title: [Decision making support for chemotherapy outpatients and their families: role of the home care professional].
abstract: The intervention of palliative care from the early stages of cancer is advocated, however, current situation remains virtually unchanged. Since the Baptist Home Hospice Palliative Care Clinic opened, the percentage of patients who have been introduced to the clinic during chemotherapy and have received home-visit care is 16.1%. Of those, the percentage of patients who passed away more than two months since the start of home-visit care is 45.7%. We determine the direction in care by listening closely to our patients and their families, and putting advance care planning (ACP) into effect. One of our roles is to offer support in deciding to discontinue the treatment in the final stages of chemotherapy. It is recognized that a number of patients are undergoing ineffective chemotherapy, despite the strong side effects. Our clinic strives to help these patients spend time the way they want by providing home-visit care and home-visit nursing.
authors.affiliation: Baptist Home Hospice Palliative Care Clinic.
authors.forename: Shinya
authors.initials: S
authors.lastname: Nakayama
authors.forename: Go
authors.initials: G
authors.lastname: Watanabe
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamagiwa
authors.forename: Shiga
authors.initials: S
authors.lastname: Hasuike
authors.forename: Satoko
authors.initials: S
authors.lastname: Ito
authors.forename: Kaoru
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yamaoka
authors.forename: Mayumi
authors.initials: M
authors.lastname: Yasugi
mesh_terms: D000328:Adult; D032722:Advance Care Planning; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D003657:Decision Making; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy; D010045:Outpatients; D055815:Young Adult