Impact of IMADOKO, a Tool for Confirming the Current Status, in Decision-Making Support for Better Recuperation Places for Terminal Cancer Patients and Their Families
- VernacularTitle:終末期がん患者と家族のよりよい療養場所の意思決定支援における現状確認ツールIMADOKO活用の影響
- Author:
Yuko OHI
1
;
Takeshi KIKUTANI
2
;
Kumi TANAKA
2
;
Yoko KATO
2
;
Kumi MORIYAMA
2
Author Information
- Keywords: palliative care; cancer patient; terminal care; home care; decision making
- From:Palliative Care Research 2023;18(2):117-122
- CountryJapan
- Language:Japanese
- Abstract: We devised IMADOKO as a tool to confirm the current status of terminal cancer patients and are using it in the home care team. In this study, we retrospectively investigated the actual state of end-of-life care to clarify the impact of IMADOKO on decision-making support for terminal cancer patients and their families. The subjects were 64patients (male/female, 38/26) before IMADOKO introduction, and 140 patients (male/female, 78/62) after the introduction, with an average age of 74 years in both cases and the primary lesions were the pancreas, lung, and the gastrointestinal tract. The rate of death at home increased significantly after the introduction of IMADOKO, compared to before. In the IMADOKO introduced group, IMADOKO was used in 108 patients and all their families. The use of IMADOKO for the patient was not related to the location of death, but it significantly improved communication between the patient and family, and between patient/patient's family and medical staff. It was shown that IMADOKO may be useful for decision-making support in choosing a better place of recuperation.
