『一般病棟における癌患者の看護』

概要

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A middle-aged male patient notified as lung cancer was placed under 16 cycles of chemotherapy. We looked back upon the entire clinical course up to terminal stage of this case. Consequently we were able to evaluate his quality of life, physical and mental care given to him and also the relationship between medical staffs and his family. Even though they can choose the place to meet their own death and most of them desire to die at home, the majority of them actually meet their death in a hospital. As a hospice is quite short in number in Japan, there is a need for a general ward to function and fulfill as a good substitude of hospice. We must admit that the domestic situation or social position surrounding patients differ greatly from a case to a case. In the case we experienced, the patient received long-term care by same medical staffs and this kind of approach to the patient enabled mutual appropriate communication considering characteristics of patient' s personality, phisical condition, contents of informed consent and so on. It must be said that terminal care in a general ward of a hospital chiefly handling acute cases is very limited and difficult, but we felt that we could offer a terminal care close to satisfaction to this case.It was possible because we actively tried to have frequent staff conferences and to get close communications between the patient, family and medical staffs in this case.
2003-12-01