[Home Palliative Care Setting at a Mixed-Type Clinic-What Is Necessary for Comfort of Patient, Family and Medical Person]

Gan To Kagaku Ryoho. 2019 Feb;46(2):218-223.
[Article in Japanese]

Abstract

"Comfort set for palliative care"is narrowly defined as a set of drugs used to alleviate symptoms at the terminal stage. However, we think that the followingis important(1)The practice of advance care planning(ACP)is indispensable and it is done accordingto the situation after the start of the visit, but our clinic emphasizes careful consultation before the start as a means of team formation with the patient's family and the doctor.(2)Introduction of visitingmedicine management by pharmacist of dispensingpharmacy is preferable for the method of supply/inventory of drugs. 98% of cancer patients in our clinic use it. In addition, we have injection drugs, devices and emergency drugs in the clinic so that we can respond quickly.(3) Seamless collaboration with visitingnursingis necessary for understandingand implementingthe situation that medicines should be used. All cancer patients in our clinic are receivingvisitingnursingby in-clinic nurses. We mentioned the point that seems to be important points in past practice for "comfort of patient, family member and medical staff" in home palliative care.

MeSH terms

  • Advance Care Planning*
  • Ambulatory Care Facilities
  • Home Care Services*
  • Humans
  • Palliative Care*
  • Referral and Consultation