Gan to kagaku ryoho. Cancer & chemotherapy
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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.
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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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Fentanyl patch (Durotep patch) is useful analgesic for terminal patients under home care, but the patients family may feel uneasy because they have to determine the induction dose, prepare the rescue drug, and a variety of drug durability.