The burden of introducing the Japanese language version of the Liverpool Care Pathway（LCP-J）for dying patients in general wards and their families：experience of health care professionals in a university hospital
10.2512/jspm.10.318
- VernacularTitle:一般病棟で看取りのケアのクリニカル・パス Liverpool Care Pathway日本語版を導入するための課題―大学病院での使用経験から
- Author:
Yusuke Kanno
;
Kazuki Sato
;
Yoko Hayakawa
;
Yoshie Takita
;
Takashi Agatsuma
;
Tomoko Chiba
;
Kazuko Honda
;
Hiroko Shibata
;
Kazuko Yamauchi
;
Shin Takahashi
;
Akira Inoue
;
Mitsunori Miyashita
- Publication Type:Journal Article
- Keywords:
Cancer;
Liverpool Care Pathway;
dying care;
general ward
- From:Palliative Care Research
2015;10(1):318-323
- CountryJapan
- Language:Japanese
-
Abstract:
The purpose of this study was to explore the burden of introducing LCP-J in two wards（medical oncology and respiratory medicine）in Tohoku University Hospital. We administered audit evaluations about dying cancer patients and interviewed 2 doctors and 8 nurses regarding LCP-J intervention. LCP-J was used for 22 patients（38％）, and no significant difference in infusion, potent opioid analgesic and sedative medication within last 48 hours were seen between users and nonusers. Responses were categorized into［confirm directions about dying care among health care professionals］, and［training in dying care in a structured way］as usefulness facets of the LCP-J, and［difficulty in assessment of dying］,［burden of health care professionals］, and［difficulty using LCP-J without knowledge and training in dying care］as burdens of the LCP-J. We explored the burden of LCP-J in general wards, and found that use of the LCP-J could need education in dying care and backup of the palliative care team.
