Gan to kagaku ryoho. Cancer & chemotherapy
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At present, many patients heavily dependent on medical care live at home. Therefore, the need for pain control at home is increasing. ⋯ And we introduce our method for pain control at home. Our method is as follows: (1) Before the patient is discharged from the hospital, we go to the hospital and confirm the patient's condition and pain. (2) If necessary, before the patient is discharged from the hospital, we request to change instruments for home care. (3) We select the best way (instruments, circuits, administration) in consideration of the patients' or their families ADL. (4) When we change a route from oral administration to injection, we let the patient enter the hospital temporarily to adjust the quantity of morphine.
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At present, many patients heavily dependent on medical care live at home. Therefore, the need for pain control at home is increasing. Within the limits of home care, the method used to control pain control is very important. ⋯ If necessary, before the patient is discharged from the hospital, we request to change instruments for home care. 3. We select the best way (instruments, circuits, administration) in consideration of the patients' or their families ADL. 4. When we change a route from oral administration to injection, we let the patient enter the hospital temporarily to adjust the quantity of morphine.
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Gan To Kagaku Ryoho · Dec 2003
[Method for home parenteral nutrition (HPN) at Daikou Sunadabashi Clinic].
In recent years many patients who have become heavily dependent on medical care live at home. At Daikou Sunadabashi Clinic, we take care of many patients who have malignant tumors, at their homes. They need many medical treatments, so HPN has become a common practice. ⋯ And we introduce our method for HPN. Our method is as follows: (1) Before the patient is discharged from the hospital, we go to the hospital and confirm the patient's condition. (2) We assess the level of training regarding HPN, and select the best way (instruments, circuits, administration) in consideration of the patients' or their families ADL. (3) We select a visiting nurse station (4) and train the visiting nurse in HPN using our manuals. (5) We use an HPN pump. (6) We select a simple way of infusion and adjust it to the patient's condition. In this way, we use HPN easily at home with the aid of a visiting nurse, visiting pharmacist, families, and us.
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In Yamaguchi Red Cross Hospital, hospice services are provided under coordination of palliative care for outpatients and for inpatients and home palliative care. The Home Nursing Center plays the central roles in home palliative care and needs to exclusively provide home medical services. ⋯ In the future hospice and palliative home care services, the system to allow patients to choose in-hospital care/outpatient care/home palliative care should be established. Home palliative care should be disseminated under the coordination of local municipalities, medical institutions and welfare service organizations so that patients and families can live meaningful lives at their home where they long lived as the place they chose to live.
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In Yamaguchi Red Cross Hospital, hospice services are provided under coordination of palliative care for outpatients and for inpatients and home palliative care. The Home Nursing Center plays the central roles in home palliative care and needs to exclusively provide home medical services. ⋯ In the future hospice and palliative home care services, the system to allow patients to choose in hospital care/outpatient care/home palliative care should be established. Home palliative care should be disseminated under the coordination of local municipalities, medical institutions and welfare service organizations so that patients and families can live meaningful lives at their home where they long lived as the place they chose to live.