Sugimoto Yuka, Ito Masako, Hotta Kayoko, Toguchi Masaharu, Maeda Kenji
Daikou Sunadabashi Clinic.
Gan To Kagaku Ryoho. 2003 Dec;30 Suppl 1:132-4.
At present, many patients heavily dependent on medical care live at home. Therefore, the need for pain control at home is increasing. Within the limits of home care, the method used to control pain control is very important. Here we report 2 cases who need more than 1,000 mg of morphine (converted into oral administration). And we introduce our method for pain control at home. Our method is as follows: 1. Before the patient is discharged from the hospital, we go to the hospital and confirm the patient's condition and pain. 2. If necessary, before the patient is discharged from the hospital, we request to change instruments for home care. 3. We select the best way (instruments, circuits, administration) in consideration of the patients' or their families ADL. 4. When we change a route from oral administration to injection, we let the patient enter the hospital temporarily to adjust the quantity of morphine.
目前，许多严重依赖医疗护理的患者居家生活。因此，居家疼痛控制的需求日益增加。在居家护理的范围内，用于控制疼痛的方法非常重要。在此，我们报告2例需要超过1000毫克吗啡（换算为口服剂量）的病例。并且我们介绍我们的居家疼痛控制方法。我们的方法如下：1. 在患者出院前，我们前往医院确认患者的病情和疼痛情况。2. 如有必要，在患者出院前，我们要求更换居家护理器具。3. 我们根据患者或其家属的日常生活活动能力选择最佳方式（器具、给药途径、用药方式）。4. 当我们从口服给药途径改为注射给药途径时，我们让患者暂时住院以调整吗啡用量。
