Isono Hisayo, Gyoda Yasuaki, Yoshizawa Akitaka, Kenmoku Tomoko, Nakamura Yusuke, Onose Akira, Kawabata Masahiro, Iwase Satoru
Dept. of Internal Medicine, Keiyu Hospital.
Gan To Kagaku Ryoho. 2010 Dec;37 Suppl 2:253-5.
A palliative care team provides palliative care in the hospital setting.However, palliative care might be discontinued when a patient was switched to an outpatient from an inpatient or when a patient was being transferred to another hospital.In the present work, we report a case who could receive anti-cancer therapy and palliative care simultaneously at home.The case is a 46-year-old woman.She was diagnosed as left ovary cancer in 1990's and underwent an operation followed by chemotherapy. The tumor relapsed and invaded the sigmoid colon in 2000's.She then developed an intestinal obstruction and was hospitalized.After her conditions were stabilized, she was discharged but still needed a high degree of medical interventions. She was introduced to another hospital providing a home palliative care as well as emergency admission.She could fulfill her desire to receive a palliative care and chemotherapy simultaneously at home through this seamless healthcare linkage.It should be insisted that hospital oncologists and home doctors need to acquire the knowledge of palliative care and close cooperation between them is required.It is also important to establish a comprehensive healthcare linkage system in the society.
姑息治疗团队在医院环境中提供姑息治疗。然而，当患者从住院转为门诊或转院至其他医院时，姑息治疗可能会中断。在本研究中，我们报告了一例能够在家中同时接受抗癌治疗和姑息治疗的病例。该病例为一名46岁女性。她于20世纪90年代被诊断为左卵巢癌，接受了手术及后续化疗。肿瘤在21世纪复发并侵犯乙状结肠。随后她出现肠梗阻并住院。病情稳定后出院，但仍需要高度医疗干预。她被转介至另一家提供居家姑息治疗及紧急入院服务的医院。通过这种无缝的医疗衔接，她得以实现在家同时接受姑息治疗和化疗的愿望。应当强调的是，医院肿瘤学家和家庭医生需要掌握姑息治疗知识，并且他们之间需要密切合作。在社会中建立全面的医疗衔接系统也很重要。
