title: [A visiting nursing support for a patient having a stoma apparatus who has been taking an outpatient cancer chemotherapy].
abstract: We provided a visiting nursing support for a 40-year something patient having a stoma apparatus who has been taking a periodical outpatient cancer chemotherapy. Due to fever, nausea, vomiting and a loss of appetite caused by the chemotherapy, we decided to make an observation of the patient's daily life and conducted how to cope with the side effects in our support for the patient. We also provided daily life essentials such as a help supporting the patient how to replace a stoma apparatus and assistance to take bath. In a case of stoma protrusion caused by the progress of the disease, we aligned treatment procedures by consulting with a certified nurse specialized in dermatology and excrete care. One of the roles for a visiting nurse is to assess the patient's drug side effects as well as how the side effects have been affecting the daily life of patient. Furthermore, it is necessary to give an encouragement for the patient to get anxieties out and to give a specific life style coaching on the individual bases. It appears to be useful that patient's QOL will be enhanced by sharing information with the home care life of patient and to work with the patient.
authors.affiliation: Department of Visiting Nurses, National Health Insurance Directly Managed General Hospital, Kimitsu Central Hospital.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Sugihara
authors.forename: Mayumi
authors.initials: M
authors.lastname: Saito
authors.forename: Hatsue
authors.initials: H
authors.lastname: Kitamikado
authors.forename: Mieko
authors.initials: M
authors.lastname: Sueda
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Oka
authors.forename: Hidesada
authors.initials: H
authors.lastname: Takahashi
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003110:Colonic Neoplasms / Q000188:drug therapy* / Q000473:pathology; D003152:Community Health Nursing; D006801:Humans; D015918:Infusion Pumps, Implantable; D008297:Male; D009367:Neoplasm Staging; D024802:Nurse's Role; D010045:Outpatients; D011788:Quality of Life; D054047:Surgical Stomas / Q000473:pathology*
chemical_list: D000970:Antineoplastic Agents