[Four important subjects of successful care at home for patients of terminally ill].
From April 1987 to May 1995, we have had care at home for 103 patients of terminally ill, and at this through our experience, we pointed out four important subjects for successful care at home. The first is prompt consultation at anytime when the patient or its family need. It is especially important when the patient's end time is near and previously we must fully instruct to patient's family how to consult and how to care. The second is effective palliative care. In these palliative care pain control with morphine is most important and we must master how to use morphine. The third is truth telling and informed consent. At treatment we have to communicate true information to patient. Home care must be started under patient's will. The fourth is organization of medical care, health care and welfare care. We have to make up network system of these office at first, and finally we have to make up community for supporting patients and these family.
Ashino
Y
Y
Dept. of Surgery, Fukushima Rousai Hospital.
Mutou
A
A
Kanno
A
A
Moriyama
A
A
Kudou
S
S
Itou
K
K
D001293:Attitude to Death; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D017051:Hospice Care; D006801:Humans; D007258:Informed Consent; D013727:Terminal Care