title: [A study of the usefulness of shared decision making during medical treatment and care-giving in home care].
abstract: Forty patients who made a decision about home-based care among 65 deaths from November 2012 to December 2013(21 men, 19 women, average age: 83 years)were evaluated. The family had already decided upon home caregiving in six of these cases. We conducted a clinical ethics dialogue on performing caregiving at home or introducing home care for 34 cases. However, many differences were found in the description of the contents of the medical side of home care and the concept of patients and families in six cases of those 34 cases. It was difficult to conduct the clinical ethics dialogue in such cases. We also incorporated a shared decision making method in order to overcome differences in the way of thinking of these cases. As a result, patients and their families came to voluntarily receive home care and caregiving at home. Thus, shared decision making was a useful method in home care.
authors.affiliation: Dept. of Home Healthcare, Southern TOHOKU Research Institute for Neuroscience Southern TOHOKU General Hospital.
authors.forename: Hiro
authors.initials: H
authors.lastname: Ohara
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Sato
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003657:Decision Making; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D013727:Terminal Care