Support and cooperation of visiting nurses in home palliative care for end-stage cancer patients living alone

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  • 独居がん終末期患者の在宅緩和ケアにおける訪問看護師の支援と連携
  • ドッキョ ガン シュウマツキ カンジャ ノ ザイタク カンワ ケア ニ オケル ホウモン カンゴシ ノ シエン ト レンケイ

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Abstract

The objective of this study was to elucidate the practice of visiting nurses involved in home palliative care of end-stage cancer patients living alone. We conducted semi-structured interviews with five visiting nurses who cared for such patients until their death, and analyzed their responses in a qualitative recursive manner. Based on the results, we identified the following aspects of nursing practice associated with care of these patients: controlling preventive symptoms to make private time comfortable; responding to the loneliness of living alone and fear of death; supporting patients to receive treatment at home respecting their wishes; finding out how patients wish to spend their final moment and supporting them by being there for them; supporting family members who are present at patient's deathbed; and providing information about, and coordinating, the specialties of the home palliative care team members. Visiting nurses prevented Patients' symptoms in cooperation with physicians, supported patient's lives during their treatment in cooperation with other home helpers, provided support to family members who are present at the patient's deathbed, and coordinated the specialties of the members of the home palliative care team.

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