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意思伝達装置の種類と選択
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Hiroyuki Mabuchi
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重度障害者用意思伝達装置の構成、種類とその選択、導入に活用できる制度を知る
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意思伝達装置の種類と選択
1.
意思伝達装置の種類と選択 馬渕広行 mabuchi@comil.jp 福祉支援サービスコミル
2.
概要 構成と種類 選択の基準 制度
3.
構成と種類 本体 入力装置(スイッチ) 入力装置固定具 固定台 呼鈴 呼び鈴分岐装置 遠隔制御装置
4.
構成と種類>本体 ファイン・チャット 伝の心 TCスキャン オペレートナビ Orihimeeye+Swich,eeyes,Miyasuku… 生体現象方式 新心語り Cyin
5.
構成と種類>本体>ファイン・チャット 利点 操作が容易 専用機で壊れにくい 欠点 複雑なことはできない
6.
構成と種類>本体>伝の心 利点 メール、LINEができる ユーザーが多く情報が多い 欠点 保守にパソコンの知識が必要 視線入力はできるが容易ではない
7.
構成と種類>本体>TCスキャン 利点 メール、LINEができる ブラウザ操作が容易にできる工夫 視線入力の文字盤が豊富 欠点 保守にパソコンの知識が必要
8.
構成と種類>本体>オペレートナビ 利点 Windowsでできるほとんどのことができる 欠点 使用者にWindowsの基本的な知識が必要
9.
選択の基準>本体 使用者のニーズにより選択
10.
構成と種類 入力装置 接点式 帯電式 空気圧式 圧電素子式 生体反応式 視線検出式
11.
構成と種類>入力装置>接点式 一般的な押しボタンやレバーなどのスイッチ
12.
構成と種類>入力装置>帯電式 タッチスイッチ 押す力が不要
13.
構成と種類>入力装置>筋電式 筋電を検知
14.
構成と種類>入力装置>空気圧式 風船状の操作部を押す
15.
構成と種類>入力装置>圧電素子式 歪みを検知するピエゾセンサーを身体に貼る 非常に微細な動きを検知できる
16.
構成と種類>入力装置>視線検出式
17.
構成と種類>本体>生体現象方式 脳波 脳血流
18.
構成と種類>入力装置固定具
19.
選択の基準>入力装置,入力装置固定具 本体と入力装置,入力装置固定具は明確に分けて選択する 本人の操作部位(随意的可動部位)、動作、筋力、肢位により決める 視線入力は万能ではない
20.
構成と種類 固定台
21.
構成と種類 呼び鈴,呼び鈴分岐装置
22.
構成と種類 遠隔制御装置
23.
制度 補装具費支給制度 日常生活用具給付制度 ともに障害者福祉の制度 各自治体の障害福祉課相当の部署で申請 自己負担額は、 自治体の定める自己負担額(0~37,200円)+限度額を超過した額
24.
制度 補装具費支給制度 以下いずれかの条件に該当する場合 四肢機能の全廃および言語機能の喪失(3級) 指定難病 潤沢な限度額と導入後の修理も補助 面談による判定あり
25.
制度 補装具費支給制度>本体 以下よりいずれかひとつ 項目 基本構造 限度額 文字等走査入力方式
簡易なもの 143,000 簡易な環境制御機能が付加 191,000 高度な環境制御機能が付加 450,000 通信機能が付加 450,000 生体現象 450,000
26.
制度 補装具費支給制度>入力装置(1) 原則としていずれかひとつの入力装置 項目 限度額 接点式入力装置 10,000 帯電式入力装置
40,000 筋電式入力装置 80,000 光電式入力装置 50,000 呼気吸気式入力装置 35,000
27.
制度 補装具費支給制度>入力装置(2) 原則としていずれかひとつの入力装置 項目 限度額 圧電素子式入力装置 40,000 空気圧式入力装置
40,000 視線検出式入力装置 180,000
28.
制度 補装具費支給制度>付属品 必要に応じて各1 固定台はいすれかよりひとつ 項目 限度額 固定台(アーム式又はテーブル置き式) 30,000 固定台(自立スタンド式)
50,820 入力装置固定具 30,000 呼び鈴 20,000 呼び鈴分岐装置 33,600 遠隔制御装置 21,000
29.
制度 日常生活用具給付制度 パソコンの入出力機器、ソフトウェアの購入を補助する パソコン本体は含まない 修理は補助しない タブレット端末を含むか否かは自治体により判断が異なる 限度額10万円
30.
まとめ 構成と種類 本体 入力装置 付属品(固定台,呼鈴,呼び鈴分岐装置,遠隔制御装置) 本体と入力装置は明確に分けて検討する 選択の基準 本体は使用者のニーズによる 入力装置,入力装置固定具は使用者の身体状況による 制度 補装具費支給制度と日常生活用具給付制度
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