1.Creating a list of psycho-social problems and solutions for patients with pancreatic cancer by applying the social problem-solving process
Mariko Shiozaki ; Atsuko Sakami ; Takayuki Satoh ; Hidetoshi Eguchi ; Masahiro Tanemura ; Toru Kitagawa ; Toshinori Ito ; Kei Hirai
Palliative Care Research 2015;10(3):186-193
Purpose: The aim of this study was to create a list of psycho-social problems and solutions for patients with pancreatic cancer by applying the social problem-solving process. Methods: A semi-structured interview of approximately 1 hour was conducted on two occasions. The participants were 17 patients with pancreatic cancer. Results: Psycho-social problems were divided into two themes: “facing the future uncertainty” and “facing the effects of treatment received”. A list of problems and solutions was created for each problem theme. Realistic goals for “facing the future uncertainty” were ‘maintaining this living condition (n=7)’, ‘preparing for changes to the environment (n=5)’, ‘keeping a sense of control over my own life (n=5)’ and ‘dealing with anxiety (n=3)’. Realistic goals for “facing the effects of treatment received” were ‘restoring the self of pre-illness(n=2)’. Conclusion: For seemingly unsolvable problems, patients can formulate realistic goals that they want to have clarified, and then the problems can be recaptured as solvable problems.
2.A Workshop for Care Workers, Nurses and Pharmacists to Identify Problems Related to Cooperation and Propose Solutions to Ensure Appropriate Medication Assistance for NursingHome Residents
Hayato KIZAKI ; Akira SHIRAISHI ; Yuji TORII ; Takayuki ISHII ; Hideyuki MAKI ; Akiko MIKI ; Hiroki SATOH ; Daisuke YAMAMOTO ; Yukari KONISHI ; Kenichi FUNAHASHI ; Yoshinobu USUI ; Satoko HORI ; Yasufumi SAWADA
Japanese Journal of Drug Informatics 2020;22(1):44-52
Objective: In order to ensure the safety of nursing home residents, it is very important to implement appropriate assistance to ensure compliance with necessary medication. The purpose of this study is to identify issues and to plan solutions for medication assistance.Design: We conducted a workshop involving care workers (CWs), nurses and pharmacists together.Methods: Using the KJ method, participants extracted problems related to medication assistance and planned solutions in a mixed group of CWs, nurses and pharmacists. Questionnaire surveys were conducted for the participants before, immediately after, and 3 months after the workshop.Results: A number of important and urgent issues related to medication assistance were identified. There were differences in the recognition patterns of the importance and urgency of the issues among the three categories of participants. In addition, many possible solutions were proposed. Among these solutions, 25% had been implemented by at least two participants. More than 75 % of participants felt that their awareness of the value of cooperation in medication assistance had been improved by participating in the workshop.Conclusion: These results suggest that a workshop with a group of CWs, nurses and pharmacists in one place is a useful approach for extracting problems and planning effective solutions related to cooperation in medication assistance.