title: [Home medical care from our hospital].
abstract: From April, 1996 to March, 1999, our hospital provided home medical care on a 24-hour basis for fifty patients with advanced or terminal cancer. Eventually, twenty-four patients died at home and twenty-six in the hospital. Stability of health status, the presence of willing and able caregivers, as well as a greater number of house-calls are suggested factors in facilitating a death at home. However, the patients who died in the hospital were obliged to readmit themselves until the time of death due to caregivers' reasons such as fatigue, emotional stress and/or health problems. In addition to timely availability and accessibility of respite care, psychosocial support for family caregivers by liaison nurses remains an issue to be solved in future.
authors.affiliation: Div. of Active Palliative Care, Todachuo General Hospital.
authors.forename: Y
authors.initials: Y
authors.lastname: Nakagami
authors.forename: K
authors.initials: K
authors.lastname: Tamura
authors.forename: M
authors.initials: M
authors.lastname: Ono
authors.forename: A
authors.initials: A
authors.lastname: Nakaya
authors.forename: H
authors.initials: H
authors.lastname: Yanagisawa
authors.forename: A
authors.initials: A
authors.lastname: Minegishi
authors.forename: K
authors.initials: K
authors.lastname: Okabayashi
authors.forename: Y
authors.initials: Y
authors.lastname: Nakayama
mesh_terms: D017028:Caregivers / Q000523:psychology; D018575:Home Care Services, Hospital-Based / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D009369:Neoplasms / Q000451:nursing*; D012944:Social Support; D013727:Terminal Care