title: [The present and future of home care for patients with gastrointestinal malignant diseases].
abstract: Home care for patients with gastrointestinal malignancies includes nutritional support, chemotherapy and hospice care. Every step should be started alter acquiring sufficient information on the disease. Home infusion therapy (HIT) is most important for nutritional care because the patient usually cannot eat or eats very little. It should be started fast within another symptoms controllable. With some problems in access procedure, total calories, formula, catheter infection, it is important to treat individually not to over dose. As for home chemotherapy, new molecular target-based therapies that prolong tumor dormancy are expected to be developed. Regarding home hospice, the control of pain, nausea, general fatigue, and other symptoms is the key to continuous home hospice care. The medical linkage between hospital and clinic, clinic and clinic and skillful visiting nurses is indispensable and the establishment and quality of medical systems, networks play an important role in the home care of patients of gastrointestinal malignancies.
authors.affiliation: Fujii Memorial Hospital.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kaneko
mesh_terms: D003152:Community Health Nursing; D005544:Forecasting; D005770:Gastrointestinal Neoplasms / Q000451:nursing* / Q000628:therapy; D006699:Home Care Services / Q000639:trends*; D017051:Hospice Care; D006801:Humans; D010166:Palliative Care; D016562:Parenteral Nutrition, Home Total; D011788:Quality of Life