title: [The planned home care transfer by a local medical support hospital and the introduction to home intravenous hyper alimentation--the making of a home care patient's instruction plan document].
abstract: It is important to offer continuous medical service without interrupting everyone's various job functions at the Tama Numbu-Chiiki Hospitals in order to secure the quality and safety of home medical care to patients and their families. From 1998 up to the present, home intravenous hyper alimentation (home IVH) has been introduced by individually exchanging information that was based on items such as clinical case, doctor and caregiver in charge of the day, and introductory information. Five years have passed since we started an introduction of home IVH, and it appears that the medical cooperation of home IVH between the Minami-tama medical region and its neighboring area has been established. Then, we arranged an examination of the past 2 years based on the 57 patients who elected to choose home IVH instruction. Consequently, we created "home IVH introduction plan document" in standardizing a flow from home IVH introduction to post-hospital intervention. Since November of 2003, the plan document has been utilized and carried out to 5 patients by the end of February in 2004. This home IVH introduction plan document was able to clarify the role of medical person in connection with the patient. Therefore, we could not only share the information, but also could transfer medical care smoothly from the hospital to the patient's home.
authors.affiliation: Local Medical Cooperation Room, The Tama Numbu-Chiiki Hospital.
authors.forename: Akiko
authors.initials: A
authors.lastname: Shinobu
authors.forename: Yoko
authors.initials: Y
authors.lastname: Ohtsu
mesh_terms: D003152:Community Health Nursing; D019058:Community Networks; D006285:Health Planning / Q000639:trends*; D018575:Home Care Services, Hospital-Based; D006801:Humans; D016562:Parenteral Nutrition, Home Total / Q000706:statistics & numerical data