Hospice Care in the Community

Yamazaki Fumio

doi:10.4091/iken.25.87

The Care Town Kodaira Team was launched in October 2005 to provide both cancer and non-cancer palliative care in the community. What we aim to provide is inhome palliative care. Of course, home medical care is not the same as in-home palliative care.<br>The Team combines a variety of services in a single establishment, including home medical examinations based on the principle of palliative care, home nursing, inhome care support services, and daycare center that also support users with complex medical needs, as well as meal delivery services and other services that help to support in-home care. This is because our experience of hospice facilities has led us to the realization that high-quality palliative care—even that delivered in-home—requires a multidisciplinary team that can meet face-to-face.<br>October 2015 marks the 10th anniversary of the Team's establishment. This paper reports on the reality of this initiative, describing links with the community and how this has given rise to the formation of a Bereaved Families Association, some members of which now participate in the Team's activities on a voluntary basis. Furthermore, a home hospice initiative inspired by the original program in the Miyazaki area was launched within the Team's service area in April 2014.<br>The basic principle of palliative care, which aims to provide total care, is the provision of universal care applicable not only in clinical practice, but also in a variety of settings within the community. We are confident that this will forge links between people in areas that are already beginning to be described as isolated communities and could become a key principle of regional regeneration.

Hospice Care in the Community

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