Service contents and recovery orientation of psychiatric home-visit nursing evaluated by users in Japan.

The aim of this study was to clarify the differences perceived by users of home-visit nursing care between providers from medical institutions and services from independent home-visit nursing stations, as well as to examine the recovery orientation from the perspectives of the users. We conducted a questionnaire survey of 32 home-visit nursing stations and 18 medical institutions. From these facilities, 10 users of psychiatric home-visit nursing services who were being treated for schizophrenia and bipolar disorder were selected.

Future perspective of psychiatric home-visit nursing provided by nursing stations in Japan.

Psychiatric home-visit nursing supports the lives of people with mental disorders in the community and plays an important role in the "community-based integrated care system" which is rapidly being implemented in Japan. Although the number of responsive home-visit nursing stations (HVNS) is increasing, the current situation of service provision has not yet been clarified. This study aimed to investigate the characteristics and difficulties of psychiatric home-visit nursing provided by HVNS.

[Visiting nursing care for the end stage patient--a decision making support].

As the state of social security system has been changing, such as medical insurance and long-term care insurance for instances, the number of patients who would like to spend the final moment at home has been increasing. There are various ways to introduce and process for the end of stage patients who prefer to die at home. This report shows the current state of support to those cases through the activity of the home visit nursing care station.

[The process of home palliative care].

In achieving a home palliative care, an early involvement on the part of medical institutions in steps like a confirmation of the patient and family preference, a discharge arrangement and a continuous liaison with the visiting nursing station are required.

[Questionnaire survey of the actual working conditions of care-managers].

In order to clarify the present status of care-managers, a questionnaire was sent to 1,714 care-managers working in Kanagawa Prefecture in June 2002. The aspects investigated included their background, amount of care-management and degree of achievement, conditions of employment, opinion poll and training system. The response rate was 45.

[Questionnaire survey of the actual working conditions of care-managers].

In order to clarify the present status of care-managers, a questionnaire was sent to 1,714 care-managers working in Kanagawa Prefecture in June 2002. The aspects Investigated included their background, amount of care-management and degree of achievement, conditions of employment, opinion poll and training system. The response rate was 45.