1.Case regarding Traditional Japanese Medicine’s effectiveness for nausea and vomit caused by peritonitis carcinomatosa
Masako Nishimura ; Naoki Kakihara ; Kota Asano ; Eiichirou Kanda ; Hideaki Kawabata ; Mariko Nose ; Yoko Nishitani ; Tadashi Mikami ; Osamu Ikawa
Palliative Care Research 2014;9(4):533-537
The 38-years old woman was hospitalized due to peritonitis carcinomatosa after 8 months, since the operation for advanced gastric cancer. Although the dosage of domperidone suppository, metoclopramide injection and haloperidol injection was started to prevent her from vomiting, it was stopped because of the complication of extrapyramidal symptoms. Instead of previous prescription, the traditional Japanese medicine, ice candy of rikkunshito, was prepared and started to give her. After its dosage, the number of vomit was gradually decreased, and she was permitted to go back her home. Before a dosage of ice candy of rikkunshito, it was impossible for her to eat orally even if she felt hungry and had appetite, which caused a strong grief to her. Ice candy of rikkunshito is a smooth medicine and expected to prevent from vomiting while an intake of ice candy orally. Hence, it is considered that there is possibility to have effectiveness both physically and psychologically. After few days from going back home, she caused a consciousness impediment. Her last stay at home was only few hours. After one month since then, she died leaving her message,“I was tired out, but happy to stay at my home.”
2.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.