[How to treat a home cancer patient when the patient encountered with delirium symptom].

It has been 5 years since the passage of the Basic Act on Countermeasures against Cancer and the Promotion of Cancer Countermeasures. In 2012, the early stage of cancer treatment was desired based on the revision of these master plans for all cancer patients as well as their families. One third of the 1 million annual deaths were caused by cancer in Japan, and predicted that the cancer mortality ratio has been increasing in trend.

[Deliria: an obstacle to continue home care--from the perspective of psycho-oncologist].

It has been 2 years since the 2007 Cancer Control Act(Table 1)and the Basic Plan to Promote Cancer Control was implemented, which aimed at a reduction of burden for all cancer patients and their families and to improve a quality of life. The Basic Plan to Promote Cancer Control requires an active engagement, such as alleviation of physical symptoms and mental/psychological problems for not only in the terminal phase of a patient but also from an early phase of treatment. Specifically, our primary aim was to relive the mind of patient's family by providing information on cancer prevention, education, and things that matter most to the family were handled through training of medical staff, palliative care, consultation and care support, and other related services.

[Barriers upon providing assistance with making arrangements for discharging and changing from hospitals while a patient is undergoing cancer therapy--when he is in the state of depression (from the perspective of psycho- oncologist)].

During a cancer therapy, a fine-tuned response is necessary for a patient to stay home with family for a longer period of time. Especially the patient is near the end of life. Based on the Basic Plan to Promote Cancer Control programs, our hospital established a cancer consulting support center and a palliative care team in June 2009, and staffed them with multidisciplinary personnel.