,null,null,null,null,"尿意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）",null,"便意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"トイレ",null,null,null,"Ｐトイレ",null,null,null,null,"紙パンツ",null,null,null,null,"オムツ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"留置カテーテル（　fr　最終交換日）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ストーマ",null,null,null,null,"自立",null,null,null,"介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"最終排便日",null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,"　移動（看護）",null,null,null,null,null,null,null,null,null,null,null,"退院時",null,null,"：","歩行",null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"手引き",null,null,null,"杖",null,null,"歩行器"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車椅子",null,null,null,null,"自走",null,null,null,"全介助",null,null,null,"ストレッチャー",null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,"）"]
[null,"　日常生活機能評価\n　合計点",null,null,null,null,null,null,null,null,null,null,"運用によりタイミングを検討"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,"/19）"]
[null,"　主治医自由記載欄"]
[]
[]
[]
[null,"　リハビリ自由記載欄"]
[]
[]
[]
[null,"　看護自由記載欄"]
[]
[]
[]
[null,"　備考"]

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[null,"ひろしま脳卒中地域連携パス",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"生活期",null,null,null,null,null,null,null,null,null,null,null,null,null,"Ver.2-3（2017.10.）"]
[null,"生活期で落着いた３ヶ月を目処に記入して急性期病院へ返送してください"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　　生活期　（施設名:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"退院支援加算1",null,null,null,null,null,null,null,"退院支援加算2",null,null,null,null,null,null,null,"無"]
[null,"　開始日 / 最終報告日",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　主治医 / 看護師",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　PT / OT / ST",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　MSW / ｹｱﾏﾈ-ｼﾞｬ-",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"/",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　地域包括支援センター",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　介護福祉士等",null,null,null,null,null,null,null,null,null,null,null,"(",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　診 断",null,null,null,null,null,null,null,null,null,null,null,"脳卒中の重症度変化",null,null,null,null,null,null,null,null,null,"有",null,"無",null,null,"褥瘡",null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,")",null,"高血圧"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"糖尿病",null,null,null,null,"脂質異常症",null,null,null,null,null,"心房細動",null,null,null,null,"その他合併症",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　治療の継続　",null,null,null,null,null,null,null,null,null,null,null,null,"抗血小板薬",null,null,null,null,null,"抗凝固薬"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"胃管管理",null,null,null,"（",null,null,null,null,null,null,null,null,null,null,"）",null,"胃ろう管理",null,null,null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"気管切開管理",null,null,null,null,null,"（",null,null,null,null,null,null,null,null,null,"）",null,"その他",null,null,"（",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,"　重症度と目標",null,null,null,null,null,null,null,null,null,null,null,"自宅生活での目標",null,null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"本人の望む生活",null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"家族の望む生活",null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"本人のリハ希望",null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"家族のリハ希望",null,null,null,null,null,"："]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現状"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"目標"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ベッド上",null,null,null,"介助",null,null,null,"自走",null,null,null,"介助補助",null,null,null,"杖歩行",null,null,null,"独歩"]
