Yokoyama Akiko, Yokoyama Kenzo, Matsumoto Kazuyo, Kubota Yuko
The Palliative Care Units, Sanshu Hospital.
Gan To Kagaku Ryoho. 2011 Dec;38 Suppl 1:11-3.
Recently, the importance of prevention and care of lymphedema has been recognized. It appears that the complex physical therapy is relatively taboo for an end-of-life cancer patient with lymphedema. Therefore, an intervention of care is often difficult. In our case, the patient strongly desired a hospice care at home, so we introduced a home hospice care gradually taking a step by step approach with anticipated harmful symptoms. As a result, the home hospice care was doable with ADL and QOL improvements. For lymphedema care of an end-of-life cancer patient, a goal setting, sharing the patient's will based on anticipated symptoms, and an introduction of a gradual care were all important.
最近，淋巴水肿的预防和护理的重要性已得到认可。对于患有淋巴水肿的临终癌症患者而言，复杂的物理治疗似乎相对禁忌。因此，护理干预往往很困难。在我们的案例中，患者强烈希望在家中接受临终关怀，所以我们采取循序渐进的方法，针对预期的有害症状逐步引入了居家临终关怀。结果，居家临终关怀是可行的，患者的日常生活活动能力（ADL）和生活质量（QOL）都得到了改善。对于临终癌症患者的淋巴水肿护理，目标设定、基于预期症状了解患者意愿以及引入渐进式护理都很重要。
