The results of the regional palliative care support center activities :practice of the palliative care from early stage, palliative care education and regional cooperation promotion

DOI Web Site 2 References
  • Kimura Aya
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Kuroda Michiko
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Kawamura Hiroshi
    Department of Palliative Care, ditto
  • Watanabe Yoshinori
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Yamada Satomi
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Shigeno Tomoko
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Kokubun Megumi
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Ogasawara Miki
    Department of Nursing, Sanyudo Hospital Regional Palliative Care Support Center
  • Yoshida Mamiko
    Department of Medicine, Section of Clinical Psychology, ditto
  • Aoki Saori
    Department of Regional Medical Communication, ditto
  • Toya Ryo
    Department of Surgery, Sanyudo Hospital
  • Nadaoka Toshihide
    Department of Psychosomatic Medicine, Sanyudo Hospital Regional Palliative Care Support Center
  • Kato Yoshiko
    Department of Palliative Care, ditto

Bibliographic Information

Other Title
  • 地域緩和ケアサポートセンター活動の成果─早期からの緩和ケアの実践, 緩和ケア啓発, 地域連携推進

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Abstract

Introduction: The regional palliative care support center (PCSC) has set the following palliative care goals for correction of misunderstanding and prejudice of the general community against palliative care, home care and home death of cancer patients: practice palliative care early after diagnosis, educate the community to understand palliative care and build a regional palliative care cooperation system. Method: This study reviewed four years (2009-2012) of data from the PCSC. Outcome data of the patients were collected during outpatient care, inpatient care, and in-home care that were supported by the PCSC. The PCSC managed palliative care based on patient conditions and symptoms in the early stage after diagnosis. The PCSC worked to spread the idea and importance of palliative care to the general community and health care professionals of the region, and also worked to promote the regional palliative care cooperation. Result: These efforts led to an increase in the number of first center visit of patients, especially introduction patients, and an extension of the period of treatments of both tumor department and palliative care department. These outcomes resulted in an increase in the rate of in-home care transitions, the length of in-home care and the number of deaths at home. These results suggest that the place of appropriate medical and caregiving treatments and the place of death are converting into home gradually from hospital.

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