[null,"最終報告時評価からみた\n留意点"]
[]
[]
[null,"  障害・ＡＤＬ総合評価",null,null,null,null,null,null,null,null,null,null,"　福祉用具の使用状況等："]
[]
[null,"　（評価は生活期３ヶ月時点）"]
[]
[]
[]
[null,"　座位",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"車椅子　",null,null,null,null,"リクライニングなら可能",null,null,null,null,null,null,null,null,null,null,"できない"]
[null,"　立位",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"手すりがあれば自立",null,null,null,null,null,null,null,null,null,"一部介助",null,null,null,null,null,"できない"]
[null,"　食事",null,null,null,null,null,null,null,null,null,null,null,"嚥下障害",null,null,null,null,"有","（",null,null,null,null,null,"）",null,"無",null,null,"最終報告時栄養経路（介助内容）",null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"食事形態・治療食内容",null,null,null,null,null,null,null,null,"（",null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"セッティングのみ",null,null,null,null,null,null,null,null,"全介助",null,null,null,"体重",null,null,"（",null,null,null,null,"kg）"]
[null,"　口腔ケア",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"義歯",null,null,"（",null,"無",null,null,"部分義歯",null,null,null,null,null,"総義歯",null,null,"）"]
[null,"　入浴",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"一般浴",null,null,null,"シャワー浴",null,null,null,null,null,"機械浴",null,null,null,"清拭(週",null,null,null,"回)"]
[null,"　更衣",null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助"]
[null,"　コミュニケーション",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"簡単なことのみ",null,null,null,null,null,null,null,"できない",null,null,null,null,"意識障害",null,null,null,"（",null,null,"有",null,null,"無 ）"]
[]
[null,"　視力",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"見えにくい",null,null,null,null,null,null,"ほとんど見えない",null,null,null,null,null,null,null,null,null,"不明",null,null,"眼鏡",null,null,"（",null,"有",null,"無","）"]
[null,"　聴力",null,null,null,null,null,null,null,null,null,null,null,null,"問題なし",null,null,null,null,"聞こえにくい",null,null,null,null,null,null,"ほとんど聞こえない",null,null,null,null,null,null,null,null,null,"不明"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"補聴器",null,null,"（",null,"有",null,"無","）",null,null,null,"部位",null,null,"（",null,"右",null,"左",null,"両方",null,"）"]
[null,"　周辺症状(BPSD)　　　",null,null,null,null,null,null,null,null,null,null,null,null,"無",null,null,"多動",null,null,null,"徘徊",null,null,null,"介護拒否",null,null,null,null,"暴言",null,null,null,"暴行",null,null,null,"妄想",null,null,null,"見当識障害"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,null,null,null,null,null,"）"]
[null,"　夜間の状態",null,null,null,null,null,null,null,null,null,null,null,null,"良眠",null,null,null,"不眠",null,null,null,"不穏",null,null,null,"眠剤の服用",null,null,null,null,"（",null,"有","（",null,null,null,null,"）",null,"無","）"]
[null,"　内服管理",null,null,null,null,null,null,null,null,null,null,null,null,"自己管理",null,null,null,null,"看護師管理",null,null,null,null,null,"ヘルパー",null,null,null,null,"家族",null,null,null,"内服介助",null,null,null,"（",null,"要",null,"不要",null,"）"]
[null,"　排泄",null,null,null,null,null,null,null,null,null,null,null,"尿意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）",null,"便意",null,null,null,"有",null,"無","（","失禁",null,null,"有",null,"無","）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自立",null,null,null,"見守り",null,null,null,"一部介助",null,null,null,null,"全介助",null,null,null,"トイレ",null,null,null,"Ｐトイレ",null,null,null,null,"紙パンツ",null,null,null,null,"オムツ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"留置カテーテル（　fr　最終交換日）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ストーマ",null,null,null,null,"自立",null,null,null,"介助"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"最終排便日",null,null,null,null,"（",null,null,null,null,null,null,"）"]
