1.A soup in the palliative care:case studies of a service developed by our hospital
Hideaki Kawabata ; Naoki Kakihara ; Chiaki Taga ; Masanori Nishikawa ; Yoko Nishitani ; Kota Asano ; Mariko Nose ; Miwa Sakuma ; Eiichiro Kanda ; Masako Nishimura ; Makiko Yamaguchi ; Osamu Ikawa ; Katsuhiko Masuda
Palliative Care Research 2015;10(1):913-916
Palliative care team(PCT), nutrition support team(NST)and office of nutrition in our hospital developed a special soup service, which was served for ten patients faced with terminal cancer. The members of PCT, NST and the Cook served a special soup to ten patients. Nine of them could taste the soup without vomiting although they had anorexia. It was a good result. The number of days from the last day tasting the soup to death or hospital transfer was between 3 and 20 days(12.5 days on average), and the number of times they could taste the soup was between 1 and 3(2.0 times on average). Tasting the soup supports the strength of living, and might bring an improvement in spiritual quality of life.
2.Increased Cooperation with Dentistry by the Palliative Care Team
Hideaki Kawabata ; Masanori Nishikawa ; Hirosato Inoda ; Akio Tanaka ; Naoki Kakihara ; Chiaki Taga ; Mutsumi Kohigashi ; Mitsuo Nakamura ; Chisa Hasegawa ; Eiichiro Kanda ; Masako Nishimura ; Yukari Nakagawa ; Yoko Nishitani ; Mariko Nose ; Kota Asano ; Miwa Sakuma ; Keiko Fujimura
Palliative Care Research 2016;11(1):901-905
Recently, the palliative care team (PCT) at our hospital has included dentists. Among a total of 127 cancer patientsand required PCT intervention from 2009 to 2014, 17 patients (13.3%) had oral symptoms. Therefore, the PCT held discussions in order to determine the optimal way to treat each patient. Various symptoms, including oral pain, dry mouth, taste disturbance, furred tongue, excessive amounts of saliva, appetite loss, and trismus were treated by the dentists. As a result, the oral findings improved in all patients, while the oral symptoms improved in 16 of the 17 patients (94%). Thanks to the fact that dentists have joined the PCT, oral symptoms are effectively relieved, and PCT members now have an increased interest in oral cavity complications. Furthermore, conducting thorough examinations of the oral cavity by the PCT not only results in an improved QOL, but it has also increased the interest in the oral cavity on the part of the PCT. Therefore, more effective palliative care is expected to be achieved by promoting increased cooperation with more clinical departments.
3.Experience on an Education Method for Medical Psychology for Medical Students with Approach of Behavioral Science.
Kumiko YAMAZAKI ; Michinari KANEKO ; Wakana FURUSHIMA ; Tatsushi KAWAGUCHI ; Kaori IKEDA ; Kiyo OOTANI ; Eiichiro KANDA ; Yoshihide NISHIYAMA ; Miho FUKUHARA ; Sanae YOKOMIZO ; Yumi MADARAME ; Mutsumi TSUKADA ; Masami MOTEGI ; Yasuko NAKAYAMA ; Tomoko OKANO ; Ichin YUU ; Mariko MIYAMOTO ; Satoshi OOURA ; Akio SHIROKI ; Atsushi YOSHIOKA ; Mako YOKOTA
Medical Education 1994;25(4):216-220