[Home medical treatment and the transfer of medical care of patients at Tokyo Women's Medical University]. 2006

Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
Dept. of Home Care Support/Promotion, Tokyo Women's Medical University.

We inquired the current status of our home care transfer patients who are highly dependent on medical treatment, and examined the factors that are needed to pay attention to keep a high level of QOL and to give a better long-term home care. The subjects are 380 patients who requested a homecare transfer. The following items were inquired: (1) the length of time from the request to home care transfer, (2) the length of home care, and (3) a place for the peaceful death. In addition to that, we asked for additional remarks. Fifty nine (59) % of the patients are over 65 years old, and 69% of the diseases were malignant neoplasms. The number of patients that requested a home care transfer was 68%, and for 70% of the patients it took 20 days or less after requesting a home care transfer to leaving the hospital. Forty five (45) % of the patients died within one month of home care, 70% within 2 months, 37% died at home and 45% died after reentering the hospital. There were many time consuming cases with respect to: guidance about medical treatment, guidance about alleviation of the symptoms and guidance about adjusting a patient out of the hospital. There were also cases where the patients had to be readmitted to the hospital. In fact, some of the patients died from an aggravation of disease symptoms and a breakdown of nursing care right after the start of home care. In cases of terminal stage patients with limited prognosis, we found that a long-term preservation of a patients' stable condition would lead to fill a satisfaction of patients cared at home. It is important to start adjusting things like the coordination of medical examination and treatment with local institutions in which a status of the patient and family needs is fulfilled individually at the earliest time, in order to reduce anxiety including the length of hospitalization in short by alleviating disease symptoms.

UI MeSH Term Description Entries
D008297 Male Males
D010360 Patient Transfer Interfacility or intrahospital transfer of patients. Intrahospital transfer is usually to obtain a specific kind of care and interfacility transfer is usually for economic reasons as well as for the type of care provided. Patient Dumping,Care Transition,Health Care Transition,Patient Transition,Patient Turfing,Transition of Care,Care Transition, Health,Care Transitions,Care Transitions, Health,Dumping, Patient,Health Care Transitions,Patient Transfers,Patient Transitions,Patient Turfings,Transfer, Patient,Transfers, Patient,Transition, Care,Transition, Health Care,Transition, Patient,Transitions, Care,Transitions, Health Care,Transitions, Patient,Turfing, Patient,Turfings, Patient
D003152 Community Health Nursing General and comprehensive nursing practice directed to individuals, families, or groups as it relates to and contributes to the health of a population or community. This is not an official program of a Public Health Department. Nursing, Community Health
D005260 Female Females
D006785 Hospitals, University Hospitals maintained by a university for the teaching of medical students, postgraduate training programs, and clinical research. University Hospitals
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001293 Attitude to Death Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience. Attitudes to Death,Death, Attitude to,Death, Attitudes to
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D017028 Caregivers Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients. Family Caregivers,Informal Caregivers,Spouse Caregivers,Care Givers,Carers,Care Giver,Caregiver,Caregiver, Family,Caregiver, Informal,Caregiver, Spouse,Caregivers, Family,Caregivers, Informal,Caregivers, Spouse,Carer,Family Caregiver,Informal Caregiver,Spouse Caregiver

Related Publications

Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
January 2011, Clinical transplants,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
December 2003, Gan to kagaku ryoho. Cancer & chemotherapy,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
December 2003, Gan to kagaku ryoho. Cancer & chemotherapy,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
January 2023, Igaku butsuri : Nihon Igaku Butsuri Gakkai kikanshi = Japanese journal of medical physics : an official journal of Japan Society of Medical Physics,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
January 2003, Clinical transplants,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
December 2007, Gan to kagaku ryoho. Cancer & chemotherapy,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
February 2003, Neurosurgery,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
October 2001, Internal medicine (Tokyo, Japan),
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
January 2006, Clinical transplants,
Kumiko Numata, and Noriyasu Shirotani, and Yasuhiko Iwamoto
February 1977, Stomatologie der DDR,
Copied contents to your clipboard!