title: [Barriers upon providing assistance and making arrangements for being discharged from hospital and changing hospitals while undergoing cancer therapy - when in a state of depression (from the perspective of a psycho-oncologist) - part 5].
abstract: In the final stages of cancer, home care becomes difficult because the patients face reduced physical strength and energy, people around them have physical and mental fatigue, and available medical treatment options are exhausted. Although there are many underlying factors, prolonged depression is also mentioned as a cause of the difficulties of home care. This paper reports on one case in which we reaffirmed the most important factor of homecare - preventing a feeling of isolation for patients who wish to stay at home even if they are experiencing depression. Following in the steps of the many major hospitals that coordinate cancer treatment, we have posted multi-disciplinary staff at our Cancer Consultation Support Center and the Cancer Palliative Care Team to support a patient's lifestyle at home as long as possible even in the terminal stages of cancer with repeated shared decision-making with the patient and his/her family members.
authors.affiliation: Dept. of Psychiatry,Cancer Consultation Support Center, Cancer Palliative Care Team, Sapporo Medical Center NTT EC.
authors.forename: Hideo
authors.initials: H
authors.lastname: Takayanagi
authors.forename: Kazue
authors.initials: K
authors.lastname: Hanawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Kimura
mesh_terms: D003657:Decision Making; D003863:Depression / Q000628:therapy; D006699:Home Care Services; D006801:Humans; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010351:Patient Discharge; D010360:Patient Transfer