title: [A consideration through the support to resident diabetic patient and care-giver].
abstract: Our hospital is a National General Hospital with 585 beds. We began the visiting care service from 1990 and four visiting staffs are working at present. The number of targets was 69 in 2002 including 32 patients over 70 years old and 20 care-givers over 70 years old. Visiting care has been conducted to a 72-year-old female with diabetes since July 2000. The patient is in bedridden condition and at the beginning of visiting, she was taking oral medication but the condition was worsen by poor glycemic control and changed to insulin injection from June 2002 after admission to the hospital repeatedly. The patient undergoes the measurement of blood sugar daily and takes meals with 1,200 to 1,400 kcal prepared by her husband. The care-giver is a 71-year-old husband. He was an "all-work, no-play" type of person and had never done the housework, but he started to manage both housework and nursing because of bedridden of his wife. He is a reticent theorist, hates illogical behavior, and does not swayed by other opinions. He has accepted the things which need new knowledge and techniques such as measurement of blood glucose and insulin injection. However, for meals, he only bought side dishes and placed them. Care such as keeping the patient clean was in a same state. The patient consulted and admission to the hospital repeatedly because conditions were not stable. Visiting nurse supported daily life of patient and care-giver especially in nutrition instruction to continue home life. As the result, attitude and behavior toward nursing of care-giver were changed and the patient could continue home life. Therefore we reported here.
authors.affiliation: Dept. of Visiting Nurses, Community Medical Center, National Health Insurance Directly Managed General Hospital, Kimitsu Central Hospital.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kanatsu
authors.forename: Hatsue
authors.initials: H
authors.lastname: Kitamikado
authors.forename: Sachiko
authors.initials: S
authors.lastname: Sugihara
authors.forename: Fumie
authors.initials: F
authors.lastname: Kikukawa
authors.forename: Kazuko
authors.initials: K
authors.lastname: Harada
authors.forename: Daigaku
authors.initials: D
authors.lastname: Uchida
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Mori
authors.forename: Kouichiro
authors.initials: K
authors.lastname: Sato
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003152:Community Health Nursing; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006699:Home Care Services; D006801:Humans; D011788:Quality of Life