Gan to kagaku ryoho. Cancer & chemotherapy
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The problems we have identified to overcome for a betterment of home palliative care were as follows:(1) Staffs' low level of knowledge and a lack of interest in home care, (2) Lack of cooperation between hospital and clinic, (3) Hard to keep the medical and caregiver staffs employed in the home care settings and a technical training is behind, (4) Insufficient cooperative networks for elderly care and welfare in the region, and (5) Misunderstanding of home palliative care by patient, family and people in the region. It is important to solve these problems one by one for a betterment of home palliative care. In this paper, we reported these problems through actual activities of our hospital and Iwaki city, and we propose to deal with them.
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Gan To Kagaku Ryoho · Dec 2010
Case Reports[One successful end-of-life home care handled by three physicians].
Aging population has been advancing in Ito city located in the northern part of Izu peninsula. Many elderly people are hoping to receive an end-of-life care at home, but there is no home care section in Ito municipal hospital, a flagship hospital in this region. One of the end-stage leukemia patients of our hospital hoped to die at home. We report a case that three physicians joined together to take care of this terminal patient with a cooperation from nurses, home-visit nursing care station and a care manager.
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Gan To Kagaku Ryoho · Dec 2010
Case Reports[A case with an ovarian cancer patient who could receive anti-cancer therapy and palliative care simultaneously at home through seamless collaboration in healthcare linkage].
A palliative care team provides palliative care in the hospital setting. However, palliative care might be discontinued when a patient was switched to an outpatient from an inpatient or when a patient was being transferred to another hospital. In the present work, we report a case who could receive anti-cancer therapy and palliative care simultaneously at home. ⋯ She could fulfill her desire to receive a palliative care and chemotherapy simultaneously at home through this seamless healthcare linkage. It should be insisted that hospital oncologists and home doctors need to acquire the knowledge of palliative care and close cooperation between them is required. It is also important to establish a comprehensive healthcare linkage system in the society.