1.Experiences of cancer survivors who use a palliative day care salon on a university campus
Takako Mitsuyuki ; Mayumi Abe ; Shoko Ando
Palliative Care Research 2014;9(1):308-313
Objectives: The purpose of this qualitative study was to examine the experiences of cancer survivors who used a palliative day care salon on a university campus. Method: Semi-structured interviews were conducted with ten cancer survivors; thereafter, we performed content analysis. Results: Ten categories were identified. The following were identified as motives to participate in the activities of the salon: (1) need for spiritual support, (2) desire to discover the meaning of life. The following experiences were described regarding the salon: (3) a place to express emotions openly, (4) a place to engage in activities as one pleases, (5) a place to communicate with others and express one’s true feelings, (6) a place that instills vigor as a result of expert advice. The following changes were identified after participation: (7) adopting an appropriate lifestyle, (8) improvement in image during the recurrence of cancer and towards the end of one’s life, (9) better family and social relationships, (10) a broader range of activities and uplifted sense for playing their roles. Discussion: Cancer survivors require support. In the salon, they could openly express their true feelings about their experiences of cancer and readily accepted one another. Further, their perceptions and attitudes toward life were being transformed through an enhanced sense of self-awareness. This transformation was facilitated by free activities on the university campus, an assurance of physical and psychological safety, and an indication of an outlet for such transformation.
2.Usefulness of“Tablet PC application for Pain Memory”on cancer pain assessment
Hirotaka Hirazawa ; Shoko Ando ; Takako Mitsuyuki ; Yoko Yamamoto ; Hiromi Kuroda ; Kazumasa Yamada ; Goro Obinata
Palliative Care Research 2015;10(1):312-317
Objective:The previous study was to develop the“Itamikei”, a small machine which patients can use to record their subjective level of pain. And new assessment tool“Tablet PC application for Pain Memory”, which enable the user to visualize and record the pain levels both instantly and over time. The purpose of this study was to examine the effectiveness of Pain Memory as a pain assessment tool for patients with cancer pain. Method:12 inpatients prescribed analgesics for cancer pain, were instructed to input their pain level into Pain Memory over a 2-week period, and the resulting graph was reviewed by the patient and staff. They also completed a questionnaire evaluating the design, function and pain assessment of the tool. Result:The patients input their pain level into Pain Memory 5.25 times/day(Md), which provided increased opportunities to ascertain the patient’s pain level compared to that“Itamikei”. The design and function of the Pain Memory were given approximately rate 4 using a 5 point scale by both patients and staff members. Moreover, using Pain Memory, the patients highly rated the parameter“I understood changes in pain”, and the staff members highly rated the parameter“Patients participating in the treatment of pain”. Conclusion:We found Pain Memory could be useful in the assessment of pain. It provided more opportunities to ascertain the pain level of patients, and enabled the visualization of the pain level through a graph.