title: [A case of an end-of-life cancer patient in which lymphedema care improved the QOL enabling home hospice care].
abstract: Recently, the importance of prevention and care of lymphedema has been recognized. It appears that the complex physical therapy is relatively taboo for an end-of-life cancer patient with lymphedema. Therefore, an intervention of care is often difficult. In our case, the patient strongly desired a hospice care at home, so we introduced a home hospice care gradually taking a step by step approach with anticipated harmful symptoms. As a result, the home hospice care was doable with ADL and QOL improvements. For lymphedema care of an end-of-life cancer patient, a goal setting, sharing the patient's will based on anticipated symptoms, and an introduction of a gradual care were all important.
authors.affiliation: The Palliative Care Units, Sanshu Hospital.
authors.forename: Akiko
authors.initials: A
authors.lastname: Yokoyama
authors.forename: Kenzo
authors.initials: K
authors.lastname: Yokoyama
authors.forename: Kazuyo
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kubota
mesh_terms: D017809:Fatal Outcome; D006699:Home Care Services; D017051:Hospice Care; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000628:therapy*; D011788:Quality of Life; D013727:Terminal Care