title: [The Home Care Doctor Today is "STRIKE" - Considering Care of Terminal Stage Patients with Cancer through a Case Report].
abstract: Although many patients wish to remain in their familiar home environment while undergoing cancer treatment, many obstacles prevent a patient from receiving cancer care at home. With early-stage cancer, the patients may better accept the diagnosis and have a greater will to fight the illness. However as time proceeds, progression or recurrence of cancer may occur, and eventually, proactive treatments will not be available. This progression results in great physical and mental strain on the patients and their family. At all stages of such progression, opportunities exist for a care provider to assist with overcoming potential obstacles by openly communicating with the patients, talking through the patients' experiences, and understanding their feelings. However, on diagnosis, cancer patients must often face the reality that they have very little time left to live. When transiting medical care from their long-trusted hospital to a home care base, a new physician must be selected and other decisions related to their care must be quickly made. Transferring responsibility to a good home care provider can greatly influence a patient's emotional state. This paper reports one such case in which the patients died in their homes with the best comfort and possible outcome.
authors.affiliation: Hanae Care-Station, Futago Pharmacy.
authors.forename: Miyoko
authors.initials: M
authors.lastname: Ogihara
authors.forename: Keita
authors.initials: K
authors.lastname: Yamaoka
authors.forename: Yoko
authors.initials: Y
authors.lastname: Fujimaki
authors.forename: Mutsuko
authors.initials: M
authors.lastname: Watanabe
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Hirohara
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kushida
mesh_terms: D000369:Aged, 80 and over; D017028:Caregivers; D005260:Female; D006699:Home Care Services; D006801:Humans; D009369:Neoplasms / Q000628:therapy*; D010348:Patient Care Team; D010819:Physician's Role; D013727:Terminal Care