• Sakimi Sasao, Kouichi Tanabe, Tatsuya Morita, Toru Takahashi, Hatsuna Yasuda, Tatsuhiko Kashii, Koichiro Sawada, Michiko Tonomura, and Nozomu Murakami.
• 1 Hibari Home Visit Nursing Agency , Imizu, Japan .
• J Palliat Med. 2015 Aug 1; 18 (8): 691-6.

BackgroundIn Japan, palliative home care is subject to increasing demand from patients. However, the number of deaths at home is still not as high as that of palliative home care users.ObjectiveThis study aimed to clarify factors influencing the place of death and home care rates, involving end-stage cancer patients targeted for palliative care by a general home-visit nursing agency.MethodsA total of 87 patients who had used palliative home nursing care services provided by the study facility within a 6-year period after its opening were studied.ResultsThe numbers of deaths at home supported by family physicians and those in hospital after readmission were 70 and 17, respectively. The numbers of deaths at home using services provided by the study facility and nurses belonging to it time-dependently increased, revealing a strong correlation between them. Furthermore, the place of death and home care rates were closely associated with the mean duration of home nursing services and home visits in collaboration with family physicians in charge.ConclusionThese results suggest that it may be possible to increase the rate of home care for end-stage cancer patients and meet their desires regarding the place of death through approaches to establish trust-based relationships with them and their families, such as strengthening manpower in home-visit nursing agencies and promoting collaboration between visiting nurses and family physicians in charge during home visits.

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