[The role of oncology nurse in palliative care team--activities of oncology certified nurse specialist in palliative care team at National Hospital Organization Osaka National Hospital].

In Osaka National Hospital, we established a hospital based palliative care team in July 2004. The team provided consultations to 537 patients (298 male, 239 female: 18% lung cancer, 14% breast cancer: 177 pain, 221 psychiatric symptoms, 91 physical symptoms). The department of surgery requested the PCT intervention most frequently. As a result of the request, 219 patients had died, 100 patients were discharged, and 54 patients were treated for cancer chemotherapy again. The major activities of OCNS are a nursing intervention for the out-patient chemotherapy unit and PCT. The major roles of OCNS in critical care unit at the general hospital are to make patients to have a high hope, an intervention to support patients and to have a supportive relationship with medical social workers.