title: [Troubles inherent to long-term home parenteral nutrition (HPN) and the use of technologies to improve communication between medical institutions and patients].
abstract: The continuous advance of technology has contributed to the improvement of the quality of life of patients under long-term home parenteral nutrition (HPN). But the longer the patient stays home, the higher the risk of many kinds of troubles. We designed an HPN system in June 1999, which uses E-mail for patients and to contact with each other (including the patient's family) and to prevent troubles from worsening. We describe the case of a patient which shows the efficacy and usefulness of our system, which makes use of the Internet, video mail, voice mail and electric medical records.
authors.affiliation: Dept. of Internal Medicine, Chiba Prefectural Togane Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Takeuchi
authors.forename: A
authors.initials: A
authors.lastname: Hirai
authors.forename: T
authors.initials: T
authors.lastname: Ishizuka
authors.forename: H
authors.initials: H
authors.lastname: Koide
authors.forename: K
authors.initials: K
authors.lastname: Enomoto
authors.forename: A
authors.initials: A
authors.lastname: Akanuma
authors.forename: S
authors.initials: S
authors.lastname: Ishii
authors.forename: Y
authors.initials: Y
authors.lastname: Seki
authors.forename: M
authors.initials: M
authors.lastname: Tomioka
mesh_terms: D000368:Aged; D003142:Communication; D005260:Female; D006801:Humans; D020407:Internet; D008134:Long-Term Care; D016562:Parenteral Nutrition, Home Total / Q000592:standards; D010817:Physician-Patient Relations