Proposals for a New Collaborative Relationship between Physician and Visiting Nurse in Home Care Medicine : A Case Study of a Terminal Home Cancer Patient

概要

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As technology dependent health care of Japanese terminally ill home patients increases,a better understanding is needed regarding the professional relationship between physicians and visiting nurses responsible for the care of these patients.The purpose of this study is to research into a new collaborative relationship between physician and visiting nurse in home care medicine.At first,researchers interviewed 19 visiting nurses in Y prefecture to know the present situation of home care medicine.The researchers then analyzed the case of a visiting nurse who cared for a terminally ill home patient with advanced lung cancer.The results suggest that various situations prevent the visiting nurse from receiving sufficient instructions from the physician at the time of change in condition of the patient.In order to resolve these difficulties in home care medicine,it may be necessary to review the way a physician instructs a visiting nurse and the legal system as it pertains to home care medicine,while visiting nurses should enhance even more their professional capabilities.
川崎医療福祉大学の論文