Gan to kagaku ryoho. Cancer & chemotherapy
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Gan To Kagaku Ryoho · Dec 2004
[An applied research on effective health care planning using cellular phone with the digital still camera function].
In order to make effective health care plans for elder home care patients, we have tried an easy communication tool between medical doctors and their patients. This tool is the cellular phone with digital still camera function (CP-DSC). We have achieved successful results using this type of technology.
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Gan To Kagaku Ryoho · Dec 2004
Case Reports[Home palliative care--2 case reports: a long-term cancer pain management with transdermal fentanyl].
Transdermal Fentanyl was released in March 2002 in Japan after the acceptance of the insurance under the office of public health. Transdermal therapy is especially effective for patients having difficulty of oral intakes, and for home care cancer patients who suffer from chronic pain only if the therapy is feasible on the long-term basis. We report our cases for long-term cancer pain management with transdermal fentanyl. ⋯ Only a little rescue powder morphine was needed as an adjuvant during the duration of transdermal therapy. In these 2 cases of long-term cancer pain management, transdermal therapy has resulted in good pain reduction and the side effects with transdermal therapy were not noted. Transdermal fentanyl can be recommended for treatment of palliative cancer pain at home.
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In home hospice care, we must try to control steady pain, to give guidance about medication, and to calm anxiety once out of the hospital. We think that it may be important to consult on the issues related to rescue-dose drugs, selection of the drug from the stand point of QOL, and to counsel on behalf of the patient and family.
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Gan To Kagaku Ryoho · Dec 2004
[Current situation and problems inherent to discharge planning in practice].
Discharge planning is defined as "an interdisciplinary hospital-wide process that should be available to aid patients and their families in developing a feasible post-hospital plan of care". Although the recognition about the importance of discharge planning is increasing, many problems in its practice still remain. In this paper, we focused on the following major considerations as to the implementation of discharge planning: (1) identification of the targets for discharge planning (i.e. screening for high-risk patients), (2) specific methods of discharge planning (i.e. standardization and evaluation of discharge planning), and (3) construction of the system for discharge planning (i.e. identification of the discharge planner).