[Home therapy approach in cancer patients-nutrition therapy (case 1-3)].
When nutrition therapy is necessary in a long time in care of cancer patient, we take Home parenteral nutrition (HPN) as one selection rami. We enforced it than 1987, but the home care center was established in 1993 to carry out it more smoothly. Now the center becomes the leading role, and pattern of home therapy which was suited for a patient of each in cooperation with each part in hospital place and support group of external is made, and it is enforced. Staff of the center consists of it than doctor, nurse, dietitian, apothecary, medical social worker care office workers. When HPN of each patient is enforced, the staff of field of specialty will each solve the problems that there is. When all is not possible in the center, a private being at home care support company, affiliated hospital is connected with. We detain catheter during admission to thing of approximately 1 week, and education necessary for HPN is enforced to a patient and family. An exclusive manual is used for education.
Seshimo
A
A
Dept. of Surgery II, Tokyo Women's Medical College.
Matsumoto
M
M
Noriyasu
S
S
Shingo
K
K
Hamano
K
K
D002100:Cachexia / Q000628:therapy; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D016331:Parenteral Nutrition, Home; D010348:Patient Care Team; D011788:Quality of Life