[null,"　移動",null,null,null,null,null,null,null,null,null,null,null,"歩行",null,null,null,"自立",null,null,"見守り",null,null,null,"手引き",null,null,null,"杖",null,"歩行器"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"車椅子",null,null,null,"自走",null,null,"全介助",null,null,null,"ストレッチャー",null,null,null,null,null,null,null,"その他",null,null,"（",null,null,null,null,null,null,null,null,"）"]
[null,"　日常生活機能評価\n　合計点",null,null,null,null,null,null,null,null,null,null,"開始時",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"最終報告時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,"/19）",null,null,null,null,null,null,null,null,null,null,null,null,null,"(",null,null,"/19）"]
[null,"　治療関連自由記載欄"]
[]
[]
[]
[null,"　自由記載欄"]
[]
[]
[]
[null,"　自由記載欄"]
[]
[]
[]
[null,"　備考"]

{"sheet":"DataSheet5","index":5,"n_rows":62,"n_cols":15,"rows_kept":62,"cut":false,"hidden":true,"merged":[]}
[null,null,"急性期",null,null,null,"回復期",null,null,null,"生活期",null,null,"家族構成"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,1,"ああああ"]
[]
[null,null,"NIHSS","退","入"]
[null,null,"入院フラグ",0,1]
["K5001",null,"意識水準"]
["K5002",null,"意識障害"]
["K5003",null,"意識障害"]
["K5004",null,"注視"]
["K5005",null,"視野"]
["K5006",null,"顔面麻痺"]
["K5007",null,"上肢運動（右）"]
["K5008",null,"上肢運動（左）"]
["K5009",null,"下肢運動（右）"]
["K5010",null,"下肢運動（左）"]
["K5011",null,"運動失調"]
["K5012",null,"感覚"]
["K5013",null,"言語"]
["K5014",null,"構音"]
["K5015",null,"消去現象と注意障害"]
[null,null,"合計",{"$f":"SUM(D6:D20)","v":0},{"$f":"SUM(E6:E20)","v":0}]
[]
[null,null,"FIM","退","入",null,"FIM","退","入"]
[null,null,"入院フラグ",0,1,null,"入院フラグ",0,1]
[1,null,"食事",null,null,null,"食事"]
[2,null,"整容",null,null,null,"整容"]
[3,null,"清拭",null,null,null,"清拭"]
[4,null,"更衣　上半身",null,null,null,"更衣　上半身"]
[5,null,"更衣　下半身",null,null,null,"更衣　下半身"]
[6,null,"トイレ動作",null,null,null,"トイレ動作"]
[7,null,"排尿コントロール",null,null,null,"排尿コントロール"]
[8,null,"排便コントロール",null,null,null,"排便コントロール"]
[9,null,"ベッド、椅子、車椅子",null,null,null,"ベッド、椅子、車椅子"]
[10,null,"トイレ",null,null,null,"トイレ"]
[11,null,"浴槽、シャワー",null,null,null,"浴槽、シャワー"]
[12,null,"歩行、車椅子",null,null,null,"歩行、車椅子"]
[13,null,"階段",null,null,null,"階段"]
[14,null,"理解（聴覚・視覚）",null,null,null,"理解（聴覚・視覚）"]
[15,null,"表出（音声・非音声）",null,null,null,"表出（音声・非音声）"]
[16,null,"社会的交流",null,null,null,"社会的交流"]
[17,null,"問題解決",null,null,null,"問題解決"]
[18,null,"記憶",null,null,null,"記憶"]
[null,null,"運動FIM",null,null,null,"運動FIM"]
[null,null,"認知FIM",null,null,null,"認知FIM"]
[null,null,"合計FIM",null,null,null,"合計FIM"]
[]
[null,null,"日常生活機能評価","退","入",null,"日常生活機能評価","退","入",null,"日常生活機能評価","退","入"]
[null,null,"入院フラグ",0,1,null,"入院フラグ",0,1,null,"入院フラグ",0,1]
["K8001",null,"床上安静の指示",null,null,null,"床上安静の指示",null,null,null,"床上安静の指示"]
["K8002",null,"手を胸元まで持ち上げられる",null,null,null,"手を胸元まで持ち上げられる",null,null,null,"手を胸元まで持ち上げられる"]
["K8003",null,"寝返り",null,null,null,"寝返り",null,null,null,"寝返り"]
["K8004",null,"起き上がり",null,null,null,"起き上がり",null,null,null,"起き上がり"]
["K8005",null,"坐位保持",null,null,null,"坐位保持",null,null,null,"坐位保持"]
["K8006",null,"移乗",null,null,null,"移乗",null,null,null,"移乗"]
["K8007",null,"移動方法",null,null,null,"移動方法",null,null,null,"移動方法"]
["K8008",null,"口腔ケア",null,null,null,"口腔ケア",null,null,null,"口腔ケア"]
["K8009",null,"食事摂取",null,null,null,"食事摂取",null,null,null,"食事摂取"]
["K8010",null,"衣服着脱",null,null,null,"衣服着脱",null,null,null,"衣服着脱"]
["K8011",null,"伝達",null,null,null,"伝達",null,null,null,"伝達"]
["K8012",null,"診療・療養上の指示が通じる",null,null,null,"診療・療養上の指示が通じる",null,null,null,"診療・療養上の指示が通じる"]
["K8013",null,"危険行動",null,null,null,"危険行動",null,null,null,"危険行動"]
[null,null,"合計",{"$f":"SUM(D49:D61)","v":0},{"$f":"SUM(E49:E61)","v":0},null,"合計",{"$f":"SUM(H49:H61)","v":0},{"$f":"SUM(I49:I61)","v":0},null,"合計",{"$f":"SUM(L49:L61)","v":0},{"$f":"SUM(M49:M61)","v":0}]