Gan to kagaku ryoho. Cancer & chemotherapy
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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.
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Gan To Kagaku Ryoho · Oct 2010
Case Reports[Effective made of octreotide intravenous administration for malignant gastrointestinal obstruction in terminal cancer patients].
Continuous subcutaneous administration of octreotide acetate (SMS201-995: SMS) has not been done in Meiwa Hospital for malignant gastrointestinal obstruction in terminal patients for the following reasons: First, patients and families refuse an indwelling needle on the abdominal wall; second, an additional route limits daily activity; third, the needle site becomes inflamed or sclerosed; and fourth, an infusion pump is required. Hence, the effectiveness of three types of intravenous administration was investigated retrospectively in 15 patients in our hospital: 7 cases received intermittent IV drip infusion; 4 continuous IV drip infusion; and 4 bolus IV injection. As a result, 6 cases (86%), 2 cases (50%), and 1 case (25%), respectively, were successfully treated. These results suggested that intermittent IV administration of SMS is efficient, safe, and very convenient, while continuous IV administration is also efficient as long as the SMS potency is not reduced by mixed drugs.