In the orthopedics ward in our hospital, as is the case with other hospitals, many patients with spine or hip-joint ailments are bedridden with their face up for days. A previous survey found that among what feel the most inconvenient is evacuation. For those having problems in passing stools, the use of mild laxatives, suppositories or enemas has been common.However, in search of some other means which are fundamental and more suitable for nursing care, we tried cold drinking water and abdomen massage. The result was very helpful. Cold water drinking and massaging made the stomach and the intestine active and prompted evacuation. With this finding, the nurses in our hospital have realized the importance of returning to the basics of nursing care before turning to the drugs. Now, these procedures have been established in our hospital.

Introduction: CPT-11 induced diarrhea reduces patient compliance, lowers quality of life, and can be potentially life threatening. Loperamide is effective in the majority of cases of CPT-11-induced diarrhea. However, the case of advanced gastrointestinal cancer where oral administration is difficult. We adapted octreotide for use in a case of CPT-11-induced diarrhea where oral administration was difficult due to digestive tract stenosis. Case Report: A 61-year old man was diagnosed with advanced gastric cancer. He was treated with CPT-11 100mg/m² weekly for three weeks followed by a 1-week rest. CPT-11-induced diarrhea developed after 10 days of treatment. At the same time, his digestive tract stenosis worsened, making Loperamide unusable. We administered octreotide 200μg continuous intravenous drip infusion. One day after octreotide administration, the number of diarrhea has decreased from 20 times to four times. Conclusions: Octreotide is one of the effective treatments for CPT-11-induced diarrhea. Palliat Care Res 2010; 5(2): 338-341