[End-of-life care for dialysis patients--analyses of 16-final admission of outpatients].
With a growing number of annual deaths in Japan, a shift from hospital inpatient death to dying at home is highly recommended from the standpoint of fair distribution of medical resources. By analyzing a process of final admission of patients, who have been performed dialysis by our hospital to the deaths, we have to consider factors such as an excessive institutional hemodialysis, aging of the patients under dialysis and a transition of underlying cause (the increase of systemic diseases). Doing so, the following remarks are important in promotion of dying at home: 1) utilization of hospice care, 2) switch-over to peritoneal dialysis, 3) hand-over from nephrologist to visiting physician, and 4) cessation of dialysis by patients' will.
Ando
Takashi
T
Kawasai Total Care Center.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003922:Diabetes Mellitus, Type 1 / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D005260:Female; D006699:Home Care Services; D006738:Hospices; D006801:Humans; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D010343:Patient Admission; D006435:Renal Dialysis / Q000379:methods; D013727:Terminal Care