Gan to kagaku ryoho. Cancer & chemotherapy
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Gan To Kagaku Ryoho · Feb 2010
Case Reports[The role of psychosomatic medicine doctors in palliative care medicine--two case reports].
Palliative care medicine deals with the issue of death by listening to the story of patient's lives. There are several problems such as stress overload or burnout due to the difficulty in responding to all demands from patients and the shortness of time. These problems sometimes make doctors specializing in palliative care have less interest in patients, negative feelings or an indifferent attitude to them. ⋯ Psychosomatic medical doctors have an advantage in that they can contribute to palliative care without stress overload or burnout because of their special training in communication skills to deal with patients from the standpoints of both mind and body. However, these doctors have not received psychiatric training so as to be able to diagnose precisely and treat psychiatric problems such as adjustment disorders, depression and delirium. Therefore, their further training in psychiatry for several months or years is an issue to be addressed in future.
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Gan To Kagaku Ryoho · Feb 2010
[Diagnosis and treatment for bone metastases--multidisciplinary team medicine by cancer board].
With the recent progress in cancer treatment making longer survival possible, the need of treatment for bone metastases has become indispensable to assure patient QOL(quality of life). Treatment and prevention of fracture and spinal cord injury are very important not only to maintain good QOL but also to improve survival. Early diagnosis of the risks and the prevention and treatment of fracture and spinal cord injury are necessary. An orthopedics-based team approach to establishing an effective and intensive diagnosis and treatment system for bone metastases is called for Cancer Board.