title: [A case report of delay in switching from inpatient treatment to home-based care due to changes in pain and other symptoms following chemotherapy].
abstract: The number of cancer patients and their families desiring home-based care has been increasing. A support system for home-based care is urgently needed for a patient who continues to receive cancer chemotherapy. We introduce a patient for whom the decision to switch from inpatient treatment to home-based care was delayed because of changes in various symptoms associated with chemotherapy. We also examined the factors that resulted in a 7-month hospitalization until the symptoms had abated with third-line chemotherapy, chemotherapy regimens and pain control during the hospital stay, and an optimal timing for proceeding to home care.
authors.affiliation: Dept of Oncology and Hematology, Jikei University, School of Medicine.
authors.forename: Kazumi
authors.initials: K
authors.lastname: Hayashi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Inoue
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Sakuyama
authors.forename: Junichi
authors.initials: J
authors.lastname: Mouri
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Ichiba
authors.forename: Tadashi
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Aiba
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000911:Antibodies, Monoclonal / Q000008:administration & dosage; D061067:Antibodies, Monoclonal, Humanized; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000188:drug therapy* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003152:Community Health Nursing; D004334:Drug Administration Schedule; D005260:Female; D018575:Home Care Services, Hospital-Based; D006801:Humans; D015411:Mastectomy, Modified Radical; D017239:Paclitaxel / Q000008:administration & dosage; D010148:Intractable Pain / Q000188:drug therapy* / Q000209:etiology; D011788:Quality of Life; D000068878:Trastuzumab; D014747:Vinblastine / Q000008:administration & dosage / Q000031:analogs & derivatives; D000077235:Vinorelbine
chemical_list: D000700:Analgesics; D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D014747:Vinblastine; D000068878:Trastuzumab; D017239:Paclitaxel; D000077235:Vinorelbine