Alien hand syndrome (AHS) is a rare neurologic disorder in which movements are performed without conscious will. Cognitive rehabilitation is usually first considered for treating AHS. However, we proposed different modalities for the treatment. This is the first case report showing therapeutic effects of the NEURO-15 program that consists of low-frequency repetitive transcranial magnetic stimulation and intensive occupational therapy on AHS symptoms and upper limb dysfunction caused by a stroke one year and three months before. A 68-year-old male developed right upper limb palsy secondary to cerebral infarction on the medial side of the left frontal lobe. On admission, he exhibited disturbed skilled motor behavior, compulsive grasping of the right upper limb, and dissociated behavior of the right hand independent from the left. The right hand interfered with the actions executed by the left hand. The left hand restricted the right hand in its actions by holding it. Six months after the onset, his Activities of Daily Living improved and he was discharged from hospital to home. However, his compulsive grasping of the right upper limb symptoms remained, and he underwent NEURO-15 one year and three months after the onset. His right upper limb function improved. Compulsive grasping of the right upper limb disappeared, and the contradictory action of the right upper limb was rarely seen. These results suggested that NEURO-15 influenced the neural network including the primary motor cortex and supplementary motor area.

Objective: To clarify factors related to emotional instability in spouses of cancer patients receiving palliative chemotherapy. Methods: Semi-structured interviews were conducted with spouses of cancer patients receiving palliative chemotherapy, and the obtained data were qualitatively and inductively analyzed. Results: Through analysis, 9 related factors were identified: “realizing the severity of the situation when receiving an explanation of the pathological condition”, “an unclear prognosis”, “fear of losing any treatments”, “being pressed for treatment-related decision-making”, “increased daily burdens by the care”, “collapse the visions of the family future”, “communication with medical professionals”,“candid dialogues with the patient”, and “relationships with others”. Conclusion: It may be important for nurses to help families of cancer patients realistically manage their situation without excessive confusion, even when they experience emotional instability, and spend meaningful time with patients as an outcome of treatment, with an understanding of these related factors on such emotional instability.