[Findings from Actual Situation of Cooperation between Discharge Nurses and Home-Visiting Nurses from Shifting to Home Care through Terminal Phase in Terminal Cancer Patients]

Abstract

We conducted questionnaire surveys focusing on the"actual situation of cooperation between discharge nurses and homevisiting nurses etc. from transition to home-care through the terminal phase in terminal cancer patients."As a result,discharge nurses were employed at acute-stage hospitals to practice discharge adjustment. Medical staff in home care and home care workers continuously supported the patients and their families in managing difficulties such as changes in pathological conditions and care-related anxiety after the patient was discharged. Amidst these efforts,over 80% of home-visiting nurses thought that there was some disagreement about the understanding of pathological conditions between the hospital medical staffs and the patients/their families while shifting to home care(immediately after shifting to home care). It was also clarified that the informed consent for and instructions regarding discharge according to individual patients and families were insufficient.