[Findings from Actual Situation of Cooperation between Discharge Nurses and Home-Visiting Nurses from Shifting to Home Care through Terminal Phase in Terminal Cancer Patients].

We conducted questionnaire surveys focusing on the"actual situation of cooperation between discharge nurses and homevisiting nurses etc. from transition to home-care through the terminal phase in terminal cancer patients."As a result,discharge nurses were employed at acute-stage hospitals to practice discharge adjustment.

[Questionnaire survey for doctors in the area of cooporation efforts when a terminal cancer is transformed to home medical care].

In order to smoothly transform a terminal cancer patient from hospital to home medical care, we surveyed based on questionnaires to examine doctor's roles of each primary and regional hospitals and its cooperation among the hospitals. We established two types of questionnaires for two groups, a primary doctor group and a regional doctor group, and distributed and collected them. A total of 123 doctors (35 primary doctors and 88 regional doctors) responded out of 185 doctors, and the collection rate was 66.

[Ways to make cooperation between hospital nurse and home visiting nurse in treating a final stage cancer patient at home].

Due to a payment system based on Comprehensive Medical Evaluation has been adopted, both a shorter hospitalization and the use of home nursing care have been increasing. A good cooperation between hospital and home visiting nurses is desired in order to transfer continued nursing. Regarding a home nursing care service for the most terminal cancer patients, we conducted a survey of 459 home visiting nurses with twelve questions in five categories: (1) Before transferring to home care, (2) Right after the transfer to home care, (3) Patient in a stable period, (4) Time of near death and (5) Other (Requests to hospital nurses).

[Basic research in supporting the family who provides home care for their elderly people who need medical treatment at home--focusing on "uncomfortableness as judged by the utilization of the external human resource"].

The purpose of this study was to examine the use of external resource by the family caring for the elderly people who need medical treatment at home, and to discuss the methods of family support. An interview and the participatory observation were conducted to each of the 16 families, and the data were analyzed based on the Grounded Theory Approach. "Uncomfortableness as judged by the utilization of external resources" was found as a crucial factor to control the utilization of external human resources.

[Present situation of home care and roles of nurses at Tokyo Women's Medical University Hospital--through the 5-year home care support activities].

Diseases, details of interventions, medical cares provided and the condition of use and services of local medical institutions were investigated in the home care support activities during the period from November 1997 to March 2003. We intervened in 1,309 patients. 70% of them were terminal patients with malignant tumor.

[Present situation of home care and roles of nurses at Tokyo Women's Medical University Hospital--through the 5-year home care support activities].

Diseases, details of interventions, medical cares provided and the condition of use and services of local medical institutions were investigated in the home care support activities during the period from November 1997 to March 2003. We intervened in 1,309 patients. 70% of them were terminal patients with malignant tumor.

[Formulation of policies for promoting home medical care by a university hospital--report of planned and convened case review sessions].

It is no exaggeration to say that the linkage among the persons in various specialties, medical staff including the home doctors and visiting nurses, and those related to social welfare is essential for supporting and promoting the terminal care at home of the patients heavily dependent on medical care, as well as the patients and their families with problems in the nursing ability. Good understanding of other specialties and compensation for each other are considered to enable effective service to the patients. At our hospital, we have planned and convened case review sessions for the past two years.