Diabetic patients must keep on exercising self-management for life in order to prevent diabetic complications and hold in check the progress of the disease. Moreover, fighting against the disease is an integral part of everyday life. Depending on the condition, patients may have to switch over to another treatment method in a short space of time. Such patients accept the alteration without proper understanding of it, although physicians thought they had given full explanations to the patients. There are some patients who cannot adequately communicate with their doctors. They blame the exacerbation of the condition on their poor self-management, get depressed and eventually driven to desperation. Tired out of long years of the life under medical treatment, diabetics may want to have someone to talk to or to turn to for advice. Doctors and nurses ought to understand their feelings, listen to them, give proper instruction, and review it later. For this purpose, medical institutions should have a counselor's office easy of access by patients and their families.
seconds ; Counselors ; Office ; Solutions ; Doctors

The goal of palliative care is to soothe or relieve the patients with serious illness of their suffering and to improve the quality of their life. It integrates the physical, psychological, social and spiritual aspects of patient care into a comprehensive whole. Doctors and other medical workers talk with the patients by providing appropriate information and explanations and care should be carried out according to the patients' wishes. The care team should confirm their wishes at every opportunity since the patients' wishes can change with time. The presenters who were actually involved in medical care or nursing care discussed how to solve the problems of palliative care and end-of-life care.
End ; Life ; Palliative Care ; Community ; Doctors

An Oriental medicine awareness survey was performed with the doctors having graduated from Nara Medical University. The questionnaire was mailed to the doctors having trained there 3, 4 and 5 years after their graduation. The collection rate was 24.1%. The percentage of doctors with an interest in Oriental medicine was 83.0%. These doctors believed that Oriental medicine exerts a different efficacy from western medicine. In contrast, the doctors (17%) with no interest in Oriental medicine answered that they had little or no Oriental medicine knowledge and experience. Most doctors (89.8%) supposed that Oriental medicine will play a more important role in the future, and that Oriental medicine lectures and seminars are essential. It seems important, therefore, to give doctors more Oriental medicine instruction, to learn the basic theories, prescriptions, and diagnoses. Those doctors (93.2%) who answered in the affirmative said that they would make use of Oriental medicine in the future, presumably due to social trend.
Oriental Medicine ; Surveys ; Awareness ; Doctors ; Graduate