Kohka Public Hospital(KPH), located in the southeast district of Shiga Prefecture, has been recognized for playing a major role in the care of acute physical disorders. KPH is also expected to have a central role in cancer treatment in the regional medical district. We have practiced home care on terminal cancer patients since before the establishment of palliative care team at KPH in 2008. The Visiting Nurse Station treated a total of 82 terminal cancer patients from 2008 through 2010 fiscal year. Of these 23 patients we cared for died at home. On the other hand, the Division of Regional Medical Collaboration carried out 23-home visit medication for last 2 years(2009-2010). Of these 23-home visits, they cared for 7 patients who died at home. The majority of the patients, as well as families, wished that they would have liked to be re-hospitalized at KPH in their terminal stage. Under the consideration of these results, we established a Division of Home Care Medicine this year and would intend to cooperate and to take care of the cancer patients not only at KPH, but also at various other places in cooperation with the regional medical resources and welfare after creating a medical network system for cancer treatment and care.
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