悪性腫瘍患者の在宅管理－70歳，男性，消化器癌再発患者の退院援助と在宅医療導入

摘要

あおぞら診療所は，開設以来100名以上のがん末期在宅患者を診療した。 その経験を踏まえ「70歳，男性，消化器癌再発で，消化管閉塞があり中心静脈栄養を施行しており，本人?家族ともに在宅での療養希望した患者」の退院援助と在宅医療導入におけるマネジメントの具体的なあり方について述べる。本稿ではまず，あおぞら診療所概要について述べ，その後特に，①退院前患者?家族面接，②地域連携機関との事前情　 報交換，③医師をはじめとする病棟スタッフとの情報交換に着目して記載するThere are many problems associated with the discharge and management of terminally-ill patients with cancer A 70-year-old patient with gastro-intestinal cancer obstructing his intestinal tract, who is receiving total parenteral nutrition through a central intravenous catheter is being prepared for his discharge from hospital,The effective management of the discharge of this patient and introduction to home care, consisting of visits by physicians and community nurses is described,. Keywords: Discharge management, Introduction to home care, Terminally-ill cancer patientDischarge and Introduction to Home Care for 70-Year-Old Terminally-Ill Patient with Metastatic Gastrointestinal Cancer: Tadashi Wada, Hirotoshi Maeda, Shohei Kawagoe, Shirou Kitada and Madoka Matsuzaki (Aozora Medical Clinic) SummaryThere are many problems associated with the discharge and management of terminally-ill patients with cancer A 70-year-old patient with gastro-intestinal cancer obstructing his intestinal tract, who is receiving total parenteral nutrition through a central intravenous catheter is being prepared for his discharge from hospital,The effective management of the discharge of this patient and introduction to home care, consisting of visits by physicians and community nurses is described,