title: [A case report of a HIV-infected patient, who was denied to return home because of his psychological complications along with hepatocellular carcinoma].
abstract: Although a social support system has been developed in recent times, some of the difficult cases which complicate serious diseases due mainly to lack of family care power, have been reported. We experienced one HIV-infected patient who suffered from hepatic carcinoma and had been taken care of at home, but he was denied to return home after hospitalization. It has been reported that the management of homecare station has become worsened and the number of stations has been decreasing in various locations. If the patients were selected by homecare stations in which the management was going from bad to worse, it would be difficult to maintain a nationwide quality of homecare system. By presenting such an extreme case in the homecare services, we propose a homecare scoring system, in consideration of homecare service limitations, which will be helpful assessing a difficult case of a patient taken care of at home.
authors.affiliation: Kawasaki Total Care Center, Municipal Ida Hospital, City of Kawasaki.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ando
authors.forename: Kyoko
authors.initials: K
authors.lastname: Sato
authors.forename: Mayumi
authors.initials: M
authors.lastname: Karino
authors.forename: Noriko
authors.initials: N
authors.lastname: Nito
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kurihara
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyamori
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000523:psychology*; D017028:Caregivers; D002544:Cerebral Infarction / Q000523:psychology; D017809:Fatal Outcome; D015658:HIV Infections / Q000150:complications / Q000523:psychology*; D006699:Home Care Services; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000523:psychology*; D008297:Male; D010351:Patient Discharge