title: [Leadership in the promotion of inter-professional collaboration in terminal cancer care].
abstract: Home care requires indispensable inter-professional/inter-organizational collaboration. However, due to differences in specialization, the language used, and work structure, medical professionals may be confronted with a gap between the ideal and reality of collaboration. In the present case, a 50-year-old female with terminal cancer wished to receive home care and was consequently transferred to her home. The patient has been receiving a 24-h continuous drip infusion via a central venous route and using a patient-controlled analgesia pump for pain management. She has chronic respiratory failure in addition to cancer-related pain. Furthermore, she has been injecting herself with insulin 4 times per day because she has type 2 diabetes. The patient requires almost full assistance in daily life. This type of home care is equivalent to inpatient care that requires inter-professional and inter-organizational collaboration by 12 professionals. The leadership of a care manager with knowledge of a patient's life and family background is essential in such cases.
authors.affiliation: Hanae Care-Station.
authors.forename: Miyoko
authors.initials: M
authors.lastname: Ogiwara
authors.forename: Mitsuko
authors.initials: M
authors.lastname: Ishikawa
authors.forename: Keita
authors.initials: K
authors.lastname: Yamaoka
authors.forename: Ayumi
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Yoko
authors.initials: Y
authors.lastname: Fujimaki
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Watanabe
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kushida
mesh_terms: D001943:Breast Neoplasms / Q000150:complications / Q000628:therapy*; D003299:Cooperative Behavior; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D005260:Female; D006699:Home Care Services; D006801:Humans; D007857:Leadership; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy* / Q000209:etiology; D010348:Patient Care Team; D013727:Terminal Care