@article{oai:phoenix.repo.nii.ac.jp:00000707,
 author = {中山, 翼 and 藤原, 雅子 and 今給黎, 禎子 and 飯干, 紀代子 and 原, 修一 and 山田, 弘幸 and 倉内, 紀子 and Kurauchi, Noriko and 笠井, 新一郎 and ナカヤマ, ツバサ and フジワラ, マサコ and イマキイレ, テイコ and イイボシ, キヨコ and ハラ, シュウイチ and ヤマダ, ヒロユキ and クラウチ, ノリコ and カサイ, シンイチロウ and NAKAYAMA, Tsubasa and FUJIWARA, Masako and IMAKIIRE, Teiko and IIBOSHI, Kiyoko and HARA, Shuichi and YAMADA, Hiroyuki and KURAUCHI, Noriko and KASAI, Shinichiro},
 journal = {九州保健福祉大学研究紀要, Journal of Kyushu University of Health and Welfare},
 month = {Mar},
 note = {P(論文), Some previous studies have reported on the use of "HELLO", a consultation system provided to outpatients in our speech therapy department, and resulted in system improvements When our consultation system first began, most or our users were children with speech and hearing impairments from the Nobeoka area. However, in recent years adult users of the system have increases. One reason for this increase may be due to the Revision of Medical Repayment Standards in April 2006. Under this new standard, adult patients can no longer receive continuing training from medical institutions. In this paper, we report on the process and results of clinical training (articulation and swallowing training) that we provide for an adult patient with tongue cancer, who had undergone a bilateral neck dissection. Because this patient wished to communicate with many people, students from our department participated in articulation training. Also, a speech therapist from our department provided swallowing training in cooperation with local medical institutions. We observed that as training sessions progressed this patient became more eager to participate. Also, he seemed to become more positive about his future and about social rehabilitation. As a result, this led to improved QOL (quality of life) for the patient and his family. This case illustrates the need for close collaboration with medical institutions and sharing information about the condition of patients and the need to illuminate public understanding.},
 pages = {113--119},
 title = {外来相談システムの利用状況からみる成人利用者の動向 : 言語聴覚士のニーズと今後の課題},
 volume = {9},
 year = {2008},
 yomi = {ナカヤマ, ツバサ and フジワラ, マサコ and イマキイレ, テイコ and イイボシ, キヨコ and ハラ, シュウイチ and ヤマダ, ヒロユキ and クラウチ, ノリコ and カサイ, シンイチロウ}
}