Effective Rehabilitation Intervention which Using Activities of Daily Living Observation and Non-verbal Communication for Terminal Lung Cancer Patient with Difficulty to Express Hope Clearly to Improve His Quality of Life: Case Report
10.2512/jspm.11.515
- VernacularTitle:希望聴取が困難な終末期肺がん患者に対するADLの観察および非言語的コミュニケーションを用いたリハビリテーション介入がQOLの向上に有用であったと考えられる1例
- Author:
Nanako Nishiyama
;
Kazunari Abe
;
Shinichiro Nakajima
- Publication Type:Journal Article
- Keywords:
non-verbal communication;
rehabilitation;
quality of life;
activities of daily living
- From:Palliative Care Research
2016;11(2):515-519
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: The goal of rehabilitation for advanced cancer patients is to improve their quality of life (QOL). The meaning of QOL can only be determined by an individual patient. Rehabilitation begins with exploring the patient's hope. Here, we report a case suffering to express hope with difficulties by terminal stage lung cancer with brain metastases. Case: An 83-year-old male who was diagnosed with lung cancer (adenocarcinoma) and brain metastases admitted to palliative care unit because of progressive disease against chemo-radiotherapy. On admission, he could eat independently and walk to bathroom with slight assistance. A few weeks later, he had an epileptic seizure, right-hemiplegia and disturbance of consciousness. This episode made it drastically difficult for us to communicate orally with him. And, we tried hard to know the patient's hope by assessment using activities of daily living (ADL) observation and non-verbal communications. He revealed to be eager to eat even in a PS grade 4. He sometimes could talk a few words and, by rehabilitation techniques, he started to enjoy eating independently. For about three weeks, he could eat until the day before he died. Discussion: Eating behavior could be influenced by proper way of rehabilitation. Conclusion: ADL observation and non-verbal communication could be an effective rehabilitation approach to stimulate feeding behavior resulting in the improvement of patient's QOL.
