title: [A Case of HPN, In Which QOL Improvement Was Achieved by Combining Continuous Infusion with Once-Weekly Intermittent Infusion - Contribution of Pharmacists to Health Promotion among Home Patients Receiving Infusion Therapy].
abstract: Patients receiving parenteral nutrition at home have the following two options: 24-h continuous or intermittent infusion. To date, for patients with impaired glucose tolerance and/or other metabolic disorders or for those with decreased cardiac/ pulmonary/renal function, it is desirable to opt for continuous infusion to minimize the variance in the body's metabolic rate as much as possible. Furthermore, it should be noted that continuous infusion evokes a stronger feeling among patients of being constrained because it restricts their everyday activities. This case witnesses collaborations among the patient's doctor, dispensary's pharmacy, and patient's family. Because ofthe use ofintermittent infusion more or less once per week in addition to continuous infusion, significant improvement in quality of life was achieved, and the patient was able to enjoy taking a short trip. To assist a home patient receiving infusion therapy, it is essential that the pharmacist be equipped with skills to manage risks associated with infusion therapy and have knowledge about insurance to cover incidents concerning infusion fluids or medical materials. It will certainly depend on the degree ofindependence ofpatients and the level ofcare their families can provide; however, should we manage to use a similar medical procedure in at least a few cases in the future, we may be able to contribute to "joie de vivre" in home patients receiving infusion therapy.
authors.affiliation: Freddie Co., Ltd., Takano Pharmacy.
authors.forename: Namihiro
authors.initials: N
authors.lastname: Takeda
authors.forename: Tomoko
authors.initials: T
authors.lastname: Hamana
authors.forename: Toyoka
authors.initials: T
authors.lastname: Oka
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Hirohara
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kushida
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000601:surgery; D006293:Health Promotion; D018718:Home Infusion Therapy; D006801:Humans; D008297:Male; D010288:Parenteral Nutrition / Q000379:methods*; D024382:Professional Role; D011788:Quality of Life