{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T03:17:49Z","timestamp":1777000669527,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T00:00:00Z","timestamp":1523923200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["16K15953"],"award-info":[{"award-number":["16K15953"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:<\/jats:bold> This study aimed to explore the experiences and thoughts of a nonagenarian\u2010centenarian woman with dementia living alone, through detailed analysis of her unsolicited diary.<\/jats:p><jats:p><jats:bold>Data Source:<\/jats:bold> After receiving consent from Aki (a pseudonym), her family and caregivers, copies of her diaries, hand\u2010written in Japanese, were provided for analysis.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> The content of the diaries was broadly organized into themes and qualitative content analysis carried out for each theme along a sequential timeline. Changes in perspective, expression, quality of script, and frequency of notations were noted over time are compared with clinical assessments of dementia and activities of daily living recorded by health care providers. Demographic history was obtained from family members.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> On recommendation by her nursing care manager, Aki began keeping a diary. By age 99, Aki was widowed and noted: \u201cI'm lonely by myself.\u201d but still expressed hope: \u201cI won't give up on myself.\u201d Concerning memory loss, she wrote: \u201cI've already forgotten what happened this afternoon,\u201d and \u201cI'll do things for myself.\u201d Regarding dependence, she said: \u201cI get help from my children and others outside the family.\u201d And commented on the home care staff: \u201cI don't know if they've come to help.\u201d \u201cIs it someone I know well?\u201d Although she thought that they took her belongings, she wrote: \u201cI'll try not to forget to be grateful to them.\u201d<\/jats:p><jats:p><jats:bold>Discussion:<\/jats:bold> The diaries show that even as the dementia progressed, Aki was aware of her cognitive decline compounded by family losses. She used the diary as a coping method and to address relationships with family and caregivers.<\/jats:p>","DOI":"10.1111\/ijn.12655","type":"journal-article","created":{"date-parts":[[2018,4,18]],"date-time":"2018-04-18T06:56:42Z","timestamp":1524034602000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The diary of a nonagenarian\u2010centenarian woman with dementia: Memory loss, life changes, and community care in Japan"],"prefix":"10.1111","volume":"24","author":[{"given":"Sayuri","family":"Suwa","sequence":"first","affiliation":[{"name":"Chiba University Graduate School of Nursing  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"Otani","sequence":"additional","affiliation":[{"name":"Nursing Department Chiba University Hospital  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuko","family":"Tsujimura","sequence":"additional","affiliation":[{"name":"Chiba University Graduate School of Nursing  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kotoko","family":"Nogawa","sequence":"additional","affiliation":[{"name":"Welfare and Medical Intelligence Department Chiba University Hospital  Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoko","family":"Shiya","sequence":"additional","affiliation":[{"name":"Care Service Centre KOYO  Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12618"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312462240"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-142763"},{"key":"e_1_2_9_5_1","unstructured":"Boden C.(2003).\u2009[Who will I be when I die?]Kyoto Japan: Creates Kamogawa. (Japanese)."},{"key":"e_1_2_9_6_1","unstructured":"Bryden C.(2017).\u2009[Nothing about us without us!]Tokyo Japan: Otsuki Shoten. (Japanese)."},{"key":"e_1_2_9_7_1","unstructured":"Cabinet Office Government of Japan. (2016).[\u2009Annual report on the aging society: 2016 (Summary)]. Retrieved fromhttp:\/\/www8.cao.go.jp\/kourei\/whitepaper\/w\u20102016\/html\/gaiyou\/index.html(Japanese)"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.80.5.804"},{"issue":"1","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"59","DOI":"10.3233\/JAD-150354","article-title":"The Reagan diaries reconsidered","volume":"48","author":"Fins J. 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(Japanese)."},{"issue":"11","key":"e_1_2_9_16_1","first-page":"1339","article-title":"Development of the revised version of Hasegawa's Dementia Scale (HDS\u2010R)","volume":"2","author":"Katoh S.","year":"1991","journal-title":"Japanese J Geri Psych"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X12000761"},{"key":"e_1_2_9_18_1","unstructured":"Ministry of Health Labour and Welfare of Japan. (2002).[\u2009The long\u2010term care insurance system]. Retrieved fromhttp:\/\/www.mhlw.go.jp\/english\/topics\/elderly\/care\/2.html(Japanese)"},{"key":"e_1_2_9_19_1","unstructured":"Ministry of Health Labour and Welfare of Japan. (2006).[\u2009The degree of independence in daily living for the older persons with dementia]. 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