title: [A case of an advanced pancreatic cancer (stage IVb) outpatient who could not maintain a home-based care until her death].
abstract: The number of cancer patients and their families desiring home-based care has been increasing over the last few years. We reported a patient, a 40-year old female patient with advanced pancreatic cancer (T4N3M1, Stage IVb). Once we had switched from a systemic administration of opioid to an epidural administration via a subcutaneous reservoir for her extreme pain, she was given relief from her severe pain and was able to be discharged. Although against her wishes, she had to be taken back into hospital due to both an inappropriate management of the subcutaneous reservoir by the general practitioners and her spiritual (existential) pain. Public support systems are urgently needed to be established for patients who continue to receive a home-based care.
authors.affiliation: Dept. of Oncology, Jikei University School of Medicine.
authors.forename: Manao
authors.initials: M
authors.lastname: Seto
authors.forename: Daisuke
authors.initials: D
authors.lastname: Inoue
authors.forename: Toshikazu
authors.initials: T
authors.lastname: Sakuyama
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Arakawa
authors.forename: Tamotu
authors.initials: T
authors.lastname: Ichiba
authors.forename: Keisuke
authors.initials: K
authors.lastname: Aiba
mesh_terms: D000328:Adult; D000553:Ambulatory Care; D000701:Analgesics, Opioid / Q000008:administration & dosage / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D006699:Home Care Services; D006801:Humans; D009367:Neoplasm Staging; D010146:Pain / Q000188:drug therapy; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000701:Analgesics, Opioid