Osamu Miyazawa – 認知症ナレッジライブラリー

Osamu Miyazawa

Age:

73 years old （As of July 2019 interview）

Year of birth:

1946

Place of residence:

Machida City, Tokyo

Relatives living together:

Lives with my spouse, a child and spouse, and a grandchild (5 people)

Occupation:

Former general worker at an electrical company / former tourism volunteer

Age of onset:

About 71 years old

Age of diagnosis:

71 years old

Diagnosis:

Alzheimer type

Using long-term care insurance:

Using day service (twice per week)

Past experiences

Diagnosis

2018年（71）

After I retired from work, I was living an active life (doing some volunteer work, for example) but began to see signs of forgetfulness.
I started to cause accidents while driving and let go of my car.
I was diagnosed with dementia.

2018年（72）

I received a certification of nursing-care eligibility.
I had a desire to work and my family wanted me to stay active. I was physically fit, too. These elements brought me to the current day service where I can work.

Joy in life and living

1

Joy that remains with you even after onset

Climbing the Hundred Famous Mountains in Japan. Climbing a mountain gives me a sense of accomplishment and refreshment.

2

Joy that remains with you even after onset

Walking my dog every morning

3

Joy that remains with you even after onset

Reading novels and other books

Something you would like to do in the future

Climbing mountains. I want to entertain everyone in the mountains with barbecues and other activities.

Challenges in daily living

storing clothes

searching things

telephone/smartphone

storing clothes

Joy

1 2

11 Areas of Daily Living

Daily Living Challenge

DATA

the Mental or Physical Dysfunction

Knowledge
storing clothes
conversation

I forget to put away my clothes, and my wife gets upset and tells me to put them away.

Cannot retain/recall your own behavior, experiences, and habits
searching things

I forget where I put my glasses and look for them in the house.

Cannot retain/recall your own behavior, experiences, and habits
calculation

Unable to count up coins, I take out the 10,000 yen note.

Cannot perform simple calculations
password

I forget my ATM PIN number.

Cannot retain/recall numbers and symbols
daily routine
taking drugs

I forget to take medicines.

Cannot retain/recall your own behavior, experiences, and habits
train stations
train

I forget to get off the train at the station where I should get off. I take the train heading to the opposite direction to get back to the destination station.

Cannot retain/recall your plans and schedule
conversation

I have mood swings. I get angry and argue with my wife.

Feel frustrated/quick to anger
telephone/smartphone

I forget contact information, such as phone numbers, of my friends and acquaintances.

Cannot retain/recall numbers and symbols
reading books

I forget the plot of the novel and read it several times over.

What you see/hear immediately disappears from memory

Physical and mental dysfunctions

What you see/hear immediately disappears from memory

What pops into your head immediately disappears from memory

Cannot process more than one thing that you see/hear simultaneously

Cannot retain/recall your own behavior, experiences, and habits

Cannot retain/recall your plans and schedule

Cannot retain/recall places and landmarks

Cannot retain/recall numbers and symbols

Cannot retain/recall proper nouns

Cannot recall everyday words that you have used often

Cannot retain/recall names of people

Cannot retain/recall faces of people

Cannot recall processes and procedures to accomplish things

Recall erroneous memories (mix up memories)

Cannot recall letters and sentences

Cannot perform more than one thing simultaneously

Mix things up if you try to do more than one thing simultaneously

Cannot integrate/process more than one piece of information

Cannot perform simple calculations

Cannot turn thoughts into actions

Cannot sense or operate one's own body

Cannot write neatly

Small changes prevent you from completing familiar actions

Be restless and talkative/hyperverbal

Your hands and body move impulsively

Take unintended actions

Cannot recognize shapes and sizes correctly

Cannot distinguish colors

Have a constricted or narrow visual field

Cannot recognize faces of people correctly

See faces of people in various things

Feel as if you are seeing things that should not be there

Stationary objects appear to be in motion

Visually misperceive things

Have sensitive sight, hearing, and smell

Cannot pay attention to sounds that you need to listen to

Catch only part of what you hear

Feel as if you are hearing sounds that should not be there

No sense of smell

Feel as if you are sensing smells that should not be there

Have altered skin sensations

Feel stimulation and pain that do not exist

Have decreased sense of taste

Cannot associate when with what

Your sense of time does not match actual time

Lost sense of clock time

Cannot tell dates and days of the week

Have altered sense of speed

Cannot tell distance

Cannot tell depth

Cannot tell directions or loss of spatial orientation

Cannot associate plane with space

Space appears to be distorted

Become easily fatigued, mentally and physically

Cannot regulate body temperature and sweating

Cannot regulate blood pressure

Cannot adjust to seasonal changes

Be quick to assume/worry too much

Be depressed/anxious

Feel frustrated/quick to anger

Have poor vision in the dark

Be preoccupied with/fixated on certain things

Lose sense of balance

Message to the society

I want an active life! I want to work. I want to go to the mountains.