Case Manager's Understanding of Care Management for Terminal Cancer Patient in Home
10.14442/generalist.39.219
- VernacularTitle:在宅終末期がん患者のケアマネジメントに関する介護支援専門員の認識
- Author:
Shizuka Harada
;
Shinko Minotani
;
Miki Shibasaki
;
Michiko Maruyama
;
Toyoko Yamaguchi
;
Ikuko Miyachika
;
Yutaka Irino
;
Kiyomi Morimoto
;
Junko Yonezawa
- Publication Type:Journal Article
- Keywords:
cancer;
terminal care in home care;
care manager;
off the job training
- From:An Official Journal of the Japan Primary Care Association
2016;39(4):219-226
- CountryJapan
- Language:Japanese
-
Abstract:
Purpose: The present study was conducted to elucidate the gap in awareness of experience of care management and the actual work of being responsible for this field by spotlighting on the attributes of of case managers and who are in charge of care management of terminal cancer patients at home.
Methods: Anonymous individual style questionnaire investigation was conducted against a target of 443 care managers.
Results: 70.3% had experience being in charge of terminal cancer patients and there was a significant difference in that this was found in those of more than 5 years of experience and among those of full timer status. As for experience in regard to those with or without experience being in charge by basic type of job, there was not much significant difference.
As for awareness regarding being in charge of terminal cancer patients, those who felt “I want to avoid it”, remained in 25% and found more in non-fulltimers (P<0.05). As for those who thought that “health care providers are more suited to be in charge”, this was found in 70% of health care providers and 40% in welfare related individuls (P<0.05) and a significant difference was noted. As for awareness of “should not depend on specific profession and should be done fairly among professions and which was found in 80% of those who have less than 5 years among care support specialist profession and hence compared to those with more than 5 years, it was many, and a significant gap was found. Regarding need of education and training about care management of terminal cancer patients, 95% agreed there is.
Conclusion: Approximately 70% of all had experience with terminal cancer patients and particularly, among those with over 5 years as care support specialist, it became clear that full timers were in charge. However, about awareness of being in charge of care management, it became clear that there was an positive attitude toward who takes in charge without being restricting to specific individuals and not selecting by number of years of experince as care managers nor by basic job types. Therefore, it can be concluded that opportunity for education and training about care management of terminal cancer patients and consolidating education environment for self training is important